Application form Mortgage advice

WHAT DO YOU REQUIRE?
First mortgageIncrease / 2nd mortgageTransfer

DESIRED MORTGAGE
What is your desired loan amount?
How much are the desired net monthly costs?

PERSONAL DATA APPLICANT
Name

First NameInitialsLast Name
MaleFemale
Date of birth

MonthDayYear

PERSONAL DATA APPLICANT
Address

Street Address

Number

CityState / Province

Postal / Zip CodeNationality
Email
example@example.com
Mobile Phone

Country CodeArea CodePhone Number
Social Security Citizen number (BSN)
The citizen service number is requested because of a legal obligation to report.
Bank Account Number (IBAN)
The bank account number is requested in connection with the preparation of the Service Engagement.

PERSONAL DATA PARTNER
Name

First NameInitialsLast Name
MaleFemale
Date of birth

MonthDayYear
Email
example@example.com
Same address as partner?

YesNo

PERSONAL DATA PARTNER
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeNationality
Email
example@example.com
Mobile Phone

Country CodeArea CodePhone Number
Social Security Citizen number (BSN)
The citizen service number is requested because of a legal obligation to report.

PERSONAL DATA PARTNER
Marital status

SingleRegistered partnershipLiving togetherSeparatedMarried in community of propertyMarried with prenuptial agreement
Children

NoYes
Ages
separated by comma

FINANCIAL DATA APPLICANT
Cuurent employment

EmployeeUnemployedIndependent (ZZP)
Start date employment contract
Employer
Profession/Function

FINANCIAL DATA APPLICANT
Gross annual income
exclusive 13th month, excluding holiday allowance
Holiday bonus
Overwork
Fixed

YesNo
13th month/end of the year
Fixed

YesNo
Provision
Fixed

YesNo
Irregularity
Fixed

YesNo
Non tax income
Other income/payment
Please provide explanation below
please elaborate

FINANCIAL DATA APPLICANT
Do you have obligations from a consumer credit?

NoYes
Estimate total amount?
e.g. personal loan, credit card credit

STUDY DEBT APPLICANT
Height study debt
ALIMONY APPLICANT
Do you have alimentation obligations?

NoYes, ex-partner alimonyYes, child supportDifferent
Please provide duration and amount of ex-partner alimentation
Please provide duration and amount of child alimentation
Please provide duration and amount of different alimentation
Different, namely

FINANCIAL DATA PARTNER
Current employment

EmployeeUnemployedIndependent (ZZP)
Start date employment contract
Employer
Profession/Function

FINANCIAL DATA PARTNER
Gross annual income
exclusive 13th month, excluding holiday allowance
Holiday bonus
Overwork
Fixed

YesNo
13th month/end of the year
Fixed

YesNo
Provision
Fixed

YesNo
Irregularity
Fixed

YesNo
Non tax income
Other income/payment
Please provide explanation below
please elaborate

FINANCIAL DATA PARTNER
Do you have obligations from a consumer credit?

NoYes
Estimate total amount?
e.g. personal loan, credit card credit

STUDY DEBT PARTNER
Height study debt
ALIMONY PARTNER
Do you have alimentation obligations?

NoYes, ex-partner alimonyYes, child supportDifferent
Please provide duration and amount of ex-partner alimentation
Please provide duration and amount of child alimentation
Please provide duration and amount of different alimentation
Different, namely

OWN RESOURCES (AND PARTNER) TOGETHER
Directly available amount of own resources
Other present own funds

CURRENT LIVING
Rent house
How much is the rent per month?
including service costs, exclusive energy costs
Private property
What is the Net total mortgage cost per month?
Please provide the WOZ value
needed for conclusion.

CURRENT MORTGAGE
Name mortgage provider
What type of mortgage is it?
e.g. savings mortgage, hybrid mortgage, interest-only mortgage
Duration mortgage
in years
Starting date
Current remain debt
Interest rate
%
Current interest valid until
Interest

VariableSetOther
Do you have a SECOND mortgage?

YesNo

CURRENT SECOND MORTGAGE
Name mortgage provider
What type of mortgage is it?
e.g.
Duration mortgage
in years
Starting date
Current remain debt
Interest rate
%
Current interest valid until
Interest

VariableSetOther
Do you have a THIRD mortgage?

YesNo

CURRENT THIRD MORTGAGE
Name mortgage provider
What type of mortgage is it?
e.g.
Duration mortgage
in years
Starting date
Current remain debt
Interest rate
%
Current interest valid until
Interest

VariableSetOther

SALE CURRENT HOUSE
Sales value of your current house (or minimal estimate)
SoldNot sold yet
Do you need a bridge loan?

YesNoDon't know

YOUR NEW HOUSE
Existing constructionNew construction

EXISTING CONSTRUCTION
Address

Street Address

Number

CityState / Province

Postal / Zip Code
If apartment, what are the service costs per month?
Purchase price
Renovation costs
Ground lease

NoYes
Ground lease per month
Ground lease buy-out

NoYes
Please provide buy-out number of years

NEW CONSTRUCTION
Plan/Project
Building number
Type of house
City
Purchase price
Construction interest
Additional construction work
Completion date
Ground lease

NoYes
Ground lease per month
Ground lease buy-out

NoYes
Please provide number of years

BANK GUARANTEE
Do you wish a bank guarantee?

YesNo
Date to set bank guarantee
In presence of notary
Name
City
We only offer a bank guarantee if we are in possession of a signed quotation, a signed purchase and valid proof of identity.
If you wish to add some explanatory notes, please do so below.
e.g. a desired dissemination and interest rate period.

FINAL DECLARATION
The undersigned, applicant(s), declare*

To have truthfully completed all information provided.The Lender (s) give permission to them for the purpose of assessing this request mortgage from the Stichting Bureau Kredietregistatie in Tiel for loans previously entered into.The citizen service number (BSN) may be used because of a legal obligation to report.Pro Finance may use the bank account number in connection with the preparation of the Service Engagement.
City*
Date*
Name first applicant for agreement*
Name partner for agreement
Signature Applicant*

Clear
Signature Partner*

Clear

REQUIRED DOCUMENTS
You must submit the following documents:

> Copy of valid proof of identity (passport or ID-proof (both sides of copy), NO driving license);

> If employed: a copy of a recent salary slip and an employer's statement;

> If self-employed (ZZP); the annual figures, the IB declarations for the past three years and the Chamber of Commerce registration (not older than 6 months);

> If the beneficiary: the award decision;

> If retired: AOW specification and specification of pension payment.
Should be Empty:

WHAT DO YOU REQUIRE?

DESIRED MORTGAGE

PERSONAL DATA APPLICANT

PERSONAL DATA APPLICANT

PERSONAL DATA APPLICANT

PERSONAL DATA PARTNER

PERSONAL DATA PARTNER

PERSONAL DATA PARTNER

FINANCIAL DATA APPLICANT

FINANCIAL DATA APPLICANT

FINANCIAL DATA APPLICANT

FINANCIAL DATA PARTNER

FINANCIAL DATA PARTNER

FINANCIAL DATA PARTNER

OWN RESOURCES (AND PARTNER) TOGETHER

CURRENT LIVING

CURRENT MORTGAGE

SALE CURRENT HOUSE

YOUR NEW HOUSE

BANK GUARANTEE

FINAL DECLARATION

REQUIRED DOCUMENTS