Application form Mortgage advice

WHAT DO YOU REQUIRE?
First mortgage Increase / 2nd mortgage Transfer

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

PERSONAL DATA APPLICANT
Name

First Name Initials Last Name
Male Female
Date of birth

Month Day Year

PERSONAL DATA APPLICANT

Address

Street Address
Number
City	State / Province
Postal / Zip Code	Nationality

Email
example@example.com
Mobile Phone

- Country Code - Area Code Phone 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 Name Initials Last Name
Male Female
Date of birth

Month Day Year
Email
example@example.com
Same address as partner?

Yes No

PERSONAL DATA PARTNER

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Nationality

Email
example@example.com
Mobile Phone

- Country Code - Area Code Phone Number
Social Security Citizen number (BSN)
The citizen service number is requested because of a legal obligation to report.

PERSONAL DATA PARTNER
Marital status

Single Registered partnership Living together Separated Married in community of property Married with prenuptial agreement
Children

No Yes
Ages
separated by comma

FINANCIAL DATA APPLICANT
Cuurent employment

Employee Unemployed Independent (ZZP)
Start date employment contract
Employer
Profession/Function

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

Yes No
13th month/end of the year
Fixed

Yes No
Provision
Fixed

Yes No
Irregularity
Fixed

Yes No
Non tax income
Other income/payment
Please provide explanation below
please elaborate

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

No Yes
Estimate total amount?
e.g. personal loan, credit card credit

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

No Yes, ex-partner alimony Yes, child support Different
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

Employee Unemployed Independent (ZZP)
Start date employment contract
Employer
Profession/Function

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

Yes No
13th month/end of the year
Fixed

Yes No
Provision
Fixed

Yes No
Irregularity
Fixed

Yes No
Non tax income
Other income/payment
Please provide explanation below
please elaborate

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

No Yes
Estimate total amount?
e.g. personal loan, credit card credit

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

No Yes, ex-partner alimony Yes, child support Different
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

Variable Set Other
Do you have a SECOND mortgage?

Yes No

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

Variable Set Other
Do you have a THIRD mortgage?

Yes No

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

Variable Set Other

SALE CURRENT HOUSE
Sales value of your current house (or minimal estimate)
Sold Not sold yet
Do you need a bridge loan?

Yes No Don't know

YOUR NEW HOUSE
Existing construction New construction

EXISTING CONSTRUCTION

Address

Street Address
Number
City	State / Province
Postal / Zip Code	Country

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

No Yes
Ground lease per month
Ground lease buy-out

No Yes
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

No Yes
Ground lease per month
Ground lease buy-out

No Yes
Please provide number of years

BANK GUARANTEE
Do you wish a bank guarantee?

Yes No
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