info@leodisfinancial.co.uk
+44 (0)1274 028019
Email
Call
Email
Call
Blogs
Contact
Blogs
Contact Us
Calculator
Forms
Brochure
Commercial Finance
Commercial Mortgage
Bridging Loans
Buy to Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Standard Variable
Residential Mortgages
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit Mortgage
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy to Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Let to Buy Mortgage
Bridging Loans
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
Home Insurance
Building and Contents Insurance
Mortgage Repayment Protection
Mortgage Protection
Life Assurance
Life Assurance
Life Term Assurance
Whole Life Assurance
Critical Illness
Family Income Protection
Income Protection
Business Insurance
Business Protection Cover & Key Man Insurance
Tenant Income Protection
Motor & Asset
Types Of Car Finance
HP Finance
Conditional Sales
PCP Finance
PCH Lease
Car Refinance
Compare Products
Types of Asset Finance
Hire Purchase
Finance Leasing
Asset Refinance
FAQ
Menu
Commercial Finance
Commercial Mortgage
Bridging Loans
Buy to Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Standard Variable
Residential Mortgages
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit Mortgage
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy to Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Let to Buy Mortgage
Bridging Loans
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
Home Insurance
Building and Contents Insurance
Mortgage Repayment Protection
Mortgage Protection
Life Assurance
Life Assurance
Life Term Assurance
Whole Life Assurance
Critical Illness
Family Income Protection
Income Protection
Business Insurance
Business Protection Cover & Key Man Insurance
Tenant Income Protection
Motor & Asset
Types Of Car Finance
HP Finance
Conditional Sales
PCP Finance
PCH Lease
Car Refinance
Compare Products
Types of Asset Finance
Hire Purchase
Finance Leasing
Asset Refinance
FAQ
Commercial Finance
Commercial Mortgage
Bridging Loans
Buy to Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Standard Variable
Residential Mortgages
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit Mortgage
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy to Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Let to Buy Mortgage
Bridging Loans
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
Home Insurance
Building and Contents Insurance
Mortgage Repayment Protection
Mortgage Protection
Life Assurance
Life Assurance
Life Term Assurance
Whole Life Assurance
Critical Illness
Family Income Protection
Income Protection
Business Insurance
Business Protection Cover & Key Man Insurance
Tenant Income Protection
Motor & Asset
Types Of Car Finance
HP Finance
Conditional Sales
PCP Finance
PCH Lease
Car Refinance
Compare Products
Types of Asset Finance
Hire Purchase
Finance Leasing
Asset Refinance
FAQ
Menu
Commercial Finance
Commercial Mortgage
Bridging Loans
Buy to Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Standard Variable
Residential Mortgages
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit Mortgage
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy to Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Let to Buy Mortgage
Bridging Loans
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
Home Insurance
Building and Contents Insurance
Mortgage Repayment Protection
Mortgage Protection
Life Assurance
Life Assurance
Life Term Assurance
Whole Life Assurance
Critical Illness
Family Income Protection
Income Protection
Business Insurance
Business Protection Cover & Key Man Insurance
Tenant Income Protection
Motor & Asset
Types Of Car Finance
HP Finance
Conditional Sales
PCP Finance
PCH Lease
Car Refinance
Compare Products
Types of Asset Finance
Hire Purchase
Finance Leasing
Asset Refinance
FAQ
Commercial Finance
Commercial Mortgage
Bridging Loan
Buy To Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Discounted Rate
Standard Variable
Offset Mortgage
Tracker Rate
Capped Mortgage
Residential Mortgage
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy To Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
FAQ
Menu
Commercial Finance
Commercial Mortgage
Bridging Loan
Buy To Let
Development Finance
Owner Occupier
Refurbishment Finance
Remortgage
Discounted Rate
Standard Variable
Offset Mortgage
Tracker Rate
Capped Mortgage
Residential Mortgage
First Time Buyer
Fixed Rate Mortgage
Help to Buy Scheme
Low Deposit
New Home Mortgage
Poor Credit Mortgage
Remortgage
Second Charge
Self Employed Mortgage
Shared Equity
Buy To Let
Tracker Rate
Capped Mortgage
Discounted Rate
Standard Variable
Offset Mortgage
Homeowner Loans
Specialist Finance
Housing in Multiple Occupation
Timber Lodge Mortgages
Complex Buy To Let Mortgage
Insurance
FAQ
Please enable JavaScript in your browser to complete this form.
1
Personal Information
2
Employment Details
3
Financial
4
Declaration
5
Digital Signature
Name
*
First
Middle
Last
Have you ever been known by any other name?
If so please input it here
Date of Birth
*
Home Phone
Mobile Phone
Email
*
Email
Confirm Email
Current Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Are you on the Electoral Role at this address?
Yes
No
Have you lived at this address for 3 years or more?
Yes
No
Previous Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Employment Status
Employed Full-Time
Employed Part-Time
Sole Trader
Partnership
Director LLP/Ltd
Retired
Student
Personal Income per Annum
Do you have financial dependants?
Yes
No
Next
Occupation / Job Title
Start Date
End Date (if applicable)
Employer / Name of Business
Business Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Email
*
Basic Salary per Annum
Guaranteed Additional per Annum
Overtime, Bonus, etc.
Regular Additional per Annum
Overtime, Bonus, etc.
Other Earned Income per Annum
Are you Self Employed?
Yes
No
Number of Years Accounts Available
Previous Year
Year Before That
Amount of any Other Income per Annum
Asset Income per Annum
Buy to Let Mortgage Rental Income per Annum
Is any income received not in Sterling?
Yes
No
Details of where other income is from
Pension, rental, investment, state benefits, allowances, etc.
Next
Total Annual Income
Net Monthly Take Home Pay (TI)
Budget available to meet mortgage needs
Are you willing and able to provide proof of income?
Yes
No
Other Financial Commitments
HP, Lease, PCP, Loans and Credit Cards
Total of other monthly liabilities
To include all current borrowing, council tax and utilities (excluding current mortgage payments)
Any further information you wish to provide
Next
Declaration
In order to advise you properly, we must obtain certain information from you about your financial and personal circumstances, to assess your suitability for particular products and services. Data Protection I consent to the information you hold about me being processed and held on computer, cloud based or paper files. I consent to any information that I give to be disclosed to third parties e.g. credit reference agencies and product providers for the purpose of my application. I confirm that I have the permission of any other person mentioned to provide any information contained in this document. I confirm that this declaration has been signed in the UK and that I am a UK resident. I consent to the data being checked and / or disclosed to the regulatory authorities as part of compliance monitoring activities.
Declaration
*
I consent to being contacted to review my financial arrangements
I declare I have read this document carefully and confirm that the information I have entered is true and accurate
Next
Signature
Clear Signature
Date / Time
Date
Time
Submit