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Housing Solutions Enquiry Form

Section 1 - Your Details

Title

Forename

Surname

Date of Birth

Address Line 1

Address Line 2

Postcode

Home Phone Number

Mobile Number

Section 2 - Your Situation

Property Value

Outstanding Mortgages on Property

Residential Status

Homeowner

Private Tenant

Living With Parents

Other

Employment Status

Employed

Unemployed

Section 3 - Income / Expenditure

Annual Income

Do You Have A Partner?

Yes

Additional Information

By completing these details you give us your permission to use this information to contact you by telephone to discuss your mortgage requirements. We treat your information with the utmost care and security. See our privacy policy for more details.

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Goldman Group are authorised and regulated by the Financial Service Authority. Consumer Credit Licence number 548248. FSA registration number 313632. Your home may be repossessed if you do not keep up repayments on your mortgage or any other secured loans on it. Please note the FSA does not currently regulate Buy to Let, Commercial or Overseas mortgages, Debt solutions, HIPs or Properties.

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