Confidential Mortgage Enquiry

Statutory Notice:

Your home is at risk if you do not keep up payments on a mortgage or other loan secured on it. Be sure you can afford the repayments before entering into any credit agreement. The sterling equivalent of your liability under a foreign currency mortgage may be increased by exchange rate movements.

Title	Mr Mrs Ms
Name
Address	Post Code
Date of Birth
Daytime Telephone
Evening Telephone
Email Address	(e.g. yourname@domain.com)
Location of Security	United Kingdom France
Value of Security	£
Address of Security	Post Code
Purpose of Loan	Purchase Renovation
Amount of Loan Required	£

The information which you disclose in this form will be passed to Brunel Mortgages and Loans for independent assessment. If in doubt whether to accept any offer made to you, we recommend that you first take independent advice. The owners of the French Property Owners Information Pages accept no responsibility or liability with for material, offers or information given to you as a result of your enquiry.

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