AIP Purchase Form - Single Applicant

Please fill in this AIP form in order to proceed with the mortgage process.

First name:
Middle names:
Date of Birth:
Number of dependants and their ages:
Marital status:
UK residency status:
Home tel:
Daytime tel:
Daytime email address:
Home address:
Date moved into current property:
Occupancy status:
Previous residency details

Previous addresses if less than 3 years:
Date moved into previous address:
Occupancy status for previous residency:
How did you hear about Mortgage Required?

Your home may be repossessed if you do not keep up repayments on your mortgage.

There will be no fee for Mortgage Advice. There may be a fee for arranging a mortgage. The precise amount will depend upon your circumstances, but we estimate it to be between £399 and £599.

Mortgage Required Ltd, Finance House, 5 Bath Road, Maidenhead, SL6 4AQ is authorised and regulated by the Financial Conduct Authority reference 573718 at

The Financial Ombudsman Service is an agency for arbitrating on unresolved complaints between regulated firms and their clients. More detail can be found on their website: