Mortgage Application Form

Step

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1. Personal information

First name

Last name

Date of birth

Nationality

Dutch

Spanish

English

German

French

Italian

Portugees

Belgisch

Zweeds

Deens

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Country of tax residence

Marital status

Current address

Housing

Monthly rent

€

Email address

Phone number

Previous address (if less than 3 years)

Do you have children?

Number of children

Age of child 1

Age of child 2

Age of child 3

Employment type

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2. Employment and income

Start date

Employer

Job title

Contract type

Salary (monthly)

€

Bonus (yearly)

€

Company name

Chamber of Commerce number

Profit year 1

€

Profit year 2

€

Dividend

€

Share of profit (%)

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3. Real estate

Address

Property type

Current value

€

Hypotheek

€

Monthly costs

€

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4. Savings

Savings

€

Investments

€

Other assets

€

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5. Debts

Type of debt

Outstanding amount

€

Monthly payment

€

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6. Comments

Comments