Nick Hall Get a Quote

The details supplied on this form will enable one of our mortgage consultants to assess your personal information before providing you with a FREE mortgage illustration.

Please remember that this service is FREE and that you are under no obligation to proceed with any of the mortgage schemes that are quoted.

The form should take less than five minutes to complete and will allow Nicholas Hall to find you the most suitable mortgage scheme to suit your current circumstances from the Whole of the Mortgage Market.

* denotes compulsory field

First Client Second Client
Surname: *
First Name(s): *
Date of Birth: *
(DD/MM/YYYY)

(DD/MM/YYYY)
Mobile No:
Home/Work No: *
Email: *
Are you a smoker:
Yes No
Yes No

Current Address : *
First and Second
Client the same


Postcode: *
How long resident? Years Months Years Months
Current Living Arrangements :
Employed/self employed :
Employed/self employed for : Years Months Years Months
Annual income :
I need to self certify my income :
Total Credit Card balances :
Total Monthly Loan repayments :
I have a clean credit history : *
I have a new property in mind:  
Purchase Price or Valuation  
New Total Mortgage required  
New Mortgage Type; *  
Is this a Private Purchase?  
Please supply any other
relevant information ;
Declaration; I/we agree that the above information be passed to Nicholas Hall to enable them to carry out their initial mortgage broking enquiries.