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INDIVIDUAL MORTGAGE LOAN INTAKE FORM
Kindly fill out the form with your correct information to send your application.
INDIVIDUAL MORTGAGE LOAN INTAKE FORM
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Mortgage Product
*
MREIF
FHF
RENT TO OWN
COMMERCIAL MORTGAGE FROM MULTIPLE BANKS
Date of Birth
*
Gender
*
Male
Female
Residential Address
*
Marital Status
*
Single
Married
Divorced
Widowed
Number of Dependents
EMPLOYMENT/BUSINESS INFORMTION
Employment Status
*
Salaried
Self-Employed
Business Owner
Unemployed
Employer/Business Name
*
Employer/Business Address
*
Occupation / Position
Employment Start Date
Monthly Income (Net) (₦)
*
Other Income Sources (if any)
Years in Current Employment/Business
*
BANKING INFORMATION
Current Bank Name
*
Account Name
*
BVN
Account Number
*
Account Type
*
Savings
Current
Corporate
Bank Branch Address
LOAN INFORMATION
Loan Amount Requested (₦)
*
Accepted Equity (₦)
*
Loan Tenor (Repayment Period in Years)
*
Purpose of Loan
*
Preferred Bank for Mortgage (if any)
Any current Risk Exposure?
*
Yes
No
Outstanding Risk Current Value (₦)
*
PROPERTY INFORMATION
Property Type
*
Land
Residential
Commercial
Property Address
*
Property Price / Value (₦)
*
Developer/Owner Name
*
Amount Deposited towards property (₦)
*
Expected balance payment on Property (₦)
*
Do you have property documents?
*
(C of O)
(R of O)
Deed of Assignment
Survey Plan
Approved Building Plan
None
Is valuation available?
*
Yes
No
DOCUMENTS TO ATTACH/UPLOAD
Do you have property documents? (copy)
*
Valid ID (Passport / Driver’s License / NIN)
Payslips (last 6 months) OR CAC Certificate (for business owners)
Bank Statement (6–12 months)
Employment / Confirmation Letter
Tax Clearance Certificate (business owners)
Property Title Documents
Property Allocation letter
I hereby confirm that the information provided above is true and correct to the best of my knowledge. By submitting this form, I accept the terms and conditions.
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