Quotation request for a mortgage loan

Quotation request form refinancing mortgage loan

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Yes, I would like to receive an offer for a mortgage loan to refinance my existing classical mortgage loan. I've already calculated the monthly instalment at DefA's rates and what amount is needed to refinance my existing loan (but would like to see this confirmed).
The aim of this request is to receive a confirmation from DefA Finance that I can be considered for the chosen combination and to get a clearer view on what the following steps are to turn over the request in a definitive offer.
At the bottom of this request I can ask more personal and specific questions.
Therefore I fully fill in this request form:

Present value of the property:	EUR (better no figures after the comma please)
Price rebuilding:	EUR
Attorney's fees:	EUR Click here to calculate them
Loan amount:	EUR
Duration wanted:	year(s)
Variability wanted:
Chosen Interest Rate:	% Click here to check

What's the address of the house you want to give in guarantee:

*Street:*		*Number:*
*Zipcode:*		*City:*

	My Data	My Partner's
Surname:
First name:
Date of birth:
Place of birth:
Civil citizenship:
Sex:
Nationality:

Street:		Number:
Zipcode:		City:
Telephone:
E-mail:
Number Testaankoop/Test-achat:

How long do you already live on the present address?

year(s)

What was your previous address:

*Street:*		*Number:*
*Zipcode:*		*City:*

So far your personal data, we would like to point out that it's important that this is correct.
Now we only need your financial data:

	My Data	My Partner's
Profession:
Employer:
Address Employer:
*Street + Number:*
*Zipcode + City:*
Date of entry:
Net Income:	EUR	EUR
Other Net Income p.m:	EUR	EUR
Description:

We are chargeable to child(-ren) and receive EUR family allowance for them.
We are of our dwelling since and we pay EUR rent/amortization a month.

Data Current Mortgage Loan: in EUR (you only have to fill this in if you're already owner)

Amount	Company	Date	Duration	Amortization

			year(s)

Data Other Loan(s): in EUR

Amount	Company	Date	Duration	Amortization

			year(s)
			year(s)
			year(s)
			year(s)

If you would like to add some clarifications/information, then you can do this below:

(Click here for a detailled privacy policy)

As soon as we receive your request we'll process your data and let you know our decision within 72 hours by e-mail.
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Privacy law: The given data can and will be managed only by DefA Finance BVBA and won't be, in any case, given to third party for commercial aims (However, if you decide, after getting this personalised offer, to hand in the request in order to obtain a definite offer, the most important data will be transferred to the mortgager). You also have the individual right to look in and correct the data you've given to DefA Finance BVBA. On simple written demand we transfer you the stored data for correction or verification. DefA Finance retains the right to keep their clients posted about possible new initiatives and, evolution of the rate, etc of which we mean it could be useful for the client. If you, for any reason, don't want to receive this any longer, then a simple request (by any means of contact) is enough to stop it. By sending this quotation request you agree with our privacy policy.