Income and expenditure details

We’re here to help if you’re worried about your finances.

You should complete this form if you’re struggling to make your mortgage payments. It’s important you tell us as much information as possible about your financial position so we can better understand your circumstances and how we can best support you.

Financial information from all account holders must be included in this form.

 

If you need help completing the form or have any questions, please call 01733 821388 or email mortgage.support@aldermore.co.uk

Mandatory*

Your details

Please provide customer name as stated in the mortgage agreement.

Please provide your full name.

Please provide a valid UK phone number

Please provide a valid email address.

Information we need

This is a 6-9 digit number or 11 digit reference number beginning with A, C, D, X or Y.
You can find this on your annual statement or other written communication from Aldermore.

Please enter your account number

Please enter a number between 1-50.

Please enter a number between 0-50.

Please enter a number between 0-50.

Please enter a number between 0-50.

Please select one of the options.

Please select one of the options.

Monthly income after tax

This is monthly income after tax.
If you are paid weekly, please input the figure multiplied by 4. e.g. £100 per week x 4 = £400.
If you are self-employed, please use the lowest income figure for the past 3 months.
If no income - please input £0.
This is the income you receive from your main employer.

Please enter a valid currency value between £0-£25,000.

This is for input of joint holder's income.
If no joint holder income then enter £0.

Please enter a valid currency value between £0-£25,000.

Please input any additional employment income.
If no additional earnings, then enter £0.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

The PIP is Personal Independence Payment for people who receive extra income for mobility needs as a result of a disability.
The ESA is Employment and Support Allowance for people who have illnesses or disabilities that make it hard for them to work.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

Please enter a valid currency value between £0-£25,000.

This includes any other regular income you receive, including Airbnb rentals or eBay sales for example.

Please enter a valid currency value between £0-£25,000.

Total monthly income after tax:

Monthly food & housekeeping

Monthly communications & leisure

Existing debts

“Priority debts” are car hire purchase, council tax arrears, any CCJs.
“Non- priority debts” are unsecured loans, credit cards, catalogue payments.

(You may add up to twenty debts.)

In submitting this form I confirm that the information I have given is an accurate record of my financial position.
I understand you may review the information I have given on this form and if my circumstances change after I submit this form it’s my responsibility to let you know.

Subject to status. Your mortgage will be secured on your property.  Your property may be repossessed if you do not keep up repayments.