Please fill in here the form for assessing the solvency concerning your mortgage. On the basis of your data, we will assess your solvency. Then we will contact you and tell you about your chances and conditions to obtain credit with individual financial institutions. In your interest, we would like to ask you for as accurate data as possible. We consider the data you tell us as strictly confidential. The data will only be used to assess your solvency. For the first applicant, fill in all the boxes of the form, if the second applicant is from the same household, fill in only the boxes marked with an asterisk for him/her. Should it not be so, fill in all the boxes for the second applicant too.
First applicant
Second applicant
Last and First name*
Permanent address
Email address*
Mobile phone number *
When we can contact you *
Choose
Morning
Afternoon
Evening
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Morning
Afternoon
Evening
Explanatory notes:
Year of birth - Data necessary to determine if the applicant can obtain the credit, or what the maximum length of duration is. Practically all banks restrict the applicant both with the lower and upper age limit for obtaining a credit.
Number of persons in the household - data necessary to calculate the subsistence minimum of the applicant´s household which the banks utilize to determine the applicant´s solvency. The number of persons in the household, how many dependent children at the age of 15-26, how many adult persons.
* Please fill in all the boxes marked with an asterisk.
Year of birth*
Number of persons in household
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Children up to 6
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Children from 6 to 10
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Children from 10 to 15
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Children from 15 to 26
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Adults
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Explanatory notes:
The exact data on all the liabilities of the applicants are very important for the exact assessment of solvency. In your interest, please fill in all your liabilities.
* Please fill in all the boxes marked with an asterisk.
Your income from*
Choose
Employement
Your own business
Both
Other
Choose
Employement
Your own business
Both
Other
The length of the current employment (enterprising) in months *
The amount of the NET MONTHLY income in CZK (for an employee) *
Tax base minus paid tax (line 45 – line 58), or turnover (line 101) from the latest tax return (for an entrepreneur)
The amount of the monthly liabilities for capital life insurance
The amount of the monthly liabilities for accident insurance
The amount of the monthly liabilities for household insurance
The amount of the monthly liabilities for building savings
The amount of the monthly liabilities for pension insurance
The amount of the monthly liabilities for leasing and credits
Other liabilities and their specification
The amount of the limit on credit cards and overdraft accounts (also not drawn)
If you have building savings, then state the name of the building and loans society and the amount of your own saved resources
In what banks in the Czech Republic do you have current accounts
Explanatory notes:
The following data are important to determine the solvency of the applicant, to determine the purpose of the credit and to calculate the possible state subsidy. The determined value of the real estate is the data which are important for the calculation of the maximum possible amount of the credit. It can concern the real estate for which the credit is designated or another real estate in personal ownership which will serve as the pledge. If you have an official appraisal of the price of the real estate, utilize the value stated in it. If you do not state any value in this box, we will use the planned amount of the investment in the real estate.
*Please fill in all the boxes marked with an asterisk.
The location of the mortgage, including the region, or district* - always fill in, please!
The planned amount of the investment in the real estate, in CZK (your own resources)
The determined value of the real estate for which the right of pledge shall be established, in CZK
The requested amount of credit, in CZK
The requested length of credit in years
Is it the first mortgage credit?
Choose
Yes
No
Choose
Yes
No
The credit will be utilized for
Choose
Purchase
Construction
Reconstruction
Refinancing
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Purchase
Construction
Reconstruction
Refinancing
Of what real estate?
Choose
Housing unit
Family house with one housing unit
Family house with two housing units
Choose
Housing unit
Family house with one housing unit
Family house with two housing units
Will the credit be utilized for the creation or acquisition of a new housing unit (in 2 years from the date of final building approval)?
Choose
Yes
No
Choose
Yes
No
Will you by a site from your mortgage credit?
Choose
Yes
No
Choose
Yes
No
The expected period of realization (such as January, in 1 month, etc.).
Note (max. 500 characters, write here important information about the credit, such as if it is urgent, write the latest possible date).
