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Home Contents Value Calculator
Personal Information
First Name
*
Last Name
*
Postal Code
*
House Number
*
Email Address
*
Phone Number
*
Questionnaire
1) 1) What is the age of the primary income earner?
*
Please select
35 years and younger
36 t/m 50 years
51 t/m 70 years
70 years en ouder
2) 2) What is your household composition?
*
Please select
Single (with/without resident children)
Married or cohabiting (with/without resident children)
3) 3) What is the net monthly income of the primary income earner?
*
Please select
€1001 t/m €2000 per month
€2000 t/m €3001 per month
€3001 t/m €4850 per month
€4851 t/m €5850 per month
€5851 t/m €7000 per month
€7001 en meer per month
4) 4) Does the home have more than 300 m² of living space?
*
Please select
Yes
No
4b) Total living area (m²)
5) 5) How many rooms does the home have?
*
The kitchen, bathroom, hallway and storage room are not included. An attic used only for storage is also excluded.
Please select
1-2 rooms
3-5 rooms
6-8 rooms
9-10 rooms
6) 6) Audio-visual and computer equipment is insured up to €12,000. Is yours worth more than €12,000?
*
Please select
Yes
No
6b) What is the total value?
€
7) 7) Are your jewellery and watches worth more than €6,000?
*
Please select
Yes
No
7b) Total value of jewellery
€
8) 8) Are your valuable possessions (art, antiques, collections, musical instruments, etc.) worth more than €15,000?
*
Please select
Yes
No
8b) Total value of valuable possessions
€
9) 9) What type of home do you have?
*
Please select
Owner-Occupied House
Owner-Occupied Apartment
Rental House / Apartment
Rental House / Apartment
9a) 9a) Have you invested more than €6,000 of your own money in improvements to your rental home?
*
Please select
Yes
No
9b) What were the total renovation costs?
€
Owner-Occupied Apartment
9c) 9c) Have you spent more than €6,000 on improvements to your apartment that are not covered by the HOA?
*
Please select
Yes
No
9d) Total renovation costs
€
Owner-Occupied House
9e) 9e) In the past five years, have renovations of at least €5,000 increased the size of your home?
*
Please select
Yes
No
9f) Total renovation costs
€
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Mortgage Client Profile
Personal Information
First Name
*
Last Name
*
Date of Birth
BSN
Nationality
Email Address
*
Phone Number
Street
House Number
Address Addition
Postal Code
City
Family Situation
Marital Status
*
Please select
Single
Cohabiting
Registered Partnership
Married
Divorced
Widow / Widower
Number of Children Living at Home
Partner Information
Partner First Name
Partner Last Name
Date of Birth
BSN
Nationality
Partner Email Address
Partner Phone Number
Housing Situation
What is your current housing situation?
*
Please select
Owner-Occupied Home
Rental Property
Living with Family or Others
Temporary Accommodation
Other
Desired Situation
*
Please select
Purchase an Existing Home
New-Build Home
Move to Another Home
Refinance Mortgage
Increase Mortgage
Current Owner-Occupied Home
Municipal Property Value (WOZ)
€
Outstanding Mortgage
€
Monthly Mortgage Payment
€
Current Rental Property
Net Monthly Rent
€
Monthly Service Charges
€
Applicant Income
Employment Status
*
Please select
Employed
Self-Employed
Director and Major Shareholder (DGA)
Benefits
Pension
No Income
Gross Annual Income
€
Employer
Employed Since
Contract Type
Please select
Permanent
Temporary
Letter of Intent
Business Information
Company Name
Established On
Chamber of Commerce Number
Financial Obligations
Do you currently have any financial obligations?
Please select
Yes
No
Loan 1
Loan Type
Please select
Revolving Credit
Personal Loan
Credit Card
Private Lease
Student Loan
Other
Outstanding Balance
€
Monthly Payment
€
Partner Income
Partner Employment Status
Please select
Employed
Self-Employed
DGA
Benefits
Pension
No Income
Partner Gross Annual Income
€
Partner Employer
Employed Since
Contract Type Type
Please select
Permanent
Temporary
Letter of Intent
Partner Business
Company Name
Established On
Chamber of Commerce Number
Existing Mortgage
Do you currently have a mortgage?
Please select
Yes
No
Current Mortgage Details
Mortgage Lender
Mortgage Type
Please select
Annuity Mortgage
Linear Mortgage
Interest-Only Mortgage
Bank Savings Mortgage
Savings Mortgage
Endowment Mortgage
Investment Mortgage
Other
Original Mortgage Amount
€
Outstanding Debt
€
Monthly Payment
€
Interest Rate
%
Fixed Interest Period Ends
NHG Guarantee
Please select
Yes
No
Student Loan
Do you have a student loan?
Please select
Yes
No
Outstanding Amount
€
Monthly Repayment
€
Private Lease
Do you have a private lease agreement?
Please select
Yes
No
Monthly Amount
€
End Date
Leasing Company
BKR Registration
Do you have a BKR registration?
Please select
Yes
No
Unknown
Revolving Credit
Do you have a revolving credit facility?
Please select
Yes
No
Credit Limit
€
Outstanding Balance
€
Personal Loan
Do you have a personal loan?
Please select
Yes
No
Original Amount
€
Outstanding Debt
€
Credit Cards
Do you have one or more credit cards?
Please select
Yes
No
Total Credit Limit
€
Number of Credit Cards
Term Life Insurance
Do you already have term life insurance?
Please select
Yes
No
Insured Amount
€
End Date
Insurer
Disability Insurance
Do you have disability insurance?
Please select
Yes
No
Insurer
Monthly Insured Amount
€
End Age
Financial Reserve
How much financial reserve will you have left after the purchase?
€
Do you plan to renovate or improve energy efficiency?
Please select
Yes
No
Estimated Budget
€
Knowledge & Experience
Have you previously taken out a mortgage?
Please select
Yes
No
Do you have experience with financial products?
Please select
None
Limited
Extensive
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