March 2018
Purchase Remortgage
Arrangement fee added
Only to complete if purchase
Yes No
Tenure: Freehold Leasehold
Date of Signature:
Original Purchase Date:
D M Y Y Y YD M
D M Y Y Y YD M
Date of Signature: D M Y Y Y YD M
Date of Signature: D M Y Y Y YD M
Buy to Let/HMO
Do you own any other commercial properties?
Do you own any other BTL properties?
Yes No
Yes No
Rate: Variable 2yr Fixed 5yr Fixed
Application Details
Applicant 1 First Name: Applicant 1 Surname:
Applicant 2 First Name: Applicant 2 Surname:
Security Details
Security Address: Town:
Postcode: Property Description/Type:
If HMO, Number of Rooms: If Freehold Block of Flats Number of Units: If Leasehold, Years Remaining on Lease:
Loan Details
Remortgage: Current Lender: Loan Amount Outstanding: £
Purpose of funds (please provide full details of how the funds will be utilised and amounts):
Loan Amount Required: £ Estimated Value: £ Purchase Price: £
Interest Only Term (yrs): Capital and Repayment Terms (yrs):
Deposit Amount: £ Deposit Type: Deposit Source:
If yes, how many?
If yes, how many?
Rental Income: £
Applicant/Director 1 Signature:
Applicant/Director 1 Print Name:
Applicant/Director 2 Signature:
Applicant/Director 2 Print Name:
Broker/Intermediary Signature:
Broker/Intermediary Print Name:
February 2017
Hampshire Trust Bank Plc is authorised by the Prudential Regulation Authority and regulated by the Prudential Regulation Authority and the Financial Conduct Authority. Our FRN number is 204601.
We are a company registered in England and Wales, registration number 01311315. Registered oce: 55 Bishopsgate, London EC2N 3AS. Hampshire Trust Bank, HTB and are registered
trademarks of Hampshire Trust Bank Plc.
Specialist Mortgages
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signature
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click to sign
signature
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click to sign
signature
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