Fillable First Charge RESIDENTIAL MORTGAGE APPLICATION FORM (Complete FS)

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First Charge RESIDENTIAL MORTGAGE APPLICATION FORM (Complete FS)

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Country of origin: UK
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Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 1 of 7
2. LOAN
Net amount: Gross amount: Term:
Purpose:
Repayment type:
If applicable, interest-only declaration
This declaration must be completed to confirm the repayment plan you intend to use to pay o the remainin capital at the end of
your interest-only loan term. I/We plan to repay the capital by the followin means (tick appropriate boxes):
Endowment policies Pension lump sum
Investment stock and shares Accumulated savins
Sale of investment property Equity from sale of residential property/downsizin
I/We acknowlede the followin:
1. Masthaven is not providin advice on any repayment plan nor uaranteein that any plan will be sucient to repay the
outstandin balance at the end of the loan term.
2. Mortae payments will not reduce the balance of the interest-only loan amount borrowed over the term.
3. The means of repayment stated above needs to be reviewed by me/us durin the term of the loan to make sure they are on
track to repay the outstandin balance.
4. It is my/our responsibility to ensure that there are sucient funds to repay the outstandin balance at the end of the loan term,
and that if unable to do so my/our property may be repossessed to repay the outstandin balance.
2a. If your mortae is to purchase a property
Purchase price: First time buyer Yes No Private sale Yes No
Deposit source: Amount:
2b. If your mortae is a remortae of your existin property
Estimated value: Oriinal purchase price: Purchase date:
Break-down of funds: Amount:
RESIDENTIAL MORTGAGE APPLICATION FORM
First Charge
Please check that the information stated is correct.
Make sure you read and complete ALL sections before sinin and datin the declaration.
1. CREDIT INTERMEDIARY BROKER
Company: Address:
Contact name:
Email:
Telephone: Postcode:
Other, please provide details:
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 2 of 7
3. PERSONAL DETAILS
Applicant 1 Applicant 2
Title: Title:
First names: First names:
Surname: Surname:
Maiden name: Maiden name:
Marital status: Marital status:
Date of birth: Date of birth:
Nationality: Nationality:
National Insurance number: National Insurance number:
Permanent rihts to reside in UK? Yes No Permanent rihts to reside in UK? Yes No
Residential status: Residential status:
Address: Address:
Postcode: Postcode:
Time at address: years months Time at address: years months
Prior address (if less than three years): Prior address (if less than three years):
Postcode: Postcode:
Time at address: years months Time at address: years months
Home telephone: Home telephone:
Mobile: Mobile:
Work telephone: Work telephone:
Email: Email:
4. EMPLOYMENT
Applicant 1 Applicant 2
Employment status: Employment status:
Shareholdin (%): Time held (years): Shareholdin (%): Time held (years):
Occupation: Occupation:
Business name: Business name:
Business address: Business address:
Postcode: Postcode:
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 3 of 7
Telephone: Telephone:
Accountant’s name: Accountant’s name:
Address: Address:
Postcode: Postcode:
Telephone: Telephone:
If employed/self-employed less than 1 year, ive previous employment/business details:
Occupation: Occupation:
Annual income: Time (years): Annual income: Time (years):
Business name: Business name:
Business address: Business address:
Postcode: Postcode:
Telephone: Telephone:
5. INCOME
Annual income: Annual income:
Other incomes: Other incomes:
Income type: Income type:
Intended retirement ae: Intended retirement ae:
6. DEPENDANTS
Number of child dependants: Number of adult dependants:
Borrowin into retirement:
Applicant 1 Applicant 2
I intend to make the monthly payments from my intended retirement ae to the end of the term of the loan in the followin way:
I understand that my loan term extends beyond my expected retirement ae, I have considered the impact that retirement will have
on my income and am satisfied that I will be able to maintain the loan repayments. I understand that Masthaven recommend that I
seek professional advice in relation to this matter.
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 4 of 7
8. CREDIT HISTORY
Applicant 1 Applicant 2
Y
es No Yes No
Have you had any mortae arrears
in the last 24 months?
Have you had any mortae arrears
in the last 24 months?
Have you had a County Court Judement
or default in the last 36 months?
Have you had a County Court Judement
or default in the last 36 months?
Have you ever been made bankrupt? Have you ever been made bankrupt?
Have you ever made voluntary
arranements with creditors?
Have you ever made voluntary
arranements with creditors?
Have you been refused a mortae
in the last 12 months?
Have you been refused a mortae
in the last 12 months?
Have you ever been convicted of a criminal
oence*(other than road trac oences)?
Have you ever been convicted of a criminal
oence*(other than road trac oences)?
If yes, I speci
fi
cally consent to providin
this inf
ormation to allow Masthaven to
pr
oper
l
y evaluate m
y loan app
lication
If yes, I specifically consent to providin
this information to allow Masthaven to
properly evaluate my loan application
* spent convictions do not need to be declared. For further information, please contact the Disclosure and Barrin Service.
Applicant 1 Applicant 2
Bankruptcies Bankruptcies
Date of bankruptcy order: Date of bankruptcy order:
Date bankruptcy dischared: Date bankruptcy dischared:
Convictions Convictions
Conviction type: Conviction type:
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 5 of 7
11. BUILDINGS INSURANCE COMPANY DETAILS
Company name:
Address:
Postcode:
Date of conviction: Date of conviction:
Sentence (months): Sentence (months):
Voluntary arrangements Voluntary arrangements
Type: Type:
Date reistered: Date reistered:
Date satisfied: Date satisfied:
9. BANK DETAILS
Bank name: Held (years):
Address: Account holder:
Sort code:
Postcode: Account number:
10. PROPERTY
Address:
Postcode:
What percentae is used for business? (If any business usae, ive details below) %
Property details
Walls: Roof: Tenure:
Property type: No. of bedrooms: Years remainin on lease:
If flat, number of floors in buildin: If flat, over commercial premises? Yes No
Valuation details
Type of report required:
Access name for valuation: Access contact number:
Access contact address:
Postcode:
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 6 of 7
12. POLICY DETAILS
Policy number: Renewal date:
Amount of cover: Areement no:
I authorise: to note the interest of Masthaven on my buildins insurance policy
13. EXISTING MORTGAGERENT DETAILS
Lender/landlord name: Account number:
Date mortae/tenancy started: Monthly payment:
14. SOLICITOR DETAILS
15. USE OF YOUR INFORMATION
The summary below explains how Masthaven Bank Limited (“MBL”) uses your personal information. A more detailed explanation is
available in MBL’s full privacy notice online at www.masthaven.co.uk/site/privacy-notice/. MBL will process and retain your personal
data in accordance with its leitimate interests and/or leal obliations. As part of our leitimate interest we may contact you about
similar products or services we believe that miht be of interest to you. These include MBL bein enabled to consider whether
to oer a loan; the terms on which it miht do so; to oer a mortae illustration; and to deal with all aspects of any contractual
relationship between you and MBL.
Please tick this box if you do not want to receive information from MBL about similar products or services
MBL will also use your information as necessary to comply with law and reulation. Detailed information on your rihts in relation to
your personal information includin the riht to access your data is available online at www.masthaven.co.uk/site/privacy-notice/
and from the ICO whose website is https://ico.or.uk. MBL may share information about your loan with your credit intermediary (broker)
throuhout the loan life cycle. If you do not want MBL to share this information with your credit intermediary, please contact us when
your loan completes.
16. DECLARATION
By submittin this application I/we acknowlede and accept that: Masthaven Bank Limited (“MBL”) will make enquiries about me/
us, includin searchin any records held by credit reference aencies and checkin my/our details with fraud prevention aencies. If
I/we provide false or inaccurate information and MBL suspect fraud, MBL will record this. The credit reference and fraud prevention
aencies will keep details of any searches. Information held about me/us by the credit reference aencies may already be linked to
records relatin to one or more of my/our financial partners. For the purpose of this application I/we may be treated as financially
linked and my/our application will be assessed with reference to any ‘associated’ records. Should MBL seek to obtain possession
of my/our property, MBL may at its sole discretion disclose details of my/our outstandin balance and its intentions to any existin
mortae provider. MBL will do this to try to reduce the leal costs which I/we may incur and to ensure parties with an interest in
my/our property are kept properly informed. MBL will disclose details of my/our application and how I/we conduct my/our account,
includin any default, to credit reference aencies, fraud prevention aencies and other relevant oranisations. This information may
be used to help MBL and other oranisations (a) to assess the financial risks of dealin with me/us and other members of my/our
household; (b) to help prevent or detect fraud, prevent money launderin or other crimes, recover debts and trace debtors; and (c)
for statistical analysis about credit and fraud. I/We have completed all relevant sections of this form prior to sinin and all details
provided are true and not misleadin.
Residential Mortgage Application Form - First Charge Date of Issue: August 2020 | Version: 3 | Page 7 of 7
16. DECLARATION
I/We further acknowlede and accept that:
1. MBL will rely upon the information I/we have provided in this application, which I/we confirm is complete and true. I/We are
aware that it is a criminal oence to knowinly supply false information to obtain a loan.
2. I/We confirm that if any of the information in the application chanes prior to MBL makin the advance, I/we will inform both
MBL and the credit intermediary (broker).
3. Where I/we have indicated debt(s) in the Outstandin Credit section of the application form and/or the Consolidation Form,
those marked as repayable from the MBL loan will be inored by MBL in its aordability assessment and will be rearded as
debt(s) that will be repaid on or before completion.
4. I/We confirm that sinin this application shall be treated as my/our irrevocable undertakin to repay those debts on or before
completion.
5. The valuation is for MBL only.
6. MBL, or the credit intermediary (broker) may search the files of credit reference aencies which will keep a record of the search.
I/We acknowlede that multiple credit searches may aect my/our ability to obtain credit elsewhere.
7. The credit intermediaries (brokers) in this application are not an aent of Masthaven and I/we accept that where we used a
broker I/we did so of my/our own free choice. I/We acknowlede that any broker involved in the transaction shall be rearded as
my/our aent and MBL are not responsible for their actions or advice. I/We authorise MBL to pay the credit intermediary (broker)
fee set out in the Mortae Illustration and a commission if my/our loan completes.
8. MBL and its aents can make enquiries in connection with this application as it considers necessary, and such persons can pass
this information to MBL.
9. Any information about me/us and my/our account may be used by MBL to open and manae the account, make lendin
decisions, collect debts, trace debtors, prevent fraud and money launderin and for business analysis.
I/We understand that this loan will be secured aainst my/our property and any false, inaccurate or incomplete information
provided may invalidate the loan areement, which could mean that the property is liable for repossession.
Please tick the box if you would like to receive information from Masthaven or any associated company reardin
other products or services.
Authorised by the Prudential Reulation Authority and reulated by the Financial Conduct Authority and Prudential Reulation Authority (Firm reference number 719354).
Applicant 1 Applicant 2
Sinature: Sinature:
Print name: Print name:
Date: Date:
Your property may be repossessed if you do not keep up repayments on your mortae.
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First Charge RESIDENTIAL MORTGAGE APPLICATION FORM (Complete FS)

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Completed 5 April 2021

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