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Mortgage Offer Extension Request Form
For Intermediary use only
Mortgage application
reference number
Applicant 1 Applicant 2
Title
Surname
Mr Mrs Miss Ms
Other
Mr Mrs Miss Ms
Other
Full forename(s)
Property address
Postcode
Have any of the applicant’s personal and financial circumstances changed from the original application and since the
mortgage offer was initially issued?
Do any of the following apply?
Negative change in employment
(loss of job, reduction in hours or salary/wage)
Y N
Level of self-employed earnings has reduced
Y N
Committed monthly expenses have increased
Y N
Have been refused credit
Y N
Personal circumstances have changes
Y N
Our requirements
Please advise why an
extension is required
and the anticipated
completion date
We’ll need to complete an up-to-date affordability assessment and may require up-to-date documents. The exact
requirements will be confirmed once the extension request is reviewed.
Please provide the latest two months bank statements
The valuation is valid for 6 months. If a new valuation is required a re-inspection fee will apply. Please contact Lending
Support for further information on 0800 1238 9109 or email mortgages@hodge.co.uk
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