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Date
D M YD M Y
Signed Print name
Portfolio Buy To Let Loan Application Form
Limited Companies & Limited Liability Partnerships
Name of adviser
Company name
FCA reference
number
Office address
Email address
Contact telephone
number
Intermediary application
Direct application (Direct applicants to start application at page 2)
Your firm
Adviser Declaration
Applicant reference
Postcode
I confirm that I am acting on behalf of the company/individuals and have their permission to access their information
and to supply it to you with this application, and at any time during the life of the mortgage. I confirm that to the best
of my knowledge and belief, the information contained in this application is true. If you suspect my or the applicant’s
involvement in fraudulent activity you will take appropriate action against me and/or the applicant.
I have discussed the affordability of this loan and informed the company/individuals of the information that they need to
provide to you in order for you to assess affordability, and of the need to provide complete and accurate details of income.
I have explained that if they do not and as a result you are unable to assess affordability you will not be able to proceed
with the loan application.
I agree to your terms on my and the Firms behalf, as outlined in your agreed Terms of business.
Privacy Notice
How your credit reference and fraud prevention agencies use customer information, is set out in more detail in your
Summary Privacy Notice. You are providing this to me as the Applicant(s) representative and in order to allow you to
lawfully progress their application, you require confirmation that I, as the Applicant(s) representative, have provided a
copy of the Summary Privacy Notice to each of the Applicants, before you can lawfully proceed with their application.
I confirm that I have provided each Applicant with a copy of the Summary Privacy Notice.
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click to sign
signature
click to edit
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D M YD M Y
Telephone
Email
Registered address
(must be in the UK)
Business start date
Postcode
Company Details
Company type
Registered name
Ltd LLP
Trading name
(if different)
Principle activity
Correspondence/
Business address
(if different)
Postcode
Company
registration number
Number of directors
Country of incorporation
For KYC (Know Your Customer) purpose, we require details of the company background. Please provide information on
the origination of the company, source of initial equity and company strategy.
Please confirm how you funded the initial property purchase in the buy to let portfolio.
Please provide details of your business background
Please confirm how you will fund future property purchases
Please confirm what your drawing requirements from the portfolio will be within years 1, 2 and 3
Year 1 Year 2 Year 3
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Credit History
Accountant Details
Has the company ever refused a mortgage on
the properties or on any other property?
Y N
If you have answered “Yes” to
the company Credit History
questions, please give details
Has the company ever had a judgement for debt
recorded against it?
Has the company ever failed to keep up payments
under any present or previous mortgage/loan or
rental agreement?
Firm name
Address
Postcode
Telephone
Email
I confirm that the Accountant has one of the qualifications (please tick):
ACCA/FCCA, AAPA/FAPA, CIMA and CIPFA ACCA
Director/Partner/Shareholder Information
Shareholder 1 Personal Details
The additional applicants form will need to be completed and submitted with the application if:
the company has more than two directors/partners and/or;
the ultimate beneficial owners of the company is not listed as a director/partner
Full name including title
Y N
If yes, previous full name
Have you been known by
any other name(s) in the
last 3 years?
Marital status
D M YD M Y
Date of birth
Telephone
Email
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Y N
Y N
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Nationality
Y N
Current resident in the UK
Length of UK residency
Years
Y N
Shareholder
If yes, share percentage
%
Address
Postcode
Residential status
Time at address
Months/Years
Address
Postcode
Residential status
Time at address
Months/Years
If less than 3 years, please provide previous address
Shareholder 1 Credit History
Y N
Have you ever been
bankrupt/sequestrated?
Date of discharge
Y N
Have you ever entered into
an IVA or made arrangements
with creditors?
Date of satisfaction
Y N
Any defaults registered in
last 36 months?
Total amount of defaults
registered in the last 36
months
Y N
Any CCJs registered in last
36 months?
Date of most recent CCJ
£
Total amount of CCJs
registered in the last 36
months
£
Number of CCJs
registered in last 36
months
Y N
Have you ever been
convicted of theft, fraud or
dishonesty?
If yes, please state the
date of conviction
Nature of conviction
£
Length of conviction
(included suspended)
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Shareholder 2 Personal Details
Full name including title
Y N
If yes, previous full name
Have you been known by
any other name(s) in the
last 3 years?
Marital status
D M YD M Y
Date of birth
Telephone
Email
Nationality
Y N
Current resident in the UK
Length of UK residency
Years
Y N
Shareholder
If yes, share percentage
%
Address
Postcode
Residential status
Time at address
Months/Years
Address
Postcode
Residential status
Time at address
Months/Years
If less than 3 years, please provide previous address
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Shareholder 2 Credit History
Y N
Have you ever been
bankrupt/sequestrated?
Date of discharge
Y N
Have you ever entered into
an IVA or made arrangements
with creditors?
Date of satisfaction
Y N
Any defaults registered in
last 36 months?
Total amount of defaults
registered in the last 36
months
Y N
Any CCJs registered in last
36 months?
Date of most recent CCJ
£
Total amount of CCJs
registered in the last 36
months
£
Number of CCJs
registered in last 36
months
Y N
Have you ever been
convicted of theft, fraud or
dishonesty?
If yes, please state the
date of conviction
Nature of conviction
£
Length of conviction
(included suspended)
Loan Details
Loan type
Purchase Remortgage
Loan amount
£
Term
Years
Product applied for
Repayment type
Interest only Full repayment
Part & part
(interest only & repayment)
If remortgaging, what
is the purpose of the
loan?
Replace existing
lender
Business purposes
Purchase of BTL
Purchase of
additional property
Capital raising
Other
If the loan purpose is
capital raidsing, please
provide a breakdown
The product fee is charged on a per property basis. The fee value for this product is highlighted within the
product features.
Y N
Please confirm if you would
like to add the product fee
to the loan
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Property Details
Please give estimated costs
per annum
£
Please provide some additional details of the properties included in your portfolio:
Number of properties
Locations
Y N
Are all properties let on a
AST basis?
Y N
Please confirm that you are
unrelated to the tenant
(including spouse, civil partners, parents, children, grandparents, grandchildren
and siblings, business relations iclude fellow members, directors and shareholders)
Rental income per month
£
Please use the space below to outline any property features we should be aware about (for example, flood risks or
access issues:
In addition to this information, please return a completed copy of our Property Tenancy Schedule.
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Additional Information (Should you require more space, please continue on seperate sheets of paper)
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Declaration
I understand, confirm and agree the following:
Use of your Personal Data
The personal details you give on this form will be
subject to the provisions of the General Data
Protection Regulations 2018.
The information will be retained only for as long as
necessary in accordance with our Retention Policy
by Hodge who is the data controller, and may be
stored on paper or an electronic format.
The information held about you may be used for the
following purposes:
Administering your application
Verifying your identity and anti-money
laundering checks
Assist in fraud prevention
Reporting to regulators and authorities
Market and product analysis.
The information held about you may be shared with
the following parties:
Hodge’s approved service providers in relation
to this application; Other members of Hodge’s
group, its subsidiaries and associated companies
Regulators or authorities where required or
permitted by law.
You have the right to request access to your personal
information held by Hodge; to do so, this request must
be made in writing using our Subject Access Request
Process. Further information regarding this can be
found on our website.
Telephone calls may be monitored and/or recorded in
the interest of security and to help improve our service.
Hodge may also use your information to contact you
about its products and services that it believes may be
of interest to you.
Occasionally, we may have products and services that
could be suitable for you. We would like your permission
to contact you by phone, post, SMS or email.
Please confirm if you would like to hear from us about
these services:
We will always treat your personal details with the
utmost care and will never pass or sell your information
to other companies for marketing purposes.
Your rights as a data subject
At any point while we are in possession of or processing
your personal data, you have the following rights:
Right of access – you have the right to request
a copy of the information that we hold about you
as mentioned above
Right of rectification – you have a right to correct
data that we hold about you that is inaccurate or
incomplete
Right to be forgotten – in certain circumstances you
can ask for the data we hold about you to be erased
from our records
Right to restriction of processing – where certain
conditions apply you have a right to restrict the
processing
Right of portability – in certain circumstances,
you have the right to have the data we hold about
you transferred to another organisation
Right to object – you have the right to object to
certain types of processing such as direct marketing
Right to object to automated processing, including
profiling – protection against targeted marketing
and decision making
Right to judicial review - in the event that We refuse
your request under rights of access, we will provide
you with a reason as to why. You have the right to
complain as per the subject access request process
All of the above requests will be forwarded on should
there be a third party involved in the processing of
your personal data, i.e. if a data subject was to raise
a Subject Access Request.
Applicant 1
By Phone
By Mail
By Email
By SMS
Applicant 2
By Phone
By Mail
By Email
By SMS
For the purpose of this declaration, please read “we” as meaning Julian Hodge Bank trading as Hodge Bank and “you” to
mean the borrower, including all joint borrowers.
I agree to the Terms and Conditions of the account. I
have read and understood the Use of Your Personal Data
declaration and consent to the use of my information for
the purposes stated.
I declare that the information that I have provided is
correct to the best of my knowledge and belief.
(Please tick to confirm)
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Declaration
Credit searches and fraud prevention
Hodge will search credit reference and fraud
prevention agencies to check your identity,
credit status and help us to make decisions
Hodge will undertake a credit search against
each applicant recorded on this form
Information on applications will be sent to credit
reference agencies and will be recorded by them
The credit reference agency will check the
details supplied against third party databases,
public or otherwise
A record of the search will be retained
The credit reference agency may use the details
provided to assist other companies for verification
and identification purposes
If we decline this application, we are not obliged
to tell you the reasons behind our decision
If you borrow from us, we will give details of your
accounts and how you manage it/them to credit
reference agencies. If you borrow and do not
repay in full and on time, credit reference agencies
will record the outstanding debt. This information
may be supplied to other organisations by credit
reference agencies and fraud prevention agencies
to perform similar checks and to trace your
whereabouts and recover debts that you owe.
Records remain on file for six years after they
are closed, whether settled by you or defaulted
If false or inaccurate information is provided and
fraud is identified, details will be passed to fraud
prevention agencies to prevent fraud and money
laundering.
Loan Payments
By signing this declaration You agree that:
You will repay the Loan in accordance with the
conditions specified in your Loan Offer and General
Loan Conditions
We may add to your first monthly payment, interest
from the date of completion of Your Loan to the end
of that month unless Your Loan Offer states otherwise
(not applicable where the loan is secured by a second
charge)
We may take other payments by DIrect Debit with Your
agreement which may be given by telephone or in
writing
Each of the signatories below is a director/partner who
is duly authorised to make this application and has
completed or fully read the contents of the application
and;
You have the power to borrow the money applied for
and to mortgage the properties
You have read and understood the terms about the
product you have chosen and/or have been advised to
apply for by your intermediary. We are not responsible
for any advice given or recommendation made by an
intermediary or other adviser about the product you
have chosen
Full details of what we do and how we, credit reference
and fraud prevention agencies will use your information
are published on our website. Alternatively, a copy can
be sent to you on request. Please phone us on
0800 731 4076.
Signed
Print name
D DD DM MM MY YY Y
Date
Signed
Print name
Date
Applicant 1 Applicant 2
mortgages@hodge.co.uk
0800 721 4076
Customers: hodgebank.co.uk
Advisers: hodgebank.co.uk/intermediaries
Our Portfolio Buy To Let loan is not regulated by the Financial Conduct Authority.
Hodge is a trading name of Julian Hodge Bank Limited which is authorised by the Prudential Regulation Authority and regulated
by the Financial Conduct Authority and the Prudential Regulation Authority under registration number 204439. Registered office
in England & Wales is One Central Square, Cardiff, CF10 1FS (No.743437). Hodge’s Privacy Notice confirms how we manage and
process your personal data. If you require more detail on how we handle your information please go to hodgebank.co.uk/
privacy or call 0800 289 358.
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