1
Regulated bridging
mortgage enquiry form
Shawbrook Bank Limited, Lutea House, Warley Hill Business Park, The Drive, Great Warley, Brentwood, Essex CM13 3BE
Property Finance, Commercial Mortgages T 03301 234 521 F 01277 751 145 cm.admin@shawbrook.co.uk shawbrook.co.uk
Registered office: Lutea House, Warley Hill Business Park, The Drive, Great Warley, Brentwood, Essex, CM13 3BE. Registered in England and Wales -
Company Number 388466. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.
GC_CP_SLB_RegBridgeEnquiry_20181030_7
1. Broker details
All introducers involved in the transaction must be listed here
Shawbrook broker partner details
(submitting intermediary)
Name of firm Contact name
Telephone Email
Level of advice given
(by submitted intermediary)
Advised sale Execution only
FCA number
Please confirm you have the
correct permissions
Yes No
Other introducer details (1)
Name of firm Contact name
Telephone Email
Level of advice given
(by submitted intermediary)
Advised sale Execution only
FCA number
Please confirm you have the
correct permissions
Yes No
Fees paid prior to submission
Have any broker fees been charged to the client prior to submission? Yes No
Type of fee Amount £
Is this fee refundable Yes No
If yes, how much is refundable? £
When is this refundable?
M Y Y YD D M Y
Broker completion fee amount £
Fees to be added to your loan
Please note that these fees may be paid up front or added to the loan advance. Please confirm if the following fees are
to be added to the loan advance.
Arrangement fee Telegraphic transfer fee Shawbrook solicitors fee
(please note that this fee covers Shawbrook Banks legal costs
only. Your conveyancer may charge an additional fee which
you will need to paydirectly to them).
2. Loan & product details
Loan amount £
Target completion date
M Y Y YD D M Y
Please note that we will add any agreed fees to the loan amount you have requested, together with the interest due for
the term of the mortgage.
Product code RB1 RB2 Repayment type Interest roll-up
Loan term months (12max)
Loan type
Purchase Auction purchase Remortgage