Fill - Free fillable Residential Mortgage Application (Hodge) PDF form

Page 1 of 17

Name of adviser

Company name

FCA reference

number

Ofﬁce address

Email address

Contact telephone

number

Date of advice

Mortgage club

and/or network

Broker fee

(if applicable)

I conﬁrm that the person who has arranged, advised and/or introduced this mortgage is authorised and qualiﬁed

to do so. I conﬁrm all documents provided are genuine copies of original documents that have been seen by me.

(*Delete as appropriate)

New business DIP Reference

ReferenceAdditional Borrowing

50+ Mortgage RIO Mortgage

With Fee Without Fee

70% Max LTV

Your ﬁrm If relevant, your principle/network

(only available for RIO Mortgage)

75% Max LTV

2yr discount 10yr ﬁxed

2yr ﬁxed Fixed for life

5yr ﬁxed

Signed Print name

Please complete this form as accurately as possible as missing information may affect our decision.

Residential Mortgage Application

Adviser Declaration

This application is for

Product

Fee

Interest rate

Date

D M YD M Y

LTV option

Retirement Mortgage

(only available for additional borrowing)

Page 1 of 16

50% Max LTV 60% Max LTV

(only available for 5 year ﬁxed rates)

click to sign

signature

click to edit

Page 2 of 17

Self-employment Details

Employment Details

Personal Information

Applicant 1 Applicant 2

Employer name

Employer address

Nature of business

Please complete this section if the Decision in Principle application included income from employment.

Applicant 1 Applicant 2

Business name

Business trading address

Nature of business

Please complete this section if the Decision in Principle application included income from self-employment.

Name of acting accountant

and qualiﬁcation (e.g. ACA)

Accountant’s telephone number

Accountant’s email address

Accountant’s address

Applicant 1 Applicant 2

Title

Surname

Mr Mrs Miss Ms

Other

Mr Mrs Miss Ms

Other

Full forename(s)

Page 2 of 16

Page 3 of 17

Pensions Income

Pension Savings

Applicant 1

Annual pension income

Spouse beneﬁt

Please tell us more information about any pensions that are already in payment.

Pension Provider

Policy number

% %

Index linked

Y N Y N Y N Y N

% %

Applicant 2

Annual pension income

Spouse beneﬁt

Pension Provider

Policy number

% %

Index linked

Y N Y N Y N Y N

% %

Applicant 1

Age applicant intends

on taking an income

Type of investment

and/or pension

i.e. deﬁned beneﬁt, deﬁned

contribution, drawdown plan, SIPP

Pension/fund provider and

policy number

Please tell us more information about your pension savings that are not yet in payment.

Fund 1 Fund 2 Fund 3 Fund 4

Page 3 of 16

Page 4 of 17

Accrued pension

at retirement

Spouse Pension

Index linked

Y N Y N Y N Y N

For defined benefit savings

Current fund value

For other pension savings

Annual contributions

(employer & employee)

% being taken as a lump sum

(if applicable)

Applicant 2

Age applicant intends

on taking an income

Type of investment

and/or pension

i.e. deﬁned beneﬁt, deﬁned

contribution, drawdown plan, SIPP

Pension/fund provider and

policy number

Accrued pension

at retirement

Spouse Pension

Index linked

Y N Y N Y N Y N

For defined benefit savings

Current fund value

For other pension savings

Annual contributions

(employer & employee)

% being taken as a lump sum

(if applicable)

Fund 1 Fund 2 Fund 3 Fund 4

£ £ ££

Page 4 of 16

Page 5 of 17

Applicant 1

Age applicant intends

on taking an income

Please tell us more about other savings you hold from which you intend taking income in retirement.

Fund 1

Fund 2

Fund 3

Fund 4

Type of investment

Provider & policy

number

Current fund value

Applicant 2

Age applicant intends

on taking an income

Type of investment

Provider & policy

number

Current fund value

Applicant 1

Please tell us more about other retirement income you expect to generate from property. If any of the declared

properties are not currently let please provide conﬁrmation on how long the property has been vacant and why

in the additional information section. For additional properties, please use the additional information section.

Property address

Mortgage lender

Balance outstanding

Monthly contractual

mortgage payment

£ £

Rental Income

Other Retirement Investments & Savings

£ £ ££

Page 5 of 16

Page 6 of 17

About your Property

Monthly rent received

Is the property

currently let?

Y N

Estimated property value

Applicant 2

Property address

Mortgage lender

Balance outstanding

Monthly contractual

mortgage payment

Monthly rent received

Is the property

currently let?

Y N

Estimated property value

Tenure

Your property must be suitable security for the mortgage loan. Please complete this section as accurately as

possible to ensure that any issues that could affect your application are identiﬁed early. Once you have submitted

this application, we will instruct a surveyor to visit the property to value it.

Type

Freehold Leasehold Commonhold

Absolute

If leasehold,

remaining term

years

Annual service charge

How is the title held? In one name As beneﬁcial joint tenants As tenants in common

Property type

Select property type House Bungalow Flat/Maisonette

If house or bungalow Detached Semi-detached Terraced/Linked

Page 6 of 16

Page 7 of 17

If ﬂat/maisonette

Is there a lift?

Y N

On what

ﬂoor is it?

Number of

ﬂoors in block

Property information

Number of bedrooms

Age of property

years

Date purchased

Annual service charge

Construction

External walls

Brick Stone Timber frame

Roof

Tile Slate Other

If timber frame, is the outer

wall brick, block or stone?

Y N

If ﬂat roof, approx. %

of total roof area

New builds

Is this a newly built property?

Y N

If yes, is the property fully completed and habitable?

Y N

If yes, does it have an NHBC or similar warranty? Y N

If it is a ﬂat, is the whole block fully completed?

(including all other ﬂats and communal areas)

Y N

Other factors

Is the property the applicant’s main residence?

Y N

Is the property located in England, Wales or mainland Scotland?

Y N

Was the property previously owned by the public sector?

(i.e. Council, Housing Association or MoD)

Y N

Is the property situated over, or in close proximity to,

retail or business premises?

Y N

Page 7 of 16

Page 8 of 17

Occupiers

Access Arrangements on Property to be Mortgaged

Is the property part of a sheltered housing development?

Y N

Do any age restrictions apply to the property?

Y N

Is the property used for any form of business/commercial activity?

Y N

Is the property listed?

Y N

Grade of

listing

Does the property have more than 10 acres of land?

Y N

Are there any agricultural ties or restrictions on the property?

Y N

Has the property ever been ﬂooded or is it at signiﬁcant risk of ﬂooding?

Y NY N

Has the property ever been subject to underpinning or major structural repair?

Y N

Is the property held in trust? Y N

Has the property had solar panels ﬁtted?

Y N

If yes, are they owned outright or subject to a lease?

Owned

outright

Subject to

a lease

Please give the details of any other occupiers who will reside at the property along with the applicants

(including children) on completion.

Surname First name(s) Occupation/Status Date of birth

Who should the valuer contact to

gain access to the property?

Contact telephone number

If this is a purchase application

please provide contact details,

name and address of the

estate agent

Page 8 of 16

Page 9 of 17

Your Mortgage Repayment Strategy

Downsizing

This section applies to the 50+ Mortgage only. You must have in place a suitable strategy for repaying

the loan at the end of the term. You can use more than one repayment strategy.

What is your current

plan at the end of the

mortgage term?

Purchase a smaller property Purchase a retirement property

Move into sheltered or

rented accommodation

Move in with family

Don’t yet know

Other

(please specify)

How far from your

current home do you

envisage moving?

Stay within the same town/locality

Move to a

different region

(please specify)

Don’t yet know

What is your budget

for purchasing a

new property?

No budget required Don’t yet know

Sale of another property owned by the applicant(s) in the UK (e.g Buy to Lets, holiday homes)

Property address

Original date of purchase

D D M M Y Y

Purchase price

Name of registered owners

Current mortgage balance

(if applicable)

Annual maintenance costs

Nil as covered by

rental income

Property type House Bungalow Flat/Maisonette

If leasehold,

remaining term

years

Number of rooms Living rooms Bedrooms Bathrooms

Page 9 of 16

Page 10 of 17

Investments

Provider

Current fund value

Policy/Reference number

Expected maturity date

D D M M Y Y D D M M Y Y

£ £

Monthly contribution

£ £

Y N Y N

Included in outgoings?

Fund 1 Fund 2

Provider

Current fund value

Policy/Reference number

Expected maturity date

D D M M Y Y D D M M Y Y

£ £

Monthly contribution

£ £

Y N Y N

Included in outgoings?

Fund 3 Fund 4

Endowments

Provider

Current fund value

Policy/Reference number

Expected maturity date

D D M M Y Y

£ £

Monthly contribution

£ £

Y N Y N

Included in outgoings?

Fund 1 Fund 2

D D M M Y Y

Page 10 of 16

Page 11 of 17

Provider

Current fund value

Policy/Reference number

Expected maturity date

D D M M Y Y D D M M Y Y

£ £

Monthly contribution

£ £

Y N Y N

Included in outgoings?

Fund 3 Fund 4

Page 11 of 16

Page 12 of 17

Hodge

One Central Square

Cardiff

CF10 1FS

Please ﬁll in this form and send it to us on online or to:

Instructions to your bank

or building society to pay

by direct debit

Names(s) of account holder(s)

Bank/building society account number

Branch sort code

Name and full postal address of your bank or

building society

Address

Postcode

Service user number

Reference

Instructions to your bank or

building society

Please pay Hodge Direct Debits from the account

detailed in this Instruction subject to the safeguards

assured by the Direct Debit Guarantee. I understand

that this instruction may remain with Hodge and,

if so, details will be passed electronically to my

bank/building society.

Signature(s)

Date

The Direct Debit Guarantee

• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

• If there are any changes to the amount, date or frequency of your Direct Debit Hodge will notify you 10

working days in advance of your account being debited or as otherwise agreed. If you request Hodge to

collect a payment, conﬁrmation of the amount and date will be given to you at the time of the request

• If an error is made in the payment of your Direct Debit, by Hodge or your bank or building society you are

entitled to a full and immediate refund of the amount paid from your bank or building society

• If you receive a refund you are not entitled to, you must pay it back when Hodge asks you too

• You can cancel a Direct Debit at any time simply by contacting your bank or building society.

Written conﬁrmation may be required. Please also notify us.

To: The Manager Bank/building society

8 4 0 4 4 7

Page 12 of 16

Page 13 of 17

Your Solicitor

Additional Information (Should you require more space, please continue on separate sheets of paper)

You may appoint a solicitor to act for you in taking out a 50+ Mortgage if you wish. They will assist you in understanding

the nature of the long term commitment you are taking on.

Company name

Name of solicitor

acting for you

Address

Telephone

50+ Mortgage only If you are re-mortgaging or raising capital, please conﬁrm if you wish

for Hodge’s solicitors to undertake the legal work in respect of this

mortgage.

Page 13 of 16

Page 14 of 17

Applicant 2

By Phone

By Mail

By Email

By SMS

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

Page 14 of 16

Page 15 of 17

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

• 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.

Customer Declaration

• 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

• I conﬁrm that I wish to proceed on the terms set out

in the Decision in Principle

• Where relevant, I enclose payment in order for a

chartered surveyor to value my property. This is

not a survey

• I understand that this fee is not refundable, even if the

property is not eligible for this mortgage. Payment of

this fee does not mean that Hodge is obliged to accept

my application

• I understand that this mortgage will be subject to

the 50+ Mortgage Terms and Conditions (These will

be provided to you with any offer we issue but in the

meantime, they can also be downloaded from our

website and are available on request)

• I have the right to withdraw from this mortgage

application at any time before it is complete and

I have received the monies. However, if I withdraw, I will

not receive a refund of any fees I have paid to Hodge

and I may still be required to pay my ﬁnancial adviser

and solicitor for the work they have undertaken on my

behalf

• All the details in my Decision in Principle and this

application are, to the best of my knowledge and

belief, true and complete. If Hodge ﬁnds any to be

untrue, it could affect my eligibility for the mortgage

or reduce the amount I may borrow.

Signed

Print name

D DD DM MM MY YY Y

Date

Signed

Print name

Date

Applicant 1 Applicant 2

Page 15 of 16

Page 16 of 17

mortgages@hodge.co.uk

0800 721 4076

Customers: hodgebank.co.uk

Advisers: hodgebank.co.uk/intermediaries

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.

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Residential Mortgage Application (Hodge)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Residential Mortgage Application (Hodge) Form

Related forms

Fillable Residential Mortgage Application (Hodge)

Fill Online, Printable, Fillable, Blank Residential Mortgage Application (Hodge) Form

Related forms

First 20 documents completely FREE!