Decision in Principal

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3. Employment Details

To: the packaging Team

Fax to: 01392 678 679

Tel: 0845 466 8999

FAO:

From Broker Ref:

Name:

Tel No:

Fax No:

Applicant 1 PAYE Permanent: Self Employed Self Certification Contract Period of Employment years monthsYes / No

Applicant 1 Gross Annual Income Applicant 2 Gross Annual Income

Applicant 2 PAYE Permanent: Self Employed Self Certification Contract Period of Employment years monthsYes / No

4. Existing Credit

Type of Loan

Mortgage

Personal Loan 1

Personal Loan 2

Personal Loan 3

Personal Loan 4

Credit Card 1

Credit Card 2

Judgements

Written Off Accounts

Other

TOTAL

Outstanding Balance Monthly Repayment

PTO

2. Details of the Mortgage Required

Estimated Market Value Amount of Loan Required

Purchase Price

Loan Type:

Re-mortgagae Purchase FTB Proper ty Details: Is the proposed Security an Apt/Flat? Storeys Above Commercial?Yes / No Yes / No

Repayment Term Required

1. Personal Details

Applicants Name(s)

Applicant 1 Applicant 2

Maiden Name

Current Address

Previous Address

(If less than 3 yearsat current address)

Date of Birth

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5. Reason for Arrears (Please provide details of circumstances, dates and amounts together with any other relevant details)

DECLARATION

I/We understand, declare and acknowledge that:

the information given on this form is true and complete to the best of my/our knowledge;

you will use this information given on this form to decide, in principle, whether you would be willing to accept my/our formal application for a mortgage

(if I/we make one); you may reject our formal application (if I/we make one), even if you have given your agreement in principle, especially if the information given on this

form has changed by the time I/we make our formal application

I/We consent to:

you disclosing any of the information given on this form to the operators of the National Hunter System, the Credit Industry Fraud Avoidance System and

other collective mortgage data checking systems, who may make the information available to other lenders or subscribers to their system where this is

done in the interest of fraud prevention;

you requesting a credit reference (which will include information that you may use for an automated credit assessment) from one or more credit

reference agencies and to you disclosing any of the information given on this form to any such agencies. I/we understand that this information will then be

made available to others requesting credit references against me/us and may be used, for example, in relation to future lending decisions, fraud

prevention, debtor tracing, etc. I/We further understand that any credit reference agencies who you contact will keep a record of the references yourequest about me/us;

you making any other enquiries that you consider necessary in connection with this application and to you disclosing any of the information given on this

form in order to make those enquires;

you disclosing the results of any (or all) of the enquires you make about me/us to the introducer of my/our application to the Society who is named on

the front of this form.

In the absence of the client(s) signature(s) above I/we confirm that the client(s) is/are aware of the terms of the above declaration

Full Name DateSignature


All applicants must sign, having first read the above acknowledgements, declarations and consents which are given by signing this form.


7. Declaration

6. Other Information/Comments

Documents

Decision in Principal