Buy to Let Application Form

    Number of applicants
    Name*
    Marital status
    Maiden name
    Date of name change
    Nationality
    If not UK, please state date arrived in UK
    If applicable please provide visa expiry date
    Date of Birth
    Address
    Phone Number*
    Email Address*
    How many dependents do you have?
    Names and DOBs of all dependents
    Current living status
    Date moved to current address
    Previous address inc postcode
    Previous living status
    Date moved to previous address
    Purchase Price/Value of property
    Deposit amount
    Mortgage Type Required First time buyerNext time buyerRemortgageBuy to let
    Amount of mortgage required
    What is the address of the security?
    Ever had a loan or a mortgage refused? YesNo
    Ever had CCJs / defaults registered against you? YesNo
    Ever been declared bankrupt? YesNo
    Ever made arrangements with creditors? YesNo
    Any previous mortgage or rent arrears? YesNo
    Name of lender
    Account number
    Current property value
    Current outstanding mortgage balance
    Original purchase price
    Original date of purchase
    Type Interest onlyRepayment
    Monthly payment
    Interest type
    Interest rate
    Original mortgage term
    Date mortgage started
    Term left on mortgage
    Do you own any other properties? YesNo
    Current commitments (loans, credit cards, hire purchase agreements)

    I confirm that the above is entirely accurate and where appropriate professional advice has been sought.*

    I confirm

    I am fully aware that you are relying on this information to form part of your loan offer and that if it is in any way inaccurate or false, this will affect our ability to advance funds. I am further aware that I will be liable for any costs you may incur*

    I confirm

    Date

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