Deferred Payment Scheme Application Form

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Deferred Payment Scheme Application Form"

Transcription

1 Deferred Payment Scheme Application Form

2 How to complete this application form You will need to fully complete the form starting on page three of this booklet. Please ensure you have read the leaflet Information on Deferred Payment Scheme available on leeds.gov.uk/deferredpayments, to ensure you meet the criteria for the scheme. We will also need to see original documents to help with your application. (See Section 7) We will need to verify the documents outlined in Section 7 in two ways: 1. From a Leeds City Council member of staff. To book an appointment, please call We will photocopy your original documents. 2. If this is not convenient, we require a professional individual (employer or solicitor) to confirm who you are and that they have seen the original documentation. The application and copies of your documentation can then be forwarded to: Financial Management Adult Social Care Finance Community Care 4 th Floor West Civic Hall Leeds LS1 1UR For enquires about this form, or the deferred payment scheme please call,

3 Section 1 Details of the person applying for the Deferred Payments Scheme (the person in care) ESCR Number (Local Authority Unique Ref No. to be quoted on all correspondence) Title (e.g. Mr, Mrs, Ms) First Name(s) Last Name Date of Birth Address (including postcode) Telephone number Are you: Single Married Divorced Separated Widowed Civil partnership Section 2 Details of representative of person applying for the Deferred Payments Scheme (if applicable) Title First Name(s) Last Name Address (including postcode) Telephone 3

4 Relationship to person named above Do you have legal authority to act on behalf of the person named in Section 1? Yes No If yes, please give details: Power of Attorney Enduring of Lasting Power of Attorney Deputy or receiver Solicitor Please attach documents confirming legal arrangements Section 3 About the property Please give the full address of the property (including postcode) What is the property s current value? Do you have a mortgage or other secured loan on the property? Yes No If yes, what type of mortgage or loan do you have? Repayment Endowment Interest Only If you have another type of loan please give details: How much do you pay each month (include any endowment or insurance premium) Name of mortgage lender Account number Date of mortgage agreement Amount of outstanding mortgage Consent form to enable contact with mortgage provider 4

5 Please attach documents confirming mortgage details Does anyone else have an interest in the property with you? Yes No If yes is this part of an equity release scheme? (you will be required to provide documentation to verify this) Yes No If yes, please give their details and their interest: Name Address Interest in property Please attach documents confirming details What type of property is it? Detached house Terraced house Flat Semi-detached house Bungalow Other If other, please give details: Does anyone live in the property? Yes No If yes, please give details: 5

6 Section 4 About the property expenses Type of Expense How much? How often? (Weekly, monthly, yearly) Service Charge Fuel Charge Ground Rent Building Insurance this is essential Other charges Please attach documents confirming expenses Section 5 Property Maintenance You will need to maintain the property and land, including gardens and outbuildings. This means the property will need to be insured annually and utility bills will need to be paid. It may also include renting the property out. Please explain how do you intend to maintain and upkeep the property, including whether you plan to rent it out. 6

7 Section 6 Other information (any other relevant information) 7

8 Section 7 Checklist for Documentation Please check and ensure you have provided documentation requested on this form. Details of legal representative (Please provide Enduring/ Lasting Power of Attorney or letter from Office of Public Guardian detailing who has been appointed as Deputy for service user) Joint or other interests in the property Copy of equity release agreement (if appropriate) Land Registry or title deeds 3rd Party Top Up declaration (if appropriate) Death certificate for a named deceased party on land registry or title deeds Property expenses including Building Insurance Photo identification Mortgage details and consent form Property Valuation Please remember, original documentation verification is required. Please call to arrange for appointment or alternative certification. If you have already provided the above documents to a Finance Officer from Community Care Finance, you will not need to provide these again. 8

9 Section 9 Declaration I wish to make an application under the Deferred Payments Scheme. I understand that acceptance of any application under the scheme is at the discretion of Leeds City Council, subject to you meeting the eligibility criteria and the local authority being able to obtain adequate security. The deferred payments will not take effect until a formal agreement is entered into. I confirm that I own /part-own (please delete as appropriate) the property specified in Section 3. I authorise Leeds City Council to check legal title to the property. When the agreement begins, I agree to a legal charge being placed on the property specified in Section 3 and agree to pay the legal costs of Leeds City Council. I agree that I shall be responsible for payment of the weekly contribution to the cost of my care that I am assessed to make under the regulations specified in the Care Act 2014 regulations regarding charging from my income and other capital I confirm that I and all other persons who occupy or have an interest in the property specified in Section 3 have been told of the need to take independent legal and financial advice before I enter into an agreement under the Deferred Payments Scheme. I confirm that the information given on this form is true and accurate to the best of my knowledge. Leeds City Council will use the information you have provided for the following purpose of deciding on the application for a deferred payment and the financial assessment of the person s contribution. No personal information you have given us will be passed on to third parties for commercial purposes. [Our policy is that all information will be shared among officers and other agencies where the legal framework allows it, if this will help to improve the service you receive and to develop other services.] You have the choice to pay for fees and interest as it accrues throughout the agreement or you can pay at the end and the fees will be added to the debt outstanding. Please note that interest will be added to any debt outstanding. Please indicate below your intention. I wish to pay set up fees on successful application (An invoice will be issued when we have a signed agreement). I wish to pay interest and ongoing fees six monthly (in arrears). (An invoice will be issued with the six monthly statements). I wish for all fees and interest to be accrued with the debt outstanding until the end of the agreement. Your full name: Your signature: Date: If you are signing on behalf of the person applying to use the Deferred Payments Scheme, you must be the person named in Section 2, and have legal authority to act. 9

10 Leeds City Council For general information about Adult Social Care telephone customer services on June

What is the Deferred Payments Scheme?

What is the Deferred Payments Scheme? What is the Deferred Payments Scheme? The Deferred Payments Scheme is designed to help you if you have been assessed as having to pay the full cost of your residential care but cannot afford to pay the

More information

Information on: Deferred Payment Scheme

Information on: Deferred Payment Scheme Information on: Deferred Payment Scheme From 1 April 2015 Introduction From April 2015 the way care and support is provided is changing for the better. The Care Act 2014 is a recent piece of legislation

More information

Application Form Pure Lump Sum Plan

Application Form Pure Lump Sum Plan Application Form Pure Lump Sum Plan This form is an application for a lifetime mortgage with Pure Retirement Limited. To avoid delays in processing the application, it is important that the form is completed

More information

DEFERRED PAYMENTS IMPLEMENTATION TOOLKIT. Produced by NAFAO on commission from:

DEFERRED PAYMENTS IMPLEMENTATION TOOLKIT. Produced by NAFAO on commission from: DEFERRED PAYMENTS IMPLEMENTATION TOOLKIT Produced by NAFAO on commission from: V1.0 December 2014 Contents Topic Page Good Practice Guide....... 3 1. Legal Status... 3 2. Eligibility Criteria... 3 3. Permission

More information

Information for people in residential care with property

Information for people in residential care with property Information for people in residential care with property If you are assessed as eligible for permanent residential care and you have a property and your other capital is valued at less than 23,250 the

More information

Deferred Payment Agreements

Deferred Payment Agreements Deferred Payment Agreements Paying for your Care in a Home Barnet Council s Deferred Payment Scheme What is a Deferred Payment Agreement? A Deferred Payment Agreement is an arrangement with the Council

More information

Secured Loan Application Form

Secured Loan Application Form t e w +44 (0)20 3397 7055 info@arcofinance.co.uk Secured Loan Application Form Section 1: Introducer Details Introducer name: Address: Introducer company: Telephone no: Mobile no: As the Introducing broker

More information

Your name: Name of your business: Your business address:

Your name: Name of your business: Your business address: For mortgage intermediary use only please complete IN FULL Your NBS introducer code: Your name: Name of your business: Commercial mortgage application for a Company Please fill in every answer using block

More information

The Deferred Payments Scheme. An information leaflet for home owners, paying for residential or nursing home care

The Deferred Payments Scheme. An information leaflet for home owners, paying for residential or nursing home care The Deferred Payments Scheme An information leaflet for home owners, paying for residential or nursing home care What is the Deferred Payment Scheme? The deferred payment scheme is designed to help if

More information

Secured Loan Application Form

Secured Loan Application Form Secured Loan Application Form Section 1: Introducer Details Name: Address: Company: Telephone no: Mobile no: Email address: As the Introducing broker are you: A directly authorised firm: An appointed representative:

More information

Lump Sum Lifetime Mortgage Application

Lump Sum Lifetime Mortgage Application Lump Sum Lifetime Mortgage Application 1. QUOTE DETAILS / LOAN AMOUNT Quotation reference on which you wish to proceed Q This must be completed Loan amount required 2. FIRST APPLICANT Full name including

More information

DEFERRED PAYMENT AGREEMENT. Information Pack for our service users and their families or representatives

DEFERRED PAYMENT AGREEMENT. Information Pack for our service users and their families or representatives 12 WEEK PROPERTY DISREGARD PERIOD AND THE DEFERRED PAYMENT AGREEMENT Information Pack for our service users and their families or representatives What is the 12 week Property Disregard Period? The Council

More information

Deferred Payments. A guide to. Paying for residential care if you own your home

Deferred Payments. A guide to. Paying for residential care if you own your home Deferred Payments A guide to Paying for residential care if you own your home What is the deferred payment scheme? If you are a home owner moving to residential care this scheme is designed to assist you

More information

payment protection insurance: consumer questionnaire

payment protection insurance: consumer questionnaire our ref: payment protection insurance: consumer questionnaire WHAT IS THIS QUESTIONNAIRE FOR? This questionnaire is for consumers to register a complaint about the sale of payment protection insurance.

More information

Home Ownership Expression of Interest

Home Ownership Expression of Interest OFFICE USE ONLY Lead no: Home Ownership Expression of Interest Complete this form if you wish to register your interest in an Indigenous Business Australia (IBA) housing loan. Once completed, submit the

More information

What is the Deferred Payments Scheme? Help with paying for your care

What is the Deferred Payments Scheme? Help with paying for your care What is the Deferred Payments Scheme? Help with paying for your care The Deferred Payment Scheme can help you pay for your care home fees, if you own your home and cannot afford to pay the full fee, as

More information

Data capture form. Customer name(s):

Data capture form. Customer name(s): Data capture form Customer name(s): 1. 2. This form is for the use of financial intermediaries only and is not to be given to the public. This data capture form is to be used to capture the required information

More information

Deferred Payment Scheme Information Leaflet

Deferred Payment Scheme Information Leaflet Deferred Payment Scheme Information Leaflet What is the Deferred Payments Scheme? The Deferred Payments Scheme is designed to help you if you have been assessed as having to pay the full cost of your residential

More information

FIAS factsheet 4 October 2015

FIAS factsheet 4 October 2015 Deferred payment agreements in Suffolk Please note we strongly recommend that you take independent financial advice if you are considering using the deferred payment scheme from Suffolk County Council.

More information

Deferred Payment Agreement Charging

Deferred Payment Agreement Charging Deferred Payment Agreement Charging What is a Deferred Payment Agreement? A Deferred Payment Agreement is an arrangement with the council that will enable you to use the value of your home to help pay

More information

1. The Property You Are Selling: CCS Reference: 2. Property Information

1. The Property You Are Selling: CCS Reference: 2. Property Information SALE INFORMATION FORM The details you give us will be used to draft legal documents, so it is important that they are accurate. PLEASE USE BLOCK CAPITALS 1. The Property You Are Selling: CCS Reference:

More information

Intermediary Data Capture Form. October 2014. Version 2 04.15/DW/65074JAV

Intermediary Data Capture Form. October 2014. Version 2 04.15/DW/65074JAV Intermediary Data Capture Form October 2014 Version 2 1 14 04.15/DW/65074JAV Submission details. Version 2 What level of advice is being provided Advised Non advised Is the Application being submitted

More information

Newcastle City Council. Deferred Payment Scheme. Effective from 1 April 2015

Newcastle City Council. Deferred Payment Scheme. Effective from 1 April 2015 Newcastle City Council Deferred Payment Scheme Effective from 1 April 2015 1 1. Introduction and Legal Status 1.1 The Care Act 2014 (section 34-36) establishes a universal deferred payment scheme, which

More information

Version 0.1 Adult Social Care Deferred Payment Policy Issued: April 2015

Version 0.1 Adult Social Care Deferred Payment Policy Issued: April 2015 Adult Social Care Deferred Payment Policy 1 Introduction 1.1 This Policy details how Deferred Payment Agreements (DPAs) are to be operated by Rochdale Council from April 2015. 1.2 When a person enters

More information

Wiltshire Council PAYING FOR RESIDENTIAL OR NURSING CARE WHERE PEOPLE OWN THEIR PROPERTY INTERIM ADVICE PENDING NEW POLICY

Wiltshire Council PAYING FOR RESIDENTIAL OR NURSING CARE WHERE PEOPLE OWN THEIR PROPERTY INTERIM ADVICE PENDING NEW POLICY Wiltshire Council PAYING FOR RESIDENTIAL OR NURSING CARE WHERE PEOPLE OWN THEIR PROPERTY INTERIM ADVICE PENDING NEW POLICY 2015 2016 Please note, this is interim guidance pending changes to the Councils

More information

Bridging Loan Application Form

Bridging Loan Application Form t e w +44 (0)20 3397 7055 info@arcofinance.co.uk Bridging Loan Application Form Section 1: Introducer Details Introducer name: Introducer company: Telephone no: Email address: Mobile no: As the Introducing

More information

Patient complaint form

Patient complaint form Patient complaint form 1 This form is for you to make a complaint, in the strictest confidence, about a doctor to the General Medical Council. You do not have to use this form but, if you do, it will help

More information

People moving into a care home who have a property Information sheet D4 April 2016

People moving into a care home who have a property Information sheet D4 April 2016 People moving into a care home who have a property Information sheet D4 April 2016 This information sheet explains your rights as a homeowner if you are moving into a care home with financial support from

More information

Your name: Name of your business: Your business address:

Your name: Name of your business: Your business address: For mortgage intermediary use only please complete IN FULL Your NBS introducer code: Your name: Name of your business: Commercial mortgage application for a Partnership Please fill in every answer using

More information

Paying for your Care in a Home The Council s Deferred Payment Scheme. Introduction

Paying for your Care in a Home The Council s Deferred Payment Scheme. Introduction Paying for your Care in a Home The Council s Deferred Payment Scheme Introduction Our leaflet A Guide to entering a care home explains how you can ask the Council to help you with the cost of your care

More information

Payment Protection Insurance Consumer Questionnaire

Payment Protection Insurance Consumer Questionnaire Payment Protection Insurance Consumer Questionnaire WHAT IS THIS QUESTIONNAIRE FOR? This questionnaire is for consumers to register a complaint about the sale of payment protection insurance. The questionnaire

More information

Application Form for Short Term Loan Individual

Application Form for Short Term Loan Individual Application Form for Short Term Loan Individual Broker Name Mobile. Company Email Loan Details first charge only on principal security Residential Investment Commercial (Investment & Owner Occupied) Loan

More information

BUY TO LET MORTGAGE APPLICATION FORM

BUY TO LET MORTGAGE APPLICATION FORM FOR SOCIETY USE ONLY Mortgage Department Upper Bond Street Hinckley Leicestershire LE10 1DG BUY TO LET MORTGAGE APPLICATION FORM Please complete all areas of this form fully in block capitals and tick

More information

Addition Of A Power Of Attorney / Receiver / Deputy Application Form

Addition Of A Power Of Attorney / Receiver / Deputy Application Form OFFICE USE ONLY Customer Number for the Original Customer: Branch Code: Please complete this form in BLACK INK and using BLOCK CAPITALS. For further details on how to register an Attorney / Receiver /

More information

Supplementary Application Form for Short Term Loan (Company)

Supplementary Application Form for Short Term Loan (Company) Supplementary Application Form for Short Term Loan (Company) Broker Name Mobile. Company Email Company Name Property Address Limited Company/LLP Details Correspondence Address (if different to the registered

More information

Non-Regulated Bridging Loan Application Form

Non-Regulated Bridging Loan Application Form Non-Regulated Bridging Loan Application Form Date of Application Applicant Name(s) Case Reference No. (for office use only) Broker/Introducer Name: Mobile: Email: Fee Agreed: is not regulated by the Financial

More information

Fee free. Current accounts Application form for a sterling bank account

Fee free. Current accounts Application form for a sterling bank account Fee free Current accounts Application form for a sterling bank account Welcome We welcome you to Isle of Man Bank and thank you for choosing us. To help us decide whether we can provide you with the services

More information

Deferred Payment Agreement Scheme

Deferred Payment Agreement Scheme Adult Social Care and Health Deferred Payment Agreement Scheme Information about the Council s Deferred Payment Agreement Scheme an option to help you manage care home costs if you own your property www.reading.gov.uk/carecharges

More information

Application for Housing Benefit or Council Tax Support (or both)

Application for Housing Benefit or Council Tax Support (or both) Application for Housing Benefit or Council Tax Support (or both) Director or Finance and Corporate Services, Civic Centre, Neath SA11 3QZ For benefit enquiries relating to the Neath Borough and Upper Lliw

More information

Deferred Payment Agreement Factsheet

Deferred Payment Agreement Factsheet Deferred Payment Agreement Factsheet What is a Deferred Payment Agreement? Deferred Payment Agreements are designed to help you if you have been assessed as having to pay the full cost of your residential

More information

Crown Equity Release Plan Application Form

Crown Equity Release Plan Application Form Crown Equity Release Plan Application Form Please answer all questions fully in BLOCK CAPITALS in black/blue ink. If the property is owned jointly, for example with your Spouse or Partner, the application

More information

MOVING INTO A CARE HOME Frequently asked questions

MOVING INTO A CARE HOME Frequently asked questions MOVING INTO A CARE HOME Frequently asked questions What types of income and savings are counted as part of a financial assessment? Employment Support Allowance / Incapacity Benefit Pension Credit Former

More information

Personal Home Loan Application Form

Personal Home Loan Application Form Personal Home Loan Application Form Name: A/C No.: PFC / RM Code: Call +234-1-270 2167 www.standardchartered.com/ng Personal Home Loan Check List Original ID Sighted and Copy Taken (International Passport/Drivers

More information

more 2 life Interest Choice Plan customer application form

more 2 life Interest Choice Plan customer application form more 2 life Interest Choice Plan customer application form INSTRUCTIONS Please fully complete this form in black ink using BLOCK CAPITALS. Once completed please return to: more 2 life, PO Box 1168, Preston,

More information

HANLEY. Mortgage Application Form. 1 Supporting Documentation Checklist PRODUCT APPLIED FOR. INCENTIVES Tel No. MORTGAGE ACCOUNT No.

HANLEY. Mortgage Application Form. 1 Supporting Documentation Checklist PRODUCT APPLIED FOR. INCENTIVES Tel No. MORTGAGE ACCOUNT No. T H E HANLEY E C O N O M I C Building Society www.thehanley.co.uk Granville House Festival Park, Hanley Stoke-on-Trent ST1 5TB Tel: 01782 255150 Fax: 01782 255118 Email: riskmanagementteam@thehanley.co.uk

More information

Deferred Payments. People & Communities. What is a Deferred Payment? Your agreement with us

Deferred Payments. People & Communities. What is a Deferred Payment? Your agreement with us Deferred Payments People & Communities What is a Deferred Payment? A Deferred Payment is designed to help you, if you have to pay the full cost of your residential care, but cannot afford to pay the full

More information

Deferred Payments. Information for people moving into residential care who own a property

Deferred Payments. Information for people moving into residential care who own a property Deferred Payments Information for people moving into residential care who own a property Deferred Payments The Deferred Payment Scheme is designed to help you if you have been assessed as having to pay

More information

LONDON BRANCH THE MORTGAGE APPLICATION FORM FOR YOUR HOME IN PORTUGAL

LONDON BRANCH THE MORTGAGE APPLICATION FORM FOR YOUR HOME IN PORTUGAL LONDON BRANCH THE MORTGAGE APPLICATION FORM FOR YOUR HOME IN PORTUGAL Please ensure that the application form is completed in all respects, and that the following are enclosed: a) Evidence of income by

More information

POLICY FOR THE BREATHING SPACE SCHEME

POLICY FOR THE BREATHING SPACE SCHEME POLICY FOR THE BREATHING SPACE SCHEME PREFACE The Council is participating in a regional scheme called Breathing Space. The scheme facilitates the provision of loans in accordance with powers given under

More information

Help to Buy Buyers Guide

Help to Buy Buyers Guide Help to Buy Buyers Guide Homes and Communities Agency http://www.homesandcommunities.co.uk/helptobuy Page 1 of 27 Key information Buyers using this scheme must provide security in the form of a second

More information

Blackburn with Darwen Borough Council Deferred Payments Scheme

Blackburn with Darwen Borough Council Deferred Payments Scheme Blackburn with Darwen Borough Council Deferred Payments Scheme A guide to Deferred Payments paying for residential care or nursing care if you own your own home. 1 What is the Deferred Payments Scheme?

More information

Paying for the costs of major works to your property

Paying for the costs of major works to your property Paying for the costs of major works to your property Introduction We are responsible for thousands of homes and are committed to keeping those homes in a good state of repair. This means that from time

More information

a P P l I C a N T 1 a P P l I C a N T 2 1. Personal Details 2. any Existing loans/credit Cards* Income Gross basic income/net profit

a P P l I C a N T 1 a P P l I C a N T 2 1. Personal Details 2. any Existing loans/credit Cards* Income Gross basic income/net profit Mortgages Gibraltar HomeOwner Loan Application Form Please complete using BlOCK CaPITalS and tick boxes where appropriate. Enclose a current P60(s)/P7(s), last 3 months payslips/3 years accounts and last

More information

details of anyone complaining with you surname title title d d m m y y y y d d m m y y y y

details of anyone complaining with you surname title title d d m m y y y y d d m m y y y y our ref: payment protection insurance: consumer questionnaire WHAT IS THIS QUESTIONNAIRE FOR? This questionnaire is for consumers to bring a complaint about the sale of payment protection insurance (PPI).

More information

www.westsussex.gov.uk/social-care-and-health Deferred payments What do I need to know?

www.westsussex.gov.uk/social-care-and-health Deferred payments What do I need to know? www.westsussex.gov.uk/social-care-and-health Deferred payments What do I need to know? www.westsussex.gov.uk/social-care-and-health What is a deferred payment agreement? A deferred payment agreement is

More information

INFORMATION ABOUT YOUR MORTGAGE. Important information for you to keep and refer to

INFORMATION ABOUT YOUR MORTGAGE. Important information for you to keep and refer to INFORMATION ABOUT YOUR MORTGAGE Important information for you to keep and refer to 1 Information about your mortgage This booklet is sent to you with your mortgage offer so you can read it before you enter

More information

Bridgewater Equity Release

Bridgewater Equity Release Bridgewater Equity Release Home Reversion Plan Application Form Intermediary Checklist An incomplete form may delay the processing of this application. To help assist us, please check: 1. The Intermediary

More information

BUY TO LET MORTGAGE FEE TARIFF

BUY TO LET MORTGAGE FEE TARIFF Axis Bank UK Limited BTL Mortgage Fee Tariff UK LTD. BUY TO LET MORTGAGE FEE TARIFF Effective from: 31 st March 2015 Issue Date: 31 st March 2015 Overview This document should be reviewed by anyone considering

More information

ACCORD MORTGAGES APPLICATION FORM

ACCORD MORTGAGES APPLICATION FORM ACCORD MORTGAGES APPLICATION FORM If you have already submitted an ON-LINE application, DO NOT USE THIS application form. Account Number Please refer to our Lending criteria guide for details of the evidence

More information

Deferred payment agreements April 2015

Deferred payment agreements April 2015 Deferred payment agreements April 2015 This leaflet explains how a deferred payment agreement may help you when you move to a care home What is a deferred payment? A deferred payment is when the council

More information

Deferred Payment Scheme. This leaflet gives a guide to Derbyshire County Council s Deferred Payment Scheme

Deferred Payment Scheme. This leaflet gives a guide to Derbyshire County Council s Deferred Payment Scheme Deferred Payment Scheme This leaflet gives a guide to Derbyshire County Council s Deferred Payment Scheme Contents What is the Deferred Payment Scheme? Page 3 To apply for a Deferred Payment you must...

More information

House Purchase Loan Application Form. Housing and Residential Services

House Purchase Loan Application Form. Housing and Residential Services House Purchase Loan Application Form Housing and Residential Services Dublin City Council, House Purchase Loan Section, Block 2, Floor 2, Civic Offices, Wood Quay, Dublin 8. Opening hours: 9.30am 4pm Tel:

More information

Application Form for Short Term Loan Company

Application Form for Short Term Loan Company Application Form for Short Term Loan Company Broker Mobile. Company Email Loan Details first charge only on principal security Residential Investment Commercial (Investment & Owner Occupied) Loan Type

More information

Deferred Loan Application

Deferred Loan Application Deferred Loan Application MINISTRY OF HEALTH MANATU HAUO RA Deferred Loans When a residential care loan becomes repayable, a deferred loan can be offered to people in certain circumstances. Residential

More information

payment protection insurance: consumer questionnaire

payment protection insurance: consumer questionnaire our ref: payment protection insurance: consumer questionnaire WHAT IS THIS QUESTIONNAIRE FOR? This questionnaire is for consumers to bring a complaint about the sale of payment protection insurance (PPI).

More information

Deferred Payment Scheme Information and guidance 2015/16

Deferred Payment Scheme Information and guidance 2015/16 Deferred Payment Scheme Information and guidance 2015/16 What is the Deferred Payment Scheme? The Deferred Payment Scheme is designed to prevent people from having to sell their home, in their lifetime,

More information

Santander Consumer Finance - Payment Protection Insurance Questionnaire

Santander Consumer Finance - Payment Protection Insurance Questionnaire Santander Consumer Finance - Payment Protection Insurance Questionnaire Your completed questionnaire and copies of any documents you have when you took out the payment protection insurance should be returned

More information

Buy To Let Application Form

Buy To Let Application Form MMBS August 2013 Buy To Let Application Form Branch of Issue What do you need to submit with your application form? For Office Use Only Name(s)... to be mortgaged............ Date received by MPC... A

More information

State Pension (Non-Contributory)

State Pension (Non-Contributory) Application form for State Pension (n-contributory) Social Welfare Services SPNC 1 Data Classification R You need a Personal Public Service Number (PPS.) before you apply. How to complete this application

More information

Residential mortgage Application form

Residential mortgage Application form NEWBURY building society newbury.co.uk Residential mortgage Application form Account number Newbury Building Society requires a fully completed application form before opening your account. At Newbury

More information

Residential and Buy to Let Mortgages Supplementary application form

Residential and Buy to Let Mortgages Supplementary application form Residential and Buy to Let Mortgages Supplementary application form Intermediary details Contact name FCA registration number Loan details Date of original purchase (remortgage only) If remortgaging, what

More information

Deferred payments for people in permanent residential care

Deferred payments for people in permanent residential care Money and legal matters Deferred payments for people in permanent residential care Deferred payment agreements scheme - Information for residents 2 Deferred payment agreements scheme Contents Introduction

More information

AVP, Operations & Services State Bank of India 135 Cecil Street, #04-00 Singapore 069536 MORTGAGE LOAN APPLICATION FORM

AVP, Operations & Services State Bank of India 135 Cecil Street, #04-00 Singapore 069536 MORTGAGE LOAN APPLICATION FORM AVP, Operations & Services State Bank of India 135 Cecil Street, #04-00 Singapore 069536 MORTGAGE LOAN APPLICATION FORM For Office Use CIF No: A/C No: Product Code: Residential Property Loan Commercial

More information

Buying more shares in your home or staircasing

Buying more shares in your home or staircasing Buying more shares in your home or staircasing This guide is to help you with the steps to follow if you want to buy more shares in your shared ownership property. This is known as staircasing. There are

More information

ADDITIONAL LOAN APPLICATION FORM

ADDITIONAL LOAN APPLICATION FORM FOR SOCIETY USE ONLY ADDITIONAL LOAN APPLICATION FORM Account Number ESSENTIAL INFORMATION This additional loan application form must be completed and signed by all applicants. It is very important that

More information

Housing Benefit and Council Tax Reduction Change of Address form.

Housing Benefit and Council Tax Reduction Change of Address form. Housing Benefit and Council Tax Reduction Change of Address form. Name Address Don t delay claim today! Please return this form as quickly as possible, even if you do not have everything we ask for. You

More information

Service Charge Loans 1 Policy

Service Charge Loans 1 Policy Service Charge Loans 1 Policy 1. Introduction 1.1 This policy establishes Medway Council Housing Services (the council s) criteria and approach to administering the Mandatory and Discretionary Service

More information

Corporate buy to let mortgage application form

Corporate buy to let mortgage application form Corporate buy to let mortgage application form This is an application to take out a mortgage with Yorkshire Building Society (trading as rwich & Peterborough Building Society, rwich & Peterborough and

More information

Transfer of equity application form

Transfer of equity application form Transfer of equity application form IMPORTANT INFORMATION If you wish to add someone to or release them from your mortgage, you need to apply for what we call a Transfer of Equity. Accord Mortgages is

More information

Instructions on how to complete this application form are in notes below each section.

Instructions on how to complete this application form are in notes below each section. Mortgage Relief Application Form Instructions on how to complete this application form are in notes below each section. All parties/participants to your housing loan are required to complete the application

More information

State Pension (Contributory)

State Pension (Contributory) Application form for State Pension (Contributory) Social Welfare Services SPC 1 Data Classification R You need a Personal Public Service Number (PPS No.) before you apply. How to complete this application

More information

APPLICATION FOR FINANCIAL ASSISTANCE

APPLICATION FOR FINANCIAL ASSISTANCE APPLICATION FOR FINANCIAL ASSISTANCE ALTERNATIVELY APPLY ONLINE VIA THE FUND S WEBSITE WWW.NPOWERENERGYFUND.COM BEFORE COMPLETING THE APPLICATION FORM, PLEASE CAREFULLY READ THE NOTES BELOW. When you have

More information

LOAN APPLICATION FORM

LOAN APPLICATION FORM Please select one of these options Reverse Mortgage Investment Property Mortgage Accommodation Bond Loan LOAN APPLICATION FORM FOR EACH APPLICANT Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname:

More information

APPLICATION FOR FINANCIAL ASSISTANCE

APPLICATION FOR FINANCIAL ASSISTANCE CHARITY NUMBER 1106218 APPLICATION FOR FINANCIAL ASSISTANCE ALTERNATIVELY APPLY ONLINE VIA THE TRUST S WEBSITE WWW.BRITISHGASENERGYTRUST.ORG.UK BEFORE COMPLETING THE APPLICATION FORM, PLEASE CAREFULLY

More information

A guide to Deferred Payments

A guide to Deferred Payments A guide to Deferred Payments Paying for residential care or nursing care if you own your home What is the deferred payment scheme? If you are a home owner moving to residential or nursing care, this scheme

More information

LIFETIME MORTGAGE LUMP SUM

LIFETIME MORTGAGE LUMP SUM LIFETIME MORTGAGE LUMP SUM Terms and Conditions (version 5) This is an important document. Please keep it in a safe place. LV= Lifetime Mortgage lump sum Terms and Conditions Welcome to LV=, and thank

More information

Transfer application form

Transfer application form For customers Guaranteed Pension Annuity (tax-free cash) Transfer application form Illustration number Agent number / Agent phone number Agent fax number Agent email address Page 1 of 12 Application checklist

More information

Application Form and Fact Find

Application Form and Fact Find Intermediary Intermediary name Intermediary address Post Code Intermediary fax number Contact number FSA Permissions (IFA/Mortgages/Home Revision Plans) Email address FSA number AR Name of network AR Network

More information

Application for assistance

Application for assistance Application for assistance Your personal details Title Mr Mrs Ms Miss Other u Give details Family name First name Middle names Do you use or have you used other names? (eg maiden name or previous married

More information

Housing Benefit and Council Tax Support Application

Housing Benefit and Council Tax Support Application South Norfolk Council Swan Lane Long Stratton Norwich Norfolk NR15 2XE Housing Benefit and Council Tax Support Application Part 1 About you and your household This is my claim for: Housing Benefit Council

More information

Sinclair Park Newburgh Low Cost Homes for Sale Guidance Notes

Sinclair Park Newburgh Low Cost Homes for Sale Guidance Notes Sinclair Park Newburgh Low Cost Homes for Sale Guidance Notes All applicants are advised to read these guidance notes carefully as they contain information which is significant to your application for

More information

LIFETIME MORTGAGE LUMP SUM

LIFETIME MORTGAGE LUMP SUM LIFETIME MORTGAGE LUMP SUM Terms and Conditions (version 4) This is an important document. Please keep it in a safe place. LV= Lifetime Mortgage lump sum Terms and Conditions Welcome to LV=, and thank

More information

Company Application Form

Company Application Form Please clearly complete all details in black ink. If details are missing the application may be delayed. Please complete online or fax to 020 7014 3618. Page 1 of 7 Intermediary Details V28 18/03/2009

More information

APPLICATION FOR COMPENSATION GENERAL INSURANCE

APPLICATION FOR COMPENSATION GENERAL INSURANCE Barcode APPLICATION FOR COMPENSATION GENERAL INSURANCE Liquidator s ROP Claim reference number: ROPLEM (please quote when contacting us): Name of the firm you are claiming against: Lemma Europe Insurance

More information

SSAS application form

SSAS application form SSAS application form By completing this form together with the Trust Deed you agree to appoint Bespoke Pension Management as Scheme Practitioner to your SSAS Scheme. You understand that we will assume

More information

HOUSING BENEFIT AND COUNCIL TAX REDUCTION APPLICATION

HOUSING BENEFIT AND COUNCIL TAX REDUCTION APPLICATION str1887 SLP1463 Renfrew Booklet_str1887 SLP1463 Renfrew Booklet 18/02/2013 15:28 Page 1 HOUSING BENEFIT AND COUNCIL TAX REDUCTION APPLICATION PLEASE COMPLETE USING INK AND CAPITAL LETTERS Name Address

More information

Savings and Rent Account Application Form

Savings and Rent Account Application Form Savings and Rent Account Application Form Personal Details Title: Mr / Mrs / Miss / Ms / Other Full Name: Address: Rent Reference: Length of time at current address: Postcode: Previous address if less

More information

Widow s, Widower s or Surviving Civil Partner s (Non-Contributory) Pension

Widow s, Widower s or Surviving Civil Partner s (Non-Contributory) Pension Application form for Social Welfare Services WP 1 Data Classification R Widow s, Widower s or Surviving Civil Partner s (n-contributory) Pension You need a Personal Public Service Number (PPS.) before

More information

Guide to Charges for Residential Accommodation for People with Property

Guide to Charges for Residential Accommodation for People with Property Guide to Charges for Residential Accommodation for People with Property Adult Services Big plans for the care we provide What is the Deferred Payment Scheme? If you need to have permanent residential/nursing

More information