Application Form LONDON BRIDGING FINANCE T: F:

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1 LONDON BRIDGING FINANCE T: F: Website: Application Form Date of Application Applicant Name(s) Case Reference No. (for office use only) Broker/Introducer Name: Address: Tel: Mobile: Fax No:

2 . 1. Name & Address of Applicant(s) Applicant 1. Applicant 2 Previous address if less than 3 years Previous address if less than 3 years Tel: Mobile: Fax No: Date of Birth: 2. Name & Address of Applicants Solicitor Contact: Tel: Mobile: Fax No: 3. Name & Address of Company/ SPV Borrower Co Reg. No: Director (1) Director (2) Director (3) 4.Home Address of Applicant / Co Directors (1) (2) (3) 5. Amount of Loan Required Term Of Loan months 6. Broker Agreed Fee with Applicant Yes/No Fee Agreed % 7. Secured Property (Incl. Post Code) (1) Address: Value:

3 Purchase Price Description: 8. Additional Property(ies) offered as Security for Loan (2) Address: Value: Description of Property: (3) Address: Description of Property: 9. Details of Existing Charges Specify which of the above properties this refers to: Name of Lender (1) Amount of Loan Outstanding (2) (3) 10. Purpose of Loan Please tick one of the following: 11. Repayment Proposals Please tick one of the following: Purchase Property Development Property Improvement Equity Release Replace existing Bridging Loan/Borrowings Other (please specify) Property Sale (State which property) Re-Mortgage (Name of Lender) Please state: Please state: Other (please specify) Do you have any CCJ s? Details (Amounts and Explanation.) Amount YES / NO Date Registered Explanation

4 Have you ever been Bankrupt or entered into an IVA? YES / NO Details ( Date of Discharge and brief explanation for Bankruptcy or IVA): DATA PROTECTION FORM DATA PROTECTION STATEMENT In considering your information contained in the application attached, London Bridging Finance the lending principal will search your record at credit reference agencies ( your records ).We will add to your records details of the search and your application and this will be seen by other organisations that make searches. Information held about you by the credit reference agencies may already be linked to records relating to one or more of your partners. For the purpose of this application you may be treated a financially linked and your application will be assessed with reference to any associated records. An association between joint applicants or between you and any named partner/spouse will be created at the credit reference agency. This will link your financial records, each of which will be taken into account in all future applications by either or both of you. If an association already exists then your application will be assessed with the reference to these associated records. This situation will continue until one of you successfully files a disassociation at the credit reference agency. It is important that you give us accurate information. London Bridging Finance will check your details with fraud prevention agencies and if you give us false or inaccurate information and they suspect fraud, they will record this. Your records will be shared with other organisations and used by the lending principal and then to: Help make decisions about credit and credit related services, such as insurance for you and members of your household; Trade debtors, recover debt, prevent money laundering and fraud, and manage your accounts. Jumbo Bridging the lending principal, the credit reference agencies and the fraud agencies will also use your records for statistical analysis about credit, insurance and fraud. They may also use information about you to carry out market research. Fraud prevention agency records will also be shared with other organisations to help make decisions on motor, household, credit, life and other insurance proposals and insurance claims, for you and members of your household. DECLARATION I/We the undersigned agree to the Data Protection Act above Applicant 1 Signature Date Applicant 2 Signature Date Comments for Underwriting

5 STATEMENT OF MEANS Occupation(s) Date(s) of Birth ANNUAL INCOME Gross Salaries (Please detail any guaranteed bonuses separately) Add Other Annual Income (Please detail e.g. rentals, interest, dividend, fees etc.) Total Annual Income ASSETS (Please insert total values next to each heading) LOANS/LIABILITIES (Please insert total values next to each heading) Property main residence Mortgage/loans on main residence Other property Other property loans Life policies surrender values Finance/Bank Loans Investments Guarantee Obligations Cash balances Others (Please detail on page 2) Others (Please detail on page 2) Total Assets Total Liabilities Outstanding Less Total Liabilities NET MEANS Note: Please use page two of this form to complete asset and liability values in detail.

6 ASSETS AND LIABILITIES IN DETAIL ASSETS LIABILITIES PROPERTIES PROPERTY LOANS (Please detail address, valuation amount and date) (Please detail amount outstanding, name of lender and final repayment date) LIFE POLICIES OTHER BANK/FINANCE COMPANY LOANS (Please detail company, surrender value and maturity date) (Please detail amount outstanding, name of lender and final repayment date) INVESTMENTS GUARANTEE OBLIGATIONS (Please provide details) (Please detail company, type of investment and current valuation) CASH BALANCES (Please detail company, amount and maturity date if OTHERS applicable) (Please provide details) OTHER ASSETS (Please give details) ASSETS TOTAL VALUE LIABILITIES TOTAL VALUE Total Assets Less Total Liabilities NET MEANS

7 ANY ADDITIONAL INFORMATION

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