BUY TO LET MORTGAGE APPLICATION FORM

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1 BUY TO LET MORTGAGE APPLICATION FORM STAGE 2 OF 2 Please submit Stage 2 form to upgrade to full applicatio oce customer has read ad accepted the Mortgage Illustratio.

2 Please complete this page if form submitted separately from Stage 1. Customer Iformatio: Applicatio referece Customer ame Address Telephoe umber Itermediary Iformatio: Name of Fiacial Advisor Compay ame Address Cotact ame Telephoe umber Fiacial Services Register Number Broker Declaratio. I cofirm that I am actig o behalf of the applicats ad have their permissio to access their iformatio. I cofirm that my firm holds FCA ledig permissios ad where required is registered with the FCA to sell Cosumer Buy to Let mortgage busiess. I cofirm that, to the best of my kowledge ad belief, the iformatio cotaied i this applicatio is true. Broker Sigature Date (dd/mm/yyyy) Name (please prit)

3 Sectio 11: The property to be mortgaged Address Type of property Semi detached house Detached house Terraced house Ed terrace Bugalow Maisoette Purpose built flat Coverted flat Above commercial premises If a flat, how may storeys i block? O which floor is the property? Year built Total value of cash icetives We must be told of the purchase price ad ay icetives applied, ad that kowigly to provide false iformatio is a crimial offece. Type of icetive Vedor. of bedrooms Builder If more tha 5 bedrooms, please give additioal iformatio i Sectio 13 Additioal Iformatio. Please cofirm that the lease will have a miimum remaiig term of 70 years at completio If teure is leasehold uexpired term of lease years Groud ret Service charge Is the property built of brick or stoe with tile or slate roof? If o, please state costructio Iitial occupacy? If yes, which type? New build Coverted Refurbished If yes, which vedor type? Builder / Developer Other If Builder / Developer, please provide the ame of the builder or developer Is this purchase a private sale? Are you related to the vedor? Is the property to be mortgaged a multi let property? Sectio 12: Access for valuatio details Who should be cotacted to gai access for valuatio purposes? Name Applicat Vedor Estate Aget Builder Other (please specify) Address Telephoe umber (icludig area code) Mobile umber 3 For Scottish ew purchases, please add the ame ad address of the valuer ad the date of ispectio ito Sectio 13 Additioal Iformatio.

4 Sectio 13: Solicitor s/coveyacer s details Name ad address of firm Name of perso actig Telephoe umber (icludig area code) DX umber Sectio 14: Additioal iformatio Please use this sectio if you eed space to provide fuller aswers to ay of the earlier questios. Please eter the sectio umber i the left had colum ext to your aswer ad draw a lie uder your aswer if you eter resposes to further questios. If you eed more space, please use additioal sheets of paper as ecessary. Sectio Number Your Aswer 4

5 Direct Debit Istructio It is importat that you complete the Direct Debit Istructio below. This will allow us to collect your mothly mortgage paymets by Direct Debit. Direct Debits are the most coveiet way of makig your mortgage paymets. There are o cheques to write, o paperwork or postage ad o queuig. The Direct Debit Guaratee This Guaratee is offered by all Baks ad Buildig Societies that take part i the Direct Debit Scheme. The efficiecy ad security of the scheme is moitored ad protected by your ow Bak or Buildig Society. If the amouts to be paid or the paymet dates chage, Birmigham Midshires will otify you 10 workig days i advace of your accout beig debited or as otherwise agreed. If a error is made by Bak of Scotlad plc tradig as Birmigham Midshires or your Bak or Buildig Society, you are guarateed a full ad immediate refud from your brach of the amout paid. You ca cacel a Direct Debit at ay time by writig to your Bak or Buildig Society. Please also sed a copy of your letter to us. If you receive a refud you are ot etitled to, you must pay it back whe Birmigham Midshires asks you to. Please complete the Direct Debit Istructio (below) ad write i your Full Name. For Repaymet of your Mortgage Please complete For Office Use Oly Your Full Name... Mortgage Applicatio/Accout Number... Istructio to your Bak or Buildig Society to pay by Direct Debit Please fill i parts 1 to 4 to tell your Bak or Buildig Society to make paymets direct from your accout Birmigham Midshires, PO Box 834, Leeds LS1 9PW 1) The full postal address of your Bak or Buildig Society brach: Bak or The Maager, Buildig Society Number & Road District Origiator s Idetificatio. ackowledgemet required. Referece Number (Mortgage Accout.) Tow or City Couty 2) Name(s) of accout holder(s) Istructios to your Bak or Buildig Society: Please pay Birmigham Midshires Direct Debits from the accout detailed o this istructio subject to the safeguards assured by the Direct Debit Guaratee. I uderstad that this istructio may remai with Birmigham Midshires ad, if so, details will be passed electroically to my Bak/Buildig Society. 5 3) Bak or Buildig Society accout umber 4) Brach Sort Code (show i the top right had corer of your cheque) Sigature Sigature Baks ad Buildig Societies may refuse to accept istructios to charge Date Direct Debits o certai types of accout Birmigham Midshires is a divisio of Bak of Scotlad plc. Registered i Scotlad. SC Registered Office: The Moud, Ediburgh EH1 1YZ. Authorised by the Prudetial Regulatio Authority ad regulated by the Fiacial Coduct Authority ad the Prudetial Regulatio Authority. Fiacial Services Register umber Telephoe calls may be moitored or recorded.

6 IMPORTANT CUSTOMER INFORMATION Applicatio umber (if kow): This documet sets out the statemets you make by applyig for your mortgage ad upo which we ited to rely. For your ow beefit ad protectio everyoe applyig for the mortgage should read this documet carefully. If you do ot uderstad ay poit please ask for further iformatio. I/we ackowledge: That where the applicatio is for a Busiess Buy to Let mortgage a) the mortgage will ot be regulated by the Fiacial Coduct Authority (FCA) as the loa is wholly or predomiatly for the purpose of me settig up or cotiuig with a buy to let busiess. b) that I will ot have the protectio ad remedies available to customers whose mortgages are regulated by the FCA which would be the case, if for example the property was my home or ot wholly or predomiatly for the purpose of me settig up or cotiuig with a buy to let busiess. c) that I should seek idepedet legal advice if I have ay doubt about the cosequeces of my mortgage ot beig regulated. I/we ackowledge: Birmigham Midshires reserves the right to reject my/our applicatio, without givig ay reaso. o perso (other tha a employee of Birmigham Midshires) is empowered to make ay represetatios or give ay udertakig, o behalf of Birmigham Midshires i relatio to the mortgage applied for, ad Birmigham Midshires shall ot be foud liable for such represetatio or udertakig. that Birmigham Midshires ad its Valuer accept o resposibility for the accuracy of the mortgage valuatio report. Where a mortgage valuatio is requested, this may be carried out by a Valuer employed by a member of the Lloyds Bakig Group, or by a idepedet pael valuer who is ot a employee of a member of the Lloyds Bakig Group at my cost. that the Mortgage Valuatio Report is ot a Buildig Survey or a Survey ad Valuatio. If advice about the structural coditio of the property is required, a Buildig Survey or Survey ad Valuatio must be obtaied. that if the Automated Valuatio Model (AVM) optio is selected, I/we will ot receive a valuatio report. that the valuatio fee will ot be refuded oce the valuatio has bee carried out. that Birmigham Midshires will use a credit scorig or other automated decisio makig system whe assessig my/our applicatio. that Birmigham Midshires, Credit Referece Agecies ad Fraud Prevetio Agecies will also use the records for statistical aalysis about credit ad about isurace ad fraud. that i order to detect ad prevet mortgage fraud, the iformatio provided i the applicatio will be checked with ad recorded by a fraud prevetio agecy. If false or iaccurate iformatio is provided, ad fraud is idetified, details will be passed to fraud prevetio agecies. Law eforcemet agecies may access ad use this iformatio. Birmigham Midshires ad other orgaisatios may also access ad use this iformatio to prevet fraud ad moey lauderig, for example, whe: checkig details o applicatios for credit ad credit related or other facilities; maagig credit ad credit related accouts or facilities; recoverig debt; checkig details o proposals ad claims for all types of isurace; checkig details of job applicats ad employees. Please cotact Birmigham Midshires at Birmigham Midshires Fraud Prevetio Team, Birmigham Midshires, PO Box 81, Pedeford Busiess Park, Wobasto Road, Wolverhampto WV9 5HZ, if you wat to receive details of the relevat fraud prevetio agecies. Birmigham Midshires ad other orgaisatios may access ad use from other coutries the iformatio recorded by fraud prevetio agecies. that searches will be made for similar applicatios that I/we have made to other leders ad if fraud is suspected, other relevat details will be shared with those leders. that this iformatio may be used by other etities makig fiacial or credit related decisios. I/we agree: that if a third party itermediary submitted this applicatio o my/our behalf, Birmigham Midshires may liaise with them about ay issues coected with my mortgage applicatio ad my mortgage, icludig ay complait about my mortgage applicatio or mortgage uless otherwise istructed i writig. that Birmigham Midshires may request additioal iformatio or cofirmatio of iformatio provided i my/our applicatio. that Birmigham Midshires may, without otice, trasfer or assig, either i whole or i part, ay loa, mortgage or policies of life assurace or other security made i coectio with this applicatio to ay compay, perso or body. that i cosiderig the applicatio Birmigham Midshires will search my/our records, icludig previous ad subsequet ames of parties to a accout, at Credit Referece Agecies who will add details of the search ad this applicatio to my/our record. that Birmigham Midshires will give details of my/our accout, icludig previous ad subsequet ames of parties to a accout, together with details of the coduct of my/our accout to Credit Referece Agecies. Failure to comply with the terms ad coditios of the accout will result i details beig disclosed to Credit Referece Agecies, which will be see by other orgaisatios that make searches. that Birmigham Midshires may udertake a search with a credit referece agecy for the purposes of verifyig my/our idetity. To do so the agecy may check the details I/we supply agaist my/our particulars o ay database (public or other) to which they have access. A record of the search will be retaied. that Birmigham Midshires may use the iformatio give i this applicatio for credit assessmet, icludig credit scorig, makig equiries ad takig refereces relatig to me/us as cosidered ecessary. that Birmigham Midshires may also pass ay iformatio provided i this applicatio form, or relatig to this or ay subsequet or previous loa to the Coucil of Mortgage Leders Possessios Register, Credit Referece Agecies, Fraud Prevetio Agecies, ay other leder who at ay time has a charge over my/our property ad other third parties, icludig the police. Iformatio shared with these third parties is used oly to make ledig decisios ad to assist with the detectio ad prevetio of mortgage fraud. that Birmigham Midshires may share iformatio about the property or its value with ay member of the Lloyds Bakig Group or with third parties for the purpose of providig iformatio to help i valuig properties. that if this applicatio is for a Cosumer Buy to Let mortgage that I/we have see, read ad uderstood a copy of the Illustratio applicable to this mortgage applicatio. that if this applicatio is for a joit mortgage ad loa product, refereces i this documet to accout mea both the mortgage ad loa accouts ad the applicatio is for both a mortgage ad loa. I/we declare: the property will be occupied as a home o the basis of a retal agreemet ad will ot be occupied by me or a member of my family as far as I/we kow, the iformatio I/we have give i this applicatio is true, ad that if I/we provide ay false, iaccurate or misleadig iformatio, it may costitute a crimial offece o my/our part which may lead to a crimial prosecutio, ad imprisomet ad/or a fie; further that it may lead to a civil actio agaist me/us for recovery of ay losses that Birmigham Midshires icurs. that whe I give you iformatio about aother perso, I am actig for them with their kowledge ad approval. I also have their authority to agree to the processig of their persoal details. Birmigham Midshires is a divisio of Bak of Scotlad plc. Makig a false, misleadig or iaccurate declaratio is a crimial offece, ad may lead to prosecutio of the applicat ad/or the fiacial advisor, resultig i a fie ad/ or imprisomet. The applicat ad/or fiacial advisor may also face civil actio for recovery of ay losses that Birmigham Midshires icurs. IMPORTANT USE OF YOUR INFORMATION To see how we use your iformatio ad how to give your coset, please read the privacy statemet o our website or ask for a prited copy of this. We will search credit referece ad fraud prevetio agecies to check your idetity, credit status ad help us make decisios. For this applicatio, we will assess you o your ow (except for aother party to this applicatio). By submittig the applicatio, you declare that your fiacial associate s fiaces will ot affect our decisio. We check your declaratio ad may declie the applicatio if it is iaccurate. I order to cofirm the accuracy of the icome iformatio you have provided, we may share iformatio about you ad your applicatio with HM Reveue ad Customs ( HMRC ). HMRC will help to validate whether icome iformatio provided by you is accurate. HMRC may also use the iformatio provided to iform its risk profilig activities ad to establish ay mismatch with declared icome. If false or iaccurate iformatio is provided ad fraud is idetified, details will be passed to these agecies to prevet fraud ad moey lauderig. We are able to provide you with further details explaiig how the iformatio held by fraud prevetio agecies may be used by readig the privacy statemet at We will use your iformatio to cotact you by mail, telephoe, , SMS or otherwise about other products ad services that may be of iterest to you. If you do ot wish to receive this iformatio, please visit for details o how to opt out of this service. We may pass your details to our chose geeral isurace provider Legal ad Geeral, who may cotact you to discuss Buildigs ad Cotets Isurace cover. Legal & Geeral Isurace Limited is authorised by the Prudetial Regulatio Authority ad regulated by the Fiacial Coduct Authority ad the Prudetial Regulatio Authority. Fiacial Services Register Number Birmigham Midshires ad Legal ad Geeral are ot part of the same group. By submittig this applicatio, you agree that we ca use your iformatio i the ways described. First Applicat Joit Applicat Sigature(s): Joit Applicat Date (dd/mm/yyyy) (dd/mm/yyyy) YOUR PROPERTY MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE. 6

7 Credit/Debit Card details The applicatio caot be processed further uless this sectio is completed. Customer surame Customer postcode Itermediary cotact ame Itermediary address icl. postcode Itermediary phoe umber You ca pay your valuatio/admi fee to Birmigham Midshires by a Credit/Debit card. Please complete the authority below. I authorise Birmigham Midshires to charge the sum of to my Name Card Number Valid from Expiry date Issue. Security. (the last three digits foud o the sigature strip) Cardholders s sigature Date. (dd/mm/yyyy) 7

8 GET IN TOUCH bmsolutios.co.uk Importat iformatio Birmigham Midshires is a divisio of Bak of Scotlad plc. Registered i Scotlad. SC Registered Office: The Moud, Ediburgh EH1 1YZ. Authorised by the Prudetial Regulatio Authority ad regulated by the Fiacial Coduct Authority ad the Prudetial Regulatio Authority. Fiacial Services Register umber Telephoe calls may be moitored or recorded. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE BTL2 Jue 2016

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