(If any capital being raised the next question is mandatory)

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1 1 BROKER DETAILS Broker name Company name Principal firm or network Contact number FSA number Office telephone number DA AR Authorisation 2 BORROWER REQUIREMENTS Type Individual/Partnership UK Limited Company Offshore Limited Company (Please attach structure chart) LLP Loan amount Term LTV requested Interest only 3 MORTGAGE PURPOSE Purpose of mortgage Estimated completion date Purchase Remortgage Purchase price Deposit source 4 REMORTGAGES Amount outstanding Estimated property value Name of current lender Amount of additional capital being raised (If applicable) (If any capital being raised the next question is mandatory) Please detail the reasons for the remortgage, providing a full breakdown of any capital raising. Original purchase date Original purchase price Explanation for any increase in value since original purchase

2 5 APPLICANTS Applications in the name of a Limited Company will require all directors with shareholding of at least 20% to provide a personal guarantee and therefore please complete personal details of guarantor(s). We also require a structure chart to include directors. Shareholders, parent companies, interest held by offshore companies/trusts etc. Limited company name BORROWER 1 / GUARANTOR BORROWER 2 / GUARANTOR Title Surname Title Surname Forename D.O.B Forename D.O.B Home address / correspondence address for company Home address / correspondence address for company Time at this address Time at this address Yrs Mths Yrs Mths Previous address (If less than 3 years) Previous address (If less than 3 years) 6 EXPERIENCE Please detail below the applicant s experience and track record in managing similar properties. A fully completed property schedule detailing the applicant s assets is an essential part of this summary. (Supporting information - Property Schedule)

3 7 SECURITY No of properties being offered as security Full addresses of all securities being offered including postcode Property description Residential Semi-commercial Commercial House Flat Maisonette Retail Leisure HMO Student Office Industrial If flat: No of units to be lent on No of storeys in block If there is anything non-standard about the property, title or ownership please give details 8 RENTAL INCOME Residential (AST s) Commercial (Leases) No of tenants Current passing rental income generated at security from residential letting (per Current passing rental income generated at security from commercial letting (per Other income 9 BANKING & CREDIT CONDUCT Please state any adverse credit details with regards to CCJs, defaults, mortgage accounts, any other credit facilities or bank account / overdraft facilities.

4 10 SUMMARY OF PROPOSAL Please outline the purpose of the loan including full details of the applicant s objectives along with the merits of the proposal. Mitigating points relating to any negative aspects should also be explained in this section in order for an accurate initial assessment to take place. 11 INCOME AND EXPENDITURE DETAILS Monthly Income Drawing from Business Spouse/Partner s income Other income (specify) Income Subtotal (A) Child Benefit Income Support Income Subtotal (B) Total Income (A+B) Property Details 1.Address 2.Address 3.Address 4.Address

5 Monthly Household Cost of Mortgage/Rent Mortgage Payment/Rent Endowment/Pension Buildings/Contents Insurance Subtotal (A) Other Credit Commitments Loans/Hire Purchase Credit/Store Cards Subtotal (B) Maintenance Payments (C) Total Financial Commitment (A+B+C=D) Other Regular Commitments Council Tax/Water Rates Travel Costs Clothing/Hobbies/Leisure Domestic Fuel Car Tax/Car Insurance Other Regular Commitments Telephone Food Expenditure Total Asset If necessary please continue onto additional information sheet Total Property Value (from above) Savings Other Cash Total Savings Shares Life Policies (surrender value) Total Investments Total Assets Liabilities If necessary please continue onto additional information sheet Total Mortgage outstanding (from above) Name of Lender Balance Outstanding Bank/Building Society Loans Hire Purchse Other Loans YES NO Credit Card YES NO Other Credit/Store Total Liabilities

6 For additional information: 12 CONSENT & DECLARATION I have advised the applicant (s) that a formal credit search may be carried out in the name (s) with credit reference agencies who will record details of the search and may create a financial association with those with whom they are linked financially. The applicant (s) has/have given authority to my company to instruct Brightstar Financial Limited to carry out a formal credit search and/or to instruct others to do so in connection with obtaining finance on their behalf. Data Protection: in addition to disclosures we might be required to make by law, you authorise us to use the information in this form and any additional information that you supply us for our business purposes and you further authorise us to pass on this information to such other third parties as we deem necessary for the furtherance of this transaction and any other related and / or future transactions with you / your client or any party associated with you / your clients. Broker name Date Print name Signed on behalf of all borrowers By ticking this box I agree all the above. Please accept this as my CONTACT OUR HELPDESK: OR HELPDESK@BRIGHTSTARHUB.CO.UK Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on a mortgage or any other debt secured on it. Brightstar Financial Limited is authorised and regulated by the Financial Conduct Authority (for second charge loans) under interim permissions number , telephone number

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