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UNIQUE FINANCIAL SOLUTIONS
Telephone: 01273 495420 Email: info@rhluk.co.uk website: www.rhluk.co.uk
Application Form
THIS IS FOR INTERMEDIARY USE ONLY AND HAS NOT BEEN APPROVED FOR PUBLIC USE
Commercial
Specialist BTL
Bridging/Short Term Finance
Development Finance
Ltd Company / LLP (Please completesupplementary section)
V1.2
Please tick which area(s) are required
Name
Address
Postcode
Company name
Telephone number
Mobile number
Fax number
I am Appointed rep Directly authorised Not authorised
Network name(if applicable)
FCA number
Introducer detailsApplication formSpecialist BTL/Commercial/Bridging/Short Term Finance
Applicant 1 Applicant 2
Surname Surname
Title (mr/miss/mrs) Title (mr/miss/mrs)
Section A: personal details
First name First name
Previous surname(If applicable)
Previous surname(If applicable)
Date changed D D M M Y Y Date changed D D M M Y Y
Gender Male Female Gender
Status Married Single Status
Divorced
Widowed Partner
Separated
Civil partner Co-habiting
Male Female
Married Single
Divorced
Widowed Partner
Separated
Civil partner Co-habiting
Date of birth D D M M Y Y Date of birth D D M M Y Y
1
Data Protection/ ICO number
Work telephone
Mobile telephone
Work telephone
Mobile telephone
Home telephone Home telephone
How long have you livedin the UK?
How long have you livedin the UK?Years Months Years Months
Relationship to jointapplicant
Relationship to jointapplicant
Nationality Nationality
Dependants/children Dependants/childrenNumber Ages Number Ages
Present address
Postcode
Present address
Postcode
Time at presentaddress?
Time at presentaddress?Years Months Years Months
Email Email
Tax district/referencenumber
Postcode Postcode
Residential Status TenantOwner Withfamily
Residential Status TenantOwner Withfamily
Other Other
National insurancenumber
National insurancenumber
Tax district/referencenumber
Most recent previousaddress
Most recent previousaddress
(if less than 3 years atcurrent address)
Time at previousaddress
Years Months Years MonthsTime at previousaddress
Residential status TenantOwner Withparents
Residential status TenantOwner Withparents
Section B: bank details
Name of bank
Account number
Applicant 1
Postcode
Name of bank
Account number
Applicant 2
Postcode
Address of bank Address of bank
Sort code Sort code
2
(if less than 3 years atcurrent address)
Account held for Years Months Years MonthsAccount held for
Is this the account you would like us to use for the direct debit? (if no please provide details in the additional information section)
Yes NoYes No
Section C: present accommodation
Name of present lender/landlord
Applicant 1
Postcode
Name of present lender/landlord
Applicant 2
Postcode
Address of presentlender/landlord
Address of presentlender/landlord
Residential Status LandlordLender Residential Status LandlordLender
Present monthlypayment
Outstanding balance £
£ Present monthlypayment £
Date mortgage/tenancy taken out M M Y Y Date mortgage/
tenancy taken out M M Y Y
Account/rollnumber
Account/rollnumber
Outstanding balance £
Estimated value ofproperty £ Estimated value of
property£
Will you be redeemingyour present mortgage?
Will you be redeemingyour present mortgage?
Yes NoYes No
If no, please statethe reason
If no, please statethe reason
Section D: employment
Applicant 1
Postcode
Applicant 2
Postcode
Employer’s address Employer’s address
Employment status Self-employed
Employed Retired Employment status Self-employed
Employed Retired
Other Other
IF SELF-EMPLOYED PLEASE GO STRAIGHT TO SECTION F: IF AN EMPLOYEE PLEASE COMPLETE SECTIONS D & E THEN CONTINUE TO SECTION G
Employer’s name Employer’s name
IF EITHER APPLICANT HAS SPENT LESS THAN 3 MONTHS WITH EXISTING EMPLOYER PLEASE PROVIDE DETAILS IN THE ADDITIONAL INFORMATION SECTION
Nature of business Nature of business
3
Occupation Occupation
Type of contract ContractPermanent Temporary Type of contract ContractPermanent Temporary
Date employmentstarted M M Y Y Date employment
started M M Y Y
If contract, date contract ends M M Y Y If contract, date
contract ends M M Y YN/A N/A
If contract,provide details
If contract,provide details
Basic grossincome
Applicant 1
Basic grossincome
Applicant 2
Regular overtime Regular overtime
Section F: self-employment (including contract workers or controlling directors owning more than 20% of their business)
Applicant 1
Postcode
Applicant 2
Postcode
Nature of self-employment
PartnerSoletrader
Nature of self-employment PartnerSole
trader
Name ofbusiness
Name ofbusiness
Section E: income and employment
Regular bonuses Regular bonuses
Commission Commission
Bonuses Bonuses
Other income Other income
Gross income Gross income
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
per annum£
OtherLimitedcompany OtherLimited
company
Registrationnumber
Registrationnumber
Nature ofbusiness
Nature ofbusiness
Address ofbusiness
Address ofbusiness
Telephonenumber
Telephonenumber
How long hasbusinessbeen established
Years Months Years MonthsHow long hasbusinessbeen established
How long hasbusinessbeen owned
Years Months Years MonthsHow long hasbusinessbeen owned
4
Section G: income from self-employment
% Partnership/business interest
% % Partnership/business interest
%
Name of accountant Name of accountant
Address of accountant Address of accountant
Postcode Postcode
Telephone ofaccountant
Telephone ofaccountant
Fax ofaccountant
Fax ofaccountant
Email ofaccountant
Email ofaccountant
Accountant’squalification
Accountant’squalification
Period accountant hasacted for you
Years Months Years MonthsPeriod accountant hasacted for you
LIST THE LAST 3 YEARS NET PROFIT FROM SELF-EMPLOYMENT (OR, IF LESS, AS MANY YEARS THE BUSINESS HAS BEEN TRADING)
Year
Applicant 1 Applicant 2
Year Year
Year£
£ £
£
Year Year£ £
Section H: details of any other income (eg pensions, investments etc)
PLEASE PROVIDE DETAILS OF ANY OTHER INCOME. PLEASE NOTE INCOME DERIVED FROM RENTAL INCOME SHOULD BE SHOWN IN THE SCHEDULE OF PROPERTIES SECTION.
5
Section I: personal statement of assets and liabilities
Home
Assets
Postcode
Mortgages/charges
Liabilities
Value
£
Outstanding
£
Other property
(Please also complete attached schedule)
Mortgages/charges
(Total outstanding all properties)Total Value
£ £
Businesses owned
Nature of business
Business liabilities
Value
£ £
Bank/building society accounts Bank loans and overdrafts
£ £
Other investments Credit/store cards
£ £
Vehicles HP and loans
£ £
Other assets Tax and other liabilities
£ £
£
£
£
£
£
£
Value
£
£
Total assets Total liabilities£ £
6
£
Sect
ion
J: s
ched
ule
of p
rope
rtie
s
Add
ress
Ow
ner
Estim
ated
valu
atio
nD
ate
ofpu
rcha
seO
rigi
nal
purc
hase
pric
e
Cur
rent
mor
tgag
eba
lanc
e
Mon
thly
mor
tgag
epa
ymen
ts
Cur
rent
le
nder
Am
ount
of
rent
rec
eive
dTy
pe o
fte
nanc
y(A
ST/
com
mle
ase)
Prop
erty
type
(ie
flat,
hous
e,
shop
)
Tota
l£
££
Nu
mbe
r of
pro
pert
ies
own
ed
Nam
e of
ow
ner
(com
pan
y or
indi
vidu
al)
7
Sect
ion
J: s
ched
ule
of p
rope
rtie
s (c
onti
nu
ed)
Add
ress
Ow
ner
Estim
ated
valu
atio
nD
ate
ofpu
rcha
seO
rigi
nal
purc
hase
pric
e
Cur
rent
mor
tgag
eba
lanc
e
Mon
thly
mor
tgag
epa
ymen
ts
Cur
rent
le
nder
Am
ount
of
rent
rec
eive
dTy
pe o
fte
nanc
y(A
ST/
com
mle
ase)
Prop
erty
type
(ie
flat,
hous
e,
shop
)
Tota
l£
££
Nu
mbe
r of
pro
pert
ies
own
ed
Nam
e of
ow
ner
(com
pan
y or
indi
vidu
al)
8
Section K: credit history
Section L: loan requirements
Type of loan RemortgagePurchase
Buy to letCommercial Trading business Semi-commercial
Purchase price
Remortgage(estimated value)
£
Current mortgagelender
£
Date of purchase D D M M Y Y Original purchase price £
Purpose of loan
Loan required £ Term Years/months (Delete appropriate)
Interest onlyRepayment Part and part
Been made bankrupt?
Entered into a voluntary arrangement?
Made arrangements with creditors?
Had any county court judgements (or decree) against you?
Had defaults registered against you?
Failed to keep up repayments on any existing or previous credit agreement?
IF YOU HAVE ANSWERED ‘YES’ TO ANY OF THE ABOVE QUESTIONS PLEASE PROVIDE DETAILS IN THEADDITIONAL INFORMATION SECTION
Have you ever
Yes NoYes No
Yes NoYes No
Yes NoYes No
Yes NoYes No
Yes NoYes No
Yes NoYes No
Applicant 1 Applicant 2
Been in arrears with a mortgage in the last 12 months? Yes NoYes No
Been party to a mortgage where the property has been repossessed Yes NoYes No
Section M: property details
Address of propertyto be mortgaged
Development finance
If bridging or development finance, please confirm exit route. e.g. sale/re-finance
9
Postcode
Description ofproperty
FlatHouse Maisonette Retail Leisure
HMOIndustrial Student let Offices Pub Other
If the property is a flat or maisonette is it
ConvertedPurposebuilt
Studio flat Ex local authority
Tenure LeaseholdFreehold Commonhold Owned (Scotland)
Do you intend to let the property?
NoYes If yes, expected annual rental income £
Do you intend toconduct your business in the property or any outbuilding?
NoYes
If yes, please provide details
Contact details forvaluer to gain accessto property
Section N: solicitors details
Name of solicitor firm
Person acting for you
Postcode
Telephone number
Address of solicitor Fax number
Number of partners infirm
Solicitors email
DX
10
Section O: Limited Company Supplementary Section
11
Company name
Date of incorporation Company number
Nature of business
D D M M Y Y
Registered address
Correspondence address
Directors Shareholders*
NoYes
NoYes
NoYes
NoYes
NoYes
% held
*Please note that all shareholders with 20% or more shareholding will need to be party to the application and will need tocomplete our RHL Application Form
Section P: customer declaration
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE
Applicant 1 signature
Applicant 2 signature
Print name
D D M M Y YDate
Print name
D D M M Y YDate
Residential Home Loans Ltd registered in England and Wales 3064796. Authorised and regulated by the Financial Conduct Authority 487852.The FCA may not regulate all products and services offered.
Telephone: 01273 495420
Email: info@rhluk.co.uk
Fax: 01273 490169website: www.rhluk.co.ukUNIQUE FINANCIAL SOLUTIONS
I/we agree that the information contained in this application form and any other information I/we supply to you may be held on computer and in other forms. I/we understand that you will update all of my/our records, unless I/we instruct you otherwise, when I/we inform you of a change to personal details.
I/we understand that you or the Lender will disclose personal details to credit reference agencies, fraud prevention agencies and if necessary to any repossessions register. Details of how I/we conduct the account may be given to these agencies. Repossession information held on any register may be shared with other lenders and used for credit assessment, debt tracing, fraud detection and to protect me/us from theft or fraud. The Lender and/or you will add to these records details of my/our agreement with the Lender, the payments made under it and any default in payment or failure to keep to it’s terms.
I/we give consent to you and the Lender to use my/our data for the processing of this mortgage. You and/or the Lender may pass thisinformation, documents and any data held to any party the Lender is considering entering a contractual arrangement in relation to themortgage loan, any introducer of mortgages to the Lender, the buildings and contents insurer, as the Lender may decide.
I/we confirm we understand that Residential Home Loans Ltd charge a non-refundable application fee. In addition, a valuation fee may berequired which is non- refundable once a valuation has been instructed.
I/we declare that the information provided in this application is true and correct to the best of my/our knowledge and may be relied upon by Residential Home Loans Ltd.
I/We confirm that I/We have received a copy of Residential Home Loans Ltd Terms of Business and Privacy Notice.
I/we understand that Residential Home Loans Ltd or any of their lender partners may
1. Obtain credit reference searches, which will be recorded and disclosed on any other credit search
2. Take up such reference to verify the information provided
3. Release information relating to this application to me
12
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