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

Email

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.

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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

£

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Add

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Estim

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Am

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Prop

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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

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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

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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

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