Intermediary Details. If Ltd company please fill in below. If Ltd company please fill in below Purchase. Remortgage. BTL First Mortgage DIP page 1/6

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1 BTL First Mortgage DIP page 1/6 Intermediary Details Firm name and address Contact Name Phone * FCA number Network Broker Code: Broker Fee: If Ltd company please fill in below Limited Company/Partnership Name of Business Reg Trading Address Directors, Shareholders and Partners Name Address Nature of Business Date of Incorporation Net profit details for the last three years Year Year Status Age Shareholding Name Address Year Accounts Avaliable Status Age Shareholding If Ltd company please fill in below Purchase Remortgage Is applicant a first time buyer Purchase Price Loan Required LTV Regulated / Unregulated Term required (yrs) Estimated Property value 1st Mortgage outstanding 2nd Mortgage outstanding Cash 's to customer Total loan required LTV Mortgage type required Capital Repayment Fixed Purpose of Loan Regulated / Unregulated If interest only Proposed repayment vehicle Interest Only Variable Term required (Yrs) Existing Mortgage Interest Rate Please provide any property portfolio details in additional info section Missed payments in last 12 months When complete, When complete, Fax to Fax 01to or or 1 stmortgages@promisesolutions.co.uk You must provide your your broker broker code: conde: Please please call call if youif don't you have dont one have on Address: Second Floor, Floor, Fullard Fullard House, House, Neachells Neachells Lane, Lane, WV11 WV11 3QG 3QG

2 BTL First Mortgage DIP page 2/6 Help us to help you Can you provide us with: Please state the factors that make this a "Complex" deal and what difficulties you encountered in placing it. A credit report proving you hold authority in accordance with DPA Proof of Income Applicant Details Applicant 1 Applicant 2 Full Name Full Name Maiden Name Mobile E Mail Landline (Required to send access code for customer portal - when applicable) (Required to send Privacy Policy) Maiden Name Mobile E Mail Landline Age Age DOB DOB Planned retirement age Planned retirement age Dependents under the age of 18 Dependents under the age of 18 Dependents over the age of 18 Dependents over the age of 18 Employment status Employed Self Employed Employment status Employed Self Employed If other please state: If other please state: Proof of income available Proof of income available Provide details Provide details NI Number NI Number Current Job Title Start Date Current Job Title Start Date 3 Year Job History 3 Year Job History When complete, When complete, Fax tofax 01to or or 1 stmortgages@promisesolutions.co.uk You must provide your your broker broker code: conde: Please please call call if you if don't you have dont one have on Address: Second Floor, Floor, Fullard Fullard House, House, Neachells Neachells Lane, Lane, WV11 WV11 3QG 3QG

3 BTL First Mortgage DIP page 3/6 Applicant 1 Applicant 2 Employment Income Gross Annual Employment Income Gross Annual Gross Annual Gross Annual Other Income Other Income Source Source Current residential status Current residential status Have you had any of these adverse credit in the last 3 years CCJs/Defaults Undischarged Bankruptcy Mortgage Arrears In an IVA Discharged bankruptcy In a Debt management plan Have you had any of these adverse credit in the last 3 years CCJs/Defaults Undischarged Bankruptcy Mortgage Arrears In an IVA Discharged bankruptcy In a Debt management plan Existing Credit If yes please provide details in additional notes section Applicant 1 or 2 Lender Type Balance Monthly To be settled on completion outstanding payment of this mortgage When When complete, complete, Fax Fax to 01 to or or 1 stmortgages@promisesolutions.co.uk You must provide your broker code: conde: Please please call call if youif don't you dont have have one on Address: Second Floor, Fullard House, House, Neachells Lane, Lane, WV11 WV11 3QG 3QG

4 BTL First Mortgage DIP page 4/6 Security Address Security Address Security Address Description Detail Address 1 Town / City County Postcode Detached Semi Detached Bungalow Terraced Maisonette Flat Freehold Leasehold Is the property an HMO? If yes, is there a licence? Is there an AST in place? If yes, what is the term? If flat how many floors in block Ex L/A? Date Purchased If leasehold years remaing Monthly Gross Rental Income Has the applicant or a family member lived in the property? If yes, when? Projected Actual Will the property be occupied by a family member? Home Address Please provide three years address history Applicant 1 Applicant 2 Residential Address 1 Residential Address 2 Address 1 Town / City County Postcode Address 1 Town / City County Postcode Time In Property Move in Date Move out Date Time In Property Move in Date Move out Date Intermediary declaration and agreement I accept the terms and conditions applicable to this transaction as detailed here and give you permission for the credit searches to be carried out if necessary Signature Date If you wish to add anything else please complete the additional info page. When When complete, complete, Fax Fax to 01 to or or 1 stmortgages@promisesolutions.co.uk You must provide your your broker broker code: conde: Please please call call if youif don't you dont have have one on Address: Second Floor, Floor, Fullard Fullard House, House, Neachells Neachells Lane, Lane, WV11 WV11 3QG 3QG

5 BTL First Mortgage DIP page 5/6 Adverse Credit Use this space to add any additional adverse information App 1 /2 Type Date Registered Amount Satisfied Reason Property Portfolio Property Address Value Mortgage Balance Monthly mortgage Gross monthly outstanding payment rental income When complete, When complete, Fax to Fax to or or 1 stmortgages@promisesolutions.co.uk You You must must provide provide your your broker broker code: conde: Please please call call if you don't if you have dont one have on Address: Address: Second Second Floor, Floor, Fullard Fullard House, House, Neachells Neachells Lane, Lane, WV11 WV11 3QG 3QG

6 BTL First Mortgage DIP page 6/6 Additional Information (cont) If you wish to add anymore information then please add it below We won't contact without permission - Number is needed to set up case tracking if required When complete, Fax to or 1 stmortgages@promisesolutions.co.uk When complete, Fax to or You must provide your broker code: Please call if you don't have one You must provide your broker conde: please call if you dont have on Address: Second Floor, Fullard House, Neachells Lane, WV11 3QG Address: Second Floor, Fullard House, Neachells Lane, WV11 3QG