Applicant s personal details Property details Fee arrangements. Loan requirements Valuation details Other changes

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Intermediary application amendment form How to make an amendment to your client s mortgage application Please use this form to amend the details of your client s mortgage application. 1. Tick the section(s) below that you wish to amend. 2. Complete the relevant page(s) for each section of the application that you wish to amend. If changes are being made to the Destination of Funds, please ensure that the applicant(s) signs the appropriate page. 3. Sign the Mortgage intermediary declaration below. 4. Send this covering sheet, the relevant pages detailing your amendments and any supporting documentation to us using the secure document upload facility at coventryforintermediaries.co.uk or by post to: CSC New Lending, Godiva House, Binley Business Park, Harry Weston Road, Coventry CV3 2TQ. If you need to change any of the following YOU MUST submit a new mortgage application: A significant* change to an applicant s first name, surname or previous name. To add or remove an applicant. To change an applicant s date of birth. To change the type of borrowing, e.g. change from Residential to Buy to Let/Mover to First Time Buyer. * A significant change is a change that would result in a different record being returned on a credit search, e.g. Smith to Jones or Pearce to Pierce. For further guidance, please contact the Coventry for intermediaries on 0800 121 7788 (available Monday to Friday 9.00am to 6.00pm). Application section(s) to be amended Applicant s personal details Property details Fee arrangements Loan requirements Valuation details Other changes Destination of funds Legal representative details Mortgage intermediary declaration This declaration must be signed by the intermediary who submitted the original mortgage application, or an authorised representative of the intermediary. I declare and understand that: To the best of my knowledge the information is true and correct, and has been submitted to you with the knowledge and permission of the applicant(s). The application will be re-assessed on the basis of any requested amendment and may affect the amount the Society is prepared to lend. It is my responsibility to advise the applicant(s) on the suitability of the mortgage (based on the amendments requested). It is my responsibility to check the Society s lending policy before submitting an application (or any amendment to an application). Fees are not refundable. I confirm that I have read and agree to the Terms of Business as stated on coventryforintermediaries.co.uk Intermediary signature Date dd / mm / yy Print full name Introducer code The Coventry for intermediaries team is available Monday to Friday 9am-6pm. Calls to 0800 numbers are free when made from the UK. You may be charged for calls to all other numbers, please contact your service provider for further details. We may monitor, record, store and use telephone calls to help improve our service and as a record of our conversation. Coventry Building Society. Principal Office: Economic House, PO Box 9, High Street, Coventry CV1 5QN.

Change to the applicant s personal details You MUST submit a new application form if any of the following change: Significant* changes to an applicant s first name, surname or previous name. To add or remove an applicant. To amend an applicant s date of birth. * A significant change is a change that would result in a different record being returned on a credit search, e.g. Smith to Jones or Pearce to Pierce. For further guidance, please contact the Coventry for intermediaries on 0800 121 7788 (available Monday to Friday 9.00am to 6.00pm). If the changes relate to more than two applicants please complete a second sheet. First applicant Second applicant Title (Mr/Mrs/Miss/Ms/Other) First name(s) Surname Previous surname(s) Home telephone number Work telephone number Mobile telephone number Email address Current address House name/number Flat number Building name Street Town/City County Postcode For British Forces Post Office (BFPO) addresses,please quote service number

Change to the loan requirements - page 1 of 2 You MUST submit a new application if the type of borrowing is to change e.g. Residential to Buy to Let/Movers to First Time Buyer. Please note: New lending on a Residential mortgage is only permitted on a capital repayment basis. Loan details If the loan amount changes we will re-assess affordability and the maximum amount of borrowing allowed may change. Total mortgage amount required Property purchase price or expected valuation Term of mortgage needed Years Months Reason for additional borrowing Home improvements Debt consolidation Purchase another property (Residential) Buying Freehold or extending lease Purchase of land (adjoining current property) School fees Redeem a loan secured on the property Other (please give details) Purchase another property (Buy to Let) Purchase of Equity Purchase of land (not adjoining current property) Purchase additional share of property Essential repairs Where the loan amount has been reduced as a result of our assessment, please provide details of how the shortfall in the deposit amount will be funded? Mortgage scheme and repayment plans Please check that the loan still meets any LTV criteria. New lending on a Residential mortgage is only permitted on a capital repayment basis. Product name Interest rate Repayment amount Interest-only amount (porting applications only) Term 1 % Yr Mth 2 % Yr Mth 3 % Yr Mth 4 % Yr Mth Note: when completing product name please quote both product code and name e.g. FXX11 2.50% Fixed rate to 31.12.19

Change to the loan requirements - page 2 of 2 Where any lending is on an interest-only basis we will require evidence of the applicant s repayment plans. New property purchases, remortgages and further advances are NOT available on an interest-only basis for Residential mortgages. Please confirm how the mortgage will be repaid at the end of the term? Sale of property Stocks and shares ISA (only available on BTL applications) (If you have ticked this box please answer questions 7-12) Sale of unencumbered UK residential property UK pension (If you have ticked this box please answer questions 1-7) (If you have ticked this box please answer questions 7-9, 11-12) Endowment Policy UK FTSE listed securities (If you have ticked this box please answer questions 7-9, 11-12) (If you have ticked this box please answer questions 7-9, 11-12) Unit Trust/OEIC/Investment Trust (If you have ticked this box please answer questions 7-12) 1. Estimated value of the property to be sold 2. Which best describes the property? Detached Semi-detached Mid-terrace End-terrace Purpose-built (e.g. flat/maisonette) Quad Converted (e.g. flat/maisonette) 3. Which best describes the construction of the property? Standard Non-standard 4. Number of bedrooms 5. Title register (Deeds) number 6. Property address House name/number Flat number Building name Street Town/City County Postcode 7. Amount being used to repay the loan 8. Current value of repayment plan 9. Policy provider 10. How much is paid into the plan each month? 11. Maturity date dd / mm / yy 12. Policy/Account number

Change to destination of funds Applicant number(s) You MUST obtain the applicant(s) written authority to make this change. Please ask the applicant(s) to sign the declaration below. Please note: Where a legal representative is required, the funds will normally be released directly to them. New details Sort code - - Account number Account holder(s) Reference Customer declaration I/We instruct you to send the funds on completion of the mortgage to the above account. First applicant Second applicant Signature(s) Print name(s) Date dd / mm / yy dd / mm / yy If there are more than two applicants please capture the additional signatures on a second sheet.

Change to the property details - page 1 of 2 Please only complete the sections that are changing. Where is the property located? England Scotland Wales Northern Ireland Address House name/number Flat number Building name Street Town/City County Postcode Are you buying the property from a Society in which you own an interest and/or are a shareholder? Yes No Which best describes the type of property? House Bungalow Flat (please answer questions 1-2 below) - studio flats are not allowed Maisonette (please answer question 2 below) Other (please give details) 1. How many storeys in the block? On which floor is the flat located? 2. Was the property previously owned by a local authority or social landlord? Yes No Property tenure Freehold Leasehold Remaining years left on lease Which best describes the construction of the property? Standard Non-standard Is the property a new build, conversion or renovation that has been built in the last three years or will be occupied for the first time? Yes No Plot number Which best describes the property? Detached Semi-detached Mid-terrace End-terrace Purpose-built (e.g. flat/maisonette) Quad Converted (e.g. flat/maisonette) Number of bedrooms Number of living rooms Does the property have a garage? Yes No Is this a porting application? Yes No Please confirm if the property is sheltered accommodation Yes No If yes, does the property have any age restrictions? Yes (please give details below) No

Change to the property details - page 2 of 2 Will anyone aged 17 and over who is not named on this mortgage, live at the property? (Residential only) Yes No If yes, please list names (please continue on page 20 if necessary) Name Date of birth dd / mm / yy dd / mm / yy dd / mm / yy Note: An Agreement & Undertaking form will need to be signed by each of the non-owning occupiers aged 17 and over. The necessary form(s) will be issued with the offer and will need to be signed by each of the non-owning occupiers and returned to our Completions Department before we release the funds.

Change to valuation details What type of valuation would you like? Mortgage valuation Home Buyer s survey Who should the valuer contact to arrange access to the property? Vendor Estate Agent Applicant Builder Landlord Tenant Other Name of contact Contact number Any other information (contact evenings only etc) Alternative contact number Address House name/number Flat number Building name Street Town/City County Postcode A valuation will be required when an application is submitted. There are a number of ways we can determine the value of your property and when you apply we will select the valuation type most appropriate to the application.

Change to legal representative details The legal representative must already be on our panel, or if they are not already on our panel, they must be acceptable to us. Please contact the Coventry for intermediaries on 0800 121 7788 (available Monday to Friday 9.00am to 6.00pm) if you are unsure of the status of the chosen legal representative. Name of contact Society name Address House name/number Flat number Building name Street Town/City County Postcode

Change to fee arrangements Product name (e.g. FXX11-2.50% Fixed Rate to 31.12.19) Product fee Add to mortgage Deduct from advance (loan) Funds transfer fee Add to mortgage Deduct from advance (loan) Product name (e.g. FXX11-2.50% Fixed Rate to 31.12.19) Product fee Add to mortgage Deduct from advance (loan) Product name (e.g. FXX11-2.50% Fixed Rate to 31.12.19) Product fee Add to mortgage Deduct from advance (loan) Product name (e.g. FXX11-2.50% Fixed Rate to 31.12.19) Product fee Add to mortgage Deduct from advance (loan)

Other changes Please use this space to let us know about any other changes to the mortgage application form. Please provide as much information as possible.