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Intermediary Mortgage Application and Agreement in Principle (PDF)

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					Intermediary Mortgage Application
and Agreement in Principle
                                                  For Society use only
   Your name
                                                    Sales code




   Contact address                               Please:
                                                    use a black pen and CAPITAL LETTERS
                                                    answer every question
                                                    Tick the appropriate boxes ( )
                                                    initial any amendments you make.
   Postcode                                      Please do not:

   FSA registered number                            and rewrite underneath
                                                 If you run out of space for any of your answers, you can
                                                 continue in the Extra information section or attach a separate
   Email address                                 sheet of paper.
                                                 Please make sure every applicant signs and dates the form.

   Phone number, including the area code         A note to the applicant(s)

   Mobile phone number                           ...please read through section 8 carefully. It gives you details
                                                 about what information we will gather about you before we

                                                 rights under the Data Protection Act.
   Fax number, including the area code           When you have completed your form, your Adviser will send it
                                                 to us. If we have any questions, we will let your adviser know as
                                                 soon as we can.
   Date
                                                 need to complete part 1 of this form. We will then make some
    D     D    M M         Y     Y    Y   Y
                                                 money you need. So we can do that, please give your consent
A note to the Intermediary                       by signing the end of part 1.
  Please remember to keep a copy of this form
                                                 Your adviser can then fax us part 1 so we can get started with
  when you send it to us.
  Visit                                          of the form for the actual mortgage application.
  to use our case tracking facility

Part 1

   Your details – Applicant 1                       Your details – Applicant 2
   Are you an existing customer?                    Are you an existing customer?
        No      Yes                                     No        Yes
   If yes do you have a mortgage or investment      If yes do you have a mortgage or investment
   with us?                                         with us?
        Mortgage        Investment                      Mortgage          Investment
   Please give your account number                  Please give your account number
Your title (eg. Mr/Mrs/Miss/Ms/Other)                               Your title (eg. Mr/Mrs/Miss/Ms/Other)



Surname                                                             Surname



First name(s)                                                       First name(s)



Any previous names                                                  Any previous names



Date of birth                                                       Date of birth
 D    D    M M        Y      Y   Y    Y                              D     D     M M         Y      Y    Y    Y

Your home address                                                   Your home address




Postcode                                                             Postcode

How long have you lived here?                                       How long have you lived here?

                     years                     months                                       years                        months

Home Tel No. (inc. STD code)                                        Home Tel No. (inc. STD code)



Your previous address(es) if you have been at your                  Your previous address(es) if you have been at your
current address for less than 3 years                               current address for less than 3 years




Postcode                                                             Postcode

How long did you live there?                                        How long did you live there?

                     years                     months                                       years                        months




Postcode                                                             Postcode

How long did you live there?                                        How long did you live there?

                     years                     months                                       years                        months

All other addresses held in the last 3 years                        All other addresses held in the last 3 years
to be listed in the ‘Extra Information’ section.                    to be listed in the ‘Extra Information’ section.




                                               Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Are you                                                                Are you
    A homeowner                A private tenant                             A homeowner                A private tenant
    A council or housing association tenant                                 A council or housing association tenant
    Living with parents                                                     Living with parents




If renting, how much rent do you pay each month?                       If renting, how much rent do you pay each month?

£                                          per month                    £                                           per month

Are you                                                                Are you
    First time buyer       Remortgaging                                     First time buyer        Remortgaging
    Moving house               Capital raising                              Moving house               Capital raising
Is the deposit coming from your own resources?                         Is the deposit coming from your own resources?
    Yes                                                                     Yes
    No Please explain in ‘Extra Information’ section                        No    Please explain in ‘Extra Information’ section
Selling price of current property (if applicable)                      Selling price of current property (if applicable)

£                                                                       £


of both parties?                                                       of both parties?
    Yes                                                                     Yes
    No Please explain in ‘Extra Information’ section                        No    Please explain in ‘Extra Information’ section
Your nationality (or domicile)                                         Your nationality (or domicile)



If you are not a UK citizen, do you have a permanent                   If you are not a UK citizen, do you have a permanent
Right to Reside in the UK?                                             Right to Reside in the UK?
    Yes       No                                                            Yes       No



Employment status                                                      Employment status
    Employed               Student                                          Employed                Student
    Self-employed          Other                                            Self-employed           Other
    Retired                None                                             Retired                 None
What is your occupation?                                               What is your occupation?




If you are employed                                                    If you are employed
How long have you had this job?                                        How long have you had this job?

                       years                      months                                       years                        months

If less than 6 months, please give details of your                     If less than 6 months, please give details of your
employment for the last 3 years in the ‘Extra                          employment for the last 3 years in the ‘Extra
Information’ section.                                                  Information’ section.



                                                  Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Is it a permanent job?                                           Is it a permanent job?
    Yes                                                               Yes
    No Please explain in ‘Extra Information’ section                  No    Please explain in ‘Extra Information’ section
Are you a Shareholder in the Company?                            Are you a Shareholder in the Company?
    No                                                                No
    Yes   If over 25% shareholding please                             Yes   If over 25% shareholding please
          complete the Self-Employed section                                complete the Self-Employed section
Are you on a notice of redundancy?                               Are you on a notice of redundancy?
    No      Yes    When will you be leaving the job?                  No       Yes    When will you be leaving the job?




Gross basic per year                                             Gross basic per year

£                                                                 £

Gross guaranteed other income                                    Gross guaranteed other income

£                                                                 £

Gross non-guaranteed other income                                Gross non-guaranteed other income

£                                                                 £
For non-guaranteed income, we will accept 50%                    For non-guaranteed income, we will accept 50%
of the amount provided.                                          of the amount provided.
If Self-Employed                                                 If Self-Employed

Time self employed                                               Time self employed

                      years                 months                                       years                        months

Shareholding                                                     Shareholding

                         %                                                                  %


year                                                              year

year                                                              year

Other Income                                                     Other Income
Maintenance                                                      Maintenance



Pension                                                          Pension



Working tax credits                                              Working tax credits




                                            Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
 Do you have any mortgage(s) (including buy-to-let)                  Do you have another mortgage (including buy-to-let)
 or secured loan(s) or any other loan(s) outstanding?                or secured loan or any other loans outstanding?
    No                                                                   No
    Yes                                                                  Yes
 If Yes, enter details below and indicate if the loan will           If Yes, enter details below and indicate if the loan will
 be repaid on or before completion of your mortgage                  be repaid on or before completion of your mortgage
 (where more space is required please supply                         (where more space is required please supply
 further details within ‘Extra Information’ section).                further details within ‘Extra Information’ section).




Lender        Applicant     Address against         Account     Outstanding      Outstanding Monthly                     Monthly
(eg IBS)      1/2/Joint     which loan is secured               term                         payment          repaid?    BTL
                            (Number, road name                                                                Yes/No     Rental
                            and postcode)




                                                                                 £              £                        £




                                                                                 £              £                        £




                                                                                 £              £                        £




                                                                                 £              £                        £



Unsecured Loans/Credit Cards/Hire Purchase
Lender          Applicant     Type                                        Outstanding      Outstanding Monthly
                1/2/Joint                                                 term                         payment           repaid?
                                                                                                                         Yes/No




                                                                                           £              £




                                                                                           £              £




                                                                                           £              £




                                                                                           £              £




                                                                                           £              £




                                                                                           £              £



                                                Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Have you ever been declared bankrupt or made                      Have you ever been declared bankrupt or made
an arrangement with creditors?                                    an arrangement with creditors?

   Yes       No                                                       Yes        No
Have you ever had a County Court Judgement                        Have you ever had a County Court Judgement
for debt?                                                         for debt?
   Yes       No                                                       Yes        No
Have you ever had any Defaults Registered?                        Have you ever had any Defaults Registered?
   Yes       No                                                       Yes        No
Have you ever entered into any arrangements                       Have you ever entered into any arrangements
with your creditors or are you party to a voluntary               with your creditors or are you party to a voluntary
arrangement?                                                      arrangement?
   Yes       No                                                       Yes        No
Have you ever had arrears on rent/mortgage/credit                 Have you ever had arrears on rent/mortgage/credit
arrangements?                                                     arrangements?
   Yes       No                                                       Yes        No
Have you ever had a mortgage or loan application                  Have you ever had a mortgage or loan application
refused?                                                          refused?
   Yes       No                                                       Yes        No
Have you ever been cautioned, convicted or do                     Have you ever been cautioned, convicted or do
you have any prosecutions pending for any criminal                you have any prosecutions pending for any criminal
offence (other than driving)?                                     offence (other than driving)?
   Yes       No                                                       Yes        No
Have you ever (voluntarily or otherwise) had                      Have you ever (voluntarily or otherwise) had
a property repossessed by a lender?                               a property repossessed by a lender?
   Yes       No                                                       Yes        No
Do you act as a Guarantor for any loans?                          Do you act as a Guarantor for any loans?
   Yes       No                                                       Yes        No
Do you have any active applications for a mortgage                Do you have any active applications for a mortgage
other than the one in this application?                           other than the one in this application?
   Yes       No                                                       Yes        No

If Yes, to any of the above enter details below                   If Yes, to any of the above enter details below

Type          Amount      Date Made                                Type           Amount        Date Made
              (£)         (dd/mm/yy)    (dd/mm/yy)                                (£)           (dd/mm/yy)       (dd/mm/yy)




                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
If bankrupt, please provide                                       If bankrupt, please provide
Date bankruptcy made                                              Date bankruptcy made
D       D   M M          Y   Y   Y   Y                             D     D     M M         Y     Y     Y     Y

Date of discharge                                                 Date of discharge
D       D   M M          Y   Y   Y   Y                             D     D     M M         Y     Y     Y     Y

Explanation                                                       Explanation




Please continue in the ‘Extra Information’ section.               Please continue in the ‘Extra Information’ section.




Purchase Price (or Estimated Value if a remortgage)               Which of the Society’s products do you require?

£                                                                 Product name

Amount of loan required

£                                                                 Rate

Mortgage Term                                                                                %
                     years
                                                                       Yes       No
Type of Repayment:
                                                                  Is there any incentive or discount being offered
    Capital & Interest
                                                                  by the developer/seller?
    Interest Only
                                                                       No
                                                                       Yes   If Yes, please provide details in ‘Extra
    £                                                                        Information’ section.
                                                                  Loan type
If any element is Interest only, how do you intend to
repay the Capital by the end of the term of the loan?                  House Purchase                      Right to Buy
                                                                       Remortgage                          Self-Build
                                                                       Buy to Let                          Shared ownership


                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
If Shared Ownership                                              How much of the loan is required for Capital raising
Name of Housing Association                                       £
                                                                 Please provide details in ‘Extra Information’ section

Telephone No. of Housing Association (inc. STD code)             How much of the loan is required for
                                                                 Debt consolidation

                                                                  £
                                                                 Please provide details in ‘Extra Information’ section
£
                                                                 Buy to Let Only
What percentage of the property
                                                                 Anticipated monthly rental income
will you be purchasing
                                                                  £                                           per month
                       %
                                                                 Number of buy to lets held
What rent will you be paying per month

£                                      per month
                                                                 Self Build Only
Remortgage only
                                                                 Purchase Price of the land (or Estimated Value
How much of the loan is required for Repayment                   if a Remortgage)
of outstanding mortgage
                                                                  £
£
                                                                 Initial amount of loan required
How much of the loan is required for
Home improvements                                                 £
£

                                                                  £




Year built
 Y     Y     Y    Y

Construction type
                                                                 premises?
    Standard (Brick, Tile/Slate)
                                                                      No
    Non Standard
If non-standard please supply details in                              Yes   If Yes, what type of commercial premises?
‘Extra Information’ section

Is the property
    Freehold
    Commonhold


                         years




                                            Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
If you would like an Agreement in Principle (AIP) to
                                                                 Signature of applicant 1
then it will be necessary for the Society to carry out
certain checks on the information you have provided.
We require you to give your consent by signing the

Intermediary.
  The information provided is, to the best of my/our             Date
  knowledge and belief true and complete.
                                                                  D     D     M M         Y     Y     Y    Y
  !/We authorise Ipswich Building Society to make
  any such enquiries that they feel are necessary,
  including credit reference agency searches.
  I/We understand that the information supplied on
  this form will be held on the Society’s computer
  and other records and that I/we have the right of
  access. In signing this form I/we agree the Society
  may use this information to make a mortgage
  Agreement in Principle in accordance with its
  registration under the Data Protection Act 1998 and            Date
  understand that the Society may be required by
  law to provide information about me/us and my/our
                                                                  D     D     M M         Y     Y     Y    Y
  account to a third party.
  I/We understand that the Society has a fraud
  prevention policy. I/We give permission to the
  Society to supply any or all of the above information
  to any insurance company, credit reference agency,                Where the applicant(s) have not signed this
  other mortgage lenders through National Hunter
  and the Credit Industry Fraud Avoidance System or                 above Declaration and they are fully aware that
  other third party as required by the Society.                     Ipswich Building Society will also carry out a credit
                                                                    reference search and that the search will
                                                                    be recorded against them.
  disclose the result of the search to the Intermediary/
  Broker acting on my/our behalf.
                                                                    for the purpose of processing this Agreement in
  I/We understand that any acceptance of this
                                                                    Principle and any other enquiries necessary as
  Agreement in Principle shall not commit the Society
                                                                    a result of the search.
  to making a formal Offer of Advance.
                                                                 Signature of Intermediary in the absence
In addition to the above in respect of:
                                                                 of the Applicant(s)




  authority to consent to a credit search being carried
  out on the absent applicant.
                                                                 Date
                                                                  D     D     M M         Y     Y     Y    Y

                                                                 Note for Intermediary
                                                                 If you would like an AIP please fax Part 1 to us on
                                                                 0845 026 0915.
                                                                 Any questions please telephone us on 0845 230 9696
                                                                 or e-mail




                                            Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Part 2

                                                                 – Identification
This section need not be completed where the applicant(s) is/are an existing customer of Ipswich Building Society.




   Tick ( ) one of the following:                                         Tick ( ) one of the following:
        Current valid full signed Passport                                     Current valid full signed Passport
        Current full signed UK Driving Licence                                 Current full signed UK Driving Licence
        Other                                                                  Other
                  please refer to our Mortgage Information                                please refer to our Mortgage Information
                  Guide (copy available on www.ibs.co.uk)                                 Guide (copy available on www.ibs.co.uk)
   Reference number                                                       Reference number




   Date of Issue                                                          Date of Issue
    D       D   M M        Y     Y    Y    Y                               D     D     M M         Y     Y    Y     Y

    D       D   M M        Y     Y    Y    Y                               D     D     M M         Y     Y    Y     Y


Please use this checklist to ensure that you have enclosed the               received that this has been disclosed to the applicant(s)
following, where applicable, before submitting. Tick ( ) if enclosed.
                                                                             a fully compliant KFI for their mortgage requirements
                                                                             in accordance with the FSA’s Mortgage Conduct of
                                                                             Business Sourcebook

                                                                             having seen the original documents, having checked that
        Current Lender’s latest annual mortgage statement(s)
                                                                             that any associated photograph of the applicant(s) was
        Last 3 full months’ bank statements                                  a good likeness of the applicant(s). I have included the

        Valuation/Application fee

        £                                                                 Signed

   Please use this space for any additional comments:




                                                                          who has seen the original documentary evidence
                                                                          Position
      I declare that I provided advice and relevant product

      writing to the applicant(s), where appropriate, why
      the mortgage product is suitable                                    Date
      to the Society to enable it to issue a fully compliant               D     D     M M         Y     Y    Y     Y
      Offer document in accordance with the FSA’s Mortgage
      Conduct of Business Sourcebook

                                                     Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
                                                           (continued)
Intermediary details

 Are you submitting this application via:                           Please indicate the level of service that you have
 Please tick all boxes that apply                                   provided to the applicant(s)

      Mortgage Club name                                                Recommendation, having assessed the needs
                                                                        of the applicant(s)
                                                                        Non Advised Sale
      Network name



      Packager name



      Directly Authorised name



 Reference to be quoted with Procuration Fee



 Procuration Fee payable to



 If any part of the Procuration Fee is being
 paid to the applicant please state amount

  £

 Are you charging the applicant a fee for arranging
 this mortgage?
      Yes      No
 If Yes, please state amount

  £

 If Yes, please also state when the fee is payable
      Application     Completion
 If payable on Application, will the fee be refunded
 if the mortgage does not proceed?
      Yes      No


 Please remember this information is required to
 ensure that the Society can issue a fully compliant
 Offer document to the applicant in accordance with
 the FSA Mortgage Conduct of Business Sourcebook.
 (MCOB Section 6 – Disclosure at the Offer Stage).




                                               Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Applicant details                                                  Applicant details
Work Tel No. (inc. STD code)                                       Work Tel No. (inc. STD code)



Work Tel Ext                                                       Work Tel Ext


Mobile Tel No.                                                     Mobile Tel No.


Email                                                              Email


Preferred method of contact                                        Preferred method of contact


Marital Status/Civil partnership status                            Marital Status/Civil partnership status


Relationship to other applicant                                    Relationship to other applicant


Expected Retirement Age                                            Expected Retirement Age

                     years                                                                 years

Where your expected term takes you beyond                          Where your expected term takes you beyond
retirement age it is your responsibility to ensure                 retirement age it is your responsibility to ensure

the end of the term. We will require you to provide                the end of the term. We will require you to provide
us with details of your income into retirement.                    us with details of your income into retirement.




Other Occupiers

Will there be any persons who will reside in the property on completion of the mortgage other than the Applicants?
   Yes       No
If Yes, enter details below:
Title    Surname                   First Names                   Relationship            Occupation
                                                                                                                  Birth




If more than 4 people, please enter additional details in Extra Information. Please note that non-borrowing
occupiers over the age of 17 will be required to complete a Form of Consent to the mortgage.


                                              Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Current Employer Details                                         Current Employer Details
Name of Employer                                                 Name of Employer



Address                                                          Address




Postcode                                                          Postcode

Employer’s Tel No. (inc. STD code)                               Employer’s Tel No. (inc. STD code)


Employer’s Fax No. (inc. STD code)                               Employer’s Fax No. (inc. STD code)


Payroll Ref                                                      Payroll Ref



Are you employed by a relative?                                  Are you employed by a relative?
    Yes      No                                                      Yes      No
If Yes, please provide Accountant’s details in Extra             If Yes, please provide Accountant’s details in Extra
Information                                                      Information
Employment Type                                                  Employment Type
   Full-time                      Fixed Term                         Full-time                          Fixed Term
   Part-time                      Casual Contract                    Part-time                          Casual Contract



If you are self-employed please complete this section            If you are self-employed please complete this section
Please note: You will also need to provide your last 2           Please note: You will also need to provide your last 2
years’ accounts for all self-employed earnings.                  years’ accounts for all self-employed earnings.
On what basis do you trade?                                      On what basis do you trade?
   Sub Contracting                Sole Trading                       Sub Contracting                    Sole Trading
   Limited Company                Partnership                        Limited Company                    Partnership
Your trading name                                                Your trading name



Your trading address                                             Your trading address




Postcode                                                          Postcode

Tel No. (inc. STD code)                                          Tel No. (inc. STD code)



Nature of Business                                               Nature of Business




                                            Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
(continued)                                                      (continued)

How long has the business/company/partnership                    How long has the business/company/partnership
been trading?                                                    been trading?

                    years                                                                years

Your trading name                                                Your trading name



Company Registration No. (if Limited Company)                    Company Registration No. (if Limited Company)



Name of your Accountant                                          Name of your Accountant



Address of your Accountant                                       Address of your Accountant




Postcode                                                          Postcode

Your Accountant’s Tel No. (inc. STD code)                        Your Accountant’s Tel No. (inc. STD code)



Your Accountant’s Fax No. (inc. STD code)                        Your Accountant’s Fax No. (inc. STD code)




(Eg FCA etc)                                                     (Eg FCA etc)



How long has he/she been your Accountant?                        How long has he/she been your Accountant?

                    years                   months                                       years                        months




                                            Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Lender’s details                                                  Lender’s details

Have you ever had a mortgage or a secured loan?                   Have you ever had a mortgage or a secured loan?
    Yes      No                                                        Yes       No
If Yes, was it repaid over 3 years ago?                           If Yes, was it repaid over 3 years ago?
    Yes      No                                                        Yes       No
If No, please give the following Information about                If No, please give the following Information about
your lender for the last 3 years                                  your lender for the last 3 years
Name                                                              Name



Address                                                           Address




Postcode                                                           Postcode

Tel No. (inc. STD code)                                           Tel No. (inc. STD code)



Mortgage/Secured Loan A/c No.                                     Mortgage/Secured Loan A/c No.



Period                                                            Period

 from:                            to:                              from:                             to:

If you have had more than one lender in the last 3                If you have had more than one lender in the last 3
years please advise full details in Extra Information             years please advise full details in Extra Information

Existing Ipswich Building Society Borrowers –                     Existing Ipswich Building Society Borrowers –
Portable Loans                                                    Portable Loans
Do you have an existing Ipswich product which                     Do you have an existing Ipswich product which
can be transferred?                                               can be transferred?
    Yes      No                                                        Yes       No
Do you wish to do so?                                             Do you wish to do so?
    Yes      No                                                        Yes       No
If you wish to transfer, enter:                                   If you wish to transfer, enter:
1. Name of existing product                                       1. Name of existing product




3. Amount you wish to transfer                                    3. Amount you wish to transfer

£                                                                  £




                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Landlord’s details                                                  Landlord’s details
Current Landlord’s Details                                          Current Landlord’s Details
Name                                                                Name



Address                                                             Address




Postcode                                                             Postcode

Tel No. (inc. STD code)                                             Tel No. (inc. STD code)



Period                                                              Period

 from:                       to:                                     from:                             to:

If you have had more than one Landlord in the last                  If you have had more than one Landlord in the last
2 years please advise full details in Extra Information.            2 years please advise full details in Extra Information.
Please provide full detail of the address, dates and                Please provide full detail of the address, dates and
the Landlord details together with the rental payable.              the Landlord details together with the rental payable.


Your home and mortgage needs                both applicants
Address of the Property to be Mortgaged                             Has the property suffered from subsidence,
Full postcode must be provided
                                                                        No
                                                                        Yes    Please provide details in ‘Extra Information’
                                                                               section.
                                                                    Is it an Ex Local Authority Property?
Postcode
                                                                        Yes        No
                                                                    Is vacant possession of the property being obtained
   NHBC                                                             on completion of the purchase and/or mortgage?
                                                                        Yes

Please complete number of                                               No     If No, please provide details in ‘Extra
                                                                              Information’ section.
  Bedrooms                   Bathrooms
                                                                    Do you intend to occupy the property immediately
  Toilets                    Kitchens                               on completion?
                                                                        Yes
  Living Rooms               Garages
                                                                        No     If No, please provide details in ‘Extra
  Floors                     Acres of Land                                    Information’ section.
                                                                    Will the property be your main residence?
Product Type
                                                                        Yes
   House                           Detached
                                                                        No     If No, please provide details in ‘Extra
   Bungalow                        Flat                                       Information’ section.
   Semi-Detached                   Terraced
                                                                    Will the property be let?
   Maisonette                      Linked
                                                                        Yes
*If Flat/Maisonette                                                     No     If Yes, please provide details in ‘Extra
   Purpose Built                   Converted                                  Information’ section.

                                               Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Your home and mortgage needs             both applicants (continued)

If Buy to Let will any occupier be a family member?               Will any additional borrowing be secured against the
                                                                  property by a second charge?
   Yes
                                                                      Yes
   No If Yes, please provide details in ‘Extra
      Information’ section.                                           No     If Yes, please provide details in ‘Extra
                                                                            Information’ section.
Will any part of the property be used in connection
with business/employment activities?                              Are you receiving any cashbacks, discounts or other
                                                                  incentives from the Vendor?
   Yes
                                                                      Yes
   No If Yes, please provide details in ‘Extra
      Information’ section.                                           No     If Yes, please provide details in ‘Extra
                                                                            Information’ section.
Will you be providing all of the monies required in
addition to this loan to enable you to purchase the
property?
   Yes
   No If No, please provide details in ‘Extra
      Information’ section.




If you are remortgaging, does the product you have                Chosen Conveyancer
chosen let you take advantage of the Society’s
Fee Free Remortgage Scheme?


                                                                  Solicitors Code

   Free Legals
For free legals we will appoint our Conveyancer                   Address
when the application is processed.
Or
   Cashback

If you do not yet have a Conveyancer, we would
recommend that you consider instructing our                        Postcode
nominated Conveyancer to act on behalf of both
you and the Society.                                              Tel No. (inc. STD code)

I wish to instruct the Society’s nominated Conveyancer
   Yes       No                                                   Fax No. (inc. STD code)
I would like to receive a quote from the Society’s
nominated Conveyancer
   Yes       No                                                   Email address

    I will advise you shortly of my chosen Conveyancer
   (I/we understand that if I/we delay in providing this          The Society operates an approved Panel of
   information to you, it may delay the mortgage offer).          Solicitors who can carry out the Society’s legal work
                                                                  and also act for yourselves. If your chosen Solicitor
                                                                  cannot for any reason be appointed to the Panel,
                                                                  the Society will instruct its own Solicitor to deal
                                                                  with the mortgage and you will be responsible for
                                                                  meeting the costs incurred.




                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Insurances

Household Insurance                                                Valuation Type (continued)
The Society requires adequate buildings insurance                  Please note: The fee for a Building Survey
to be maintained at all times during the mortgage.                 is not included in the valuation fee. If you
You should also consider other types of insurance                  require a Building Survey we will advise the
such as contents and personal belongings and the                   Valuer accordingly. The Valuer will contact
Society can arrange this for you.
                                                                   for the building Survey will be between you
The applicants would like a quote for                              and the Valuer. The Society will not be a party
   Buildings and Contents                                          to the contract. The Society will still require a
                                                                   Mortgage Valuation to be undertaken and the fee
   Buildings only                                                  to be paid to us for this.
   Contents Only
                                                                   Important Note – Remortgages only
   Cover being arranged elsewhere
                                                                   The Society will assess the value of the property
If you arrange property insurance yourself the Society             in order to ascertain its suitability for a mortgage
may charge a fee, please refer to your Key Facts                   advance and to decide how much can be lent. The
Illustration(KFI) and the Tariff of Charges for details.           Society may use methods such as the use of a
                                                                   limited external inspection or computer based data
Mortgage Payment Protection Insurance                              to assess the property. If the loan constitutes a high
(Not available on Buy-to-Let)                                      proportion of the property value the Society may
We strongly recommend that you insure against the                  arrange for an inspection of the property so that a
inability to meet your mortgage payments through                   more detailed Mortgage Valuation can be prepared.
accident, sickness or unemployment.                                The cost of any additional reports required as
                                                                   a result of a valuation are to be borne by the
The applicants would like a quote for                              applicant(s). You will not receive a copy of the
   Accident sickness and unemployment                              Valuation Report.

   Accident and Sickness Cover                                     When should the Society instruct the Valuer
   Unemployment cover                                                  Immediately              After references received
   Policy being arranged elsewhere                                 Type of report required:
   Cover understood but not required                                   Mortgage Valuation
                                                                       Homebuyer Survey & Valuation
Valuation Type
The value of the home you wish to buy (or if you are                   Building Survey
re-mortgaging the property you already own) is very                Who should the Valuer contact to gain access
important. A mortgage application can only proceed                 to the property?
when an appointed Valuer has assessed the value
of your property on behalf of Ipswich Building                     Name
Society. The Valuer will carry out a visual inspection
of the property, but is not required to inspect
covered, unexposed or inaccessible parts. The
                                                                   Daytime Tel No. (inc. STD code)
resulting report will put a value on the property as a
mortgage security, and will not include any factors
likely to affect its value. The Society will send you a
copy of this Valuation Report, but please remember                 Selling Agent
that this is NOT a survey. A valuation will not report
any defect, however serious, which is not yet
apparent on a reasonably careful visual inspection.
Nor will it include any defects which the Valuer does              Vendor and Selling Details
not feel will materially affect the suitability of the
property as security. The Society recommends that                  Name of Selling Agents/Owner if private sale
you consider the need for your own independent

fee will be payable. Please refer to the Society’s                 Tel No. (inc. STD code) of Selling Agents/
‘Mortgage Information Guide’ for full information                  Owner if private sale
about valuations.




                                              Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Insurances

Vendor and Selling Details (continued)                            Are you borrowing more than the purchase price?
                                                                       No
Are you related to the present owner?
    No
                                                                       £
                                                                       and purpose

If the loan is purchased under the Right to Buy
legislations Estimated Value
                                                                  Please advise anticipated completion date
£                                                                  D       D   M M         Y     Y     Y    Y




If fees are required to be collected by Debit/Credit              Please debit my Visa/Mastercard/Debit Card
Card we will need to contact you to obtain the details.           (Switch/Solo) for a total of

Preferred contact Tel No. (inc. STD code)                          £

                                                                  Application Fee

Contact Name                                                       £

                                                                  Valuation Fee

                                                                   £




I apply for a loan, which I understand will be secured            I declare that:
on my property, on the basis of the information I have
supplied.                                                              I am over 18 years of age

If I am an individual I apply to be a Borrowing Member                 There are no existing loans or mortgages in my
according to the Rules of the Society, copies of which                 name with the Society or any other lender other
                                                                       than declared on this application form
branch. If this is a joint application by individuals I                I have never been convicted of any criminal
understand that the First Applicant will be the person                 offences nor is any prosecution pending,
                                                                       excluding motoring or ‘spent’ offences by virtue
the mortgage and will be the Representative Joint                      of the Rehabilitation of Offenders Act 1974
Borrower according to the Rules (provided that
Individual is a Borrowing Member).                                     Any person interested now or in the future in
                                                                       the loan may rely upon the truth and accuracy
I consent to the Society at any time transferring                      of the information given and in any supporting
                                                                       documentation or information supplied by me
mortgage or any other security for the loan to any third
party, whether or not a building society or associated                 If any of the information I have given changes
body of a building society, without any further                        before the mortgage is completed, I shall advise
reference to me. If I am a Borrowing Member at that                    the Society immediately.
time I acknowledge that such a transfer will lead to
the termination of my borrowing membership of the
Society and the loss of my rights as a Borrowing
Member of the Society.




                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Application costs and mortgage report                             Your personal data
and valuation
                                                                  I consent to the Society using and disclosing the
                                                                  information contained in my application form and
                                                                  about my account in the following ways:
  The Society reserves the right to reject my
  application without giving any reason;
                                                                     of valuers or surveyors if any further inspection or
  The Society will undertake a reassessment of the
                                                                     re-valuation is required at any time;
  property using computer based data or limited
  external appraisal. A copy of the assessment will                  using particulars in this application, any supporting
  not be provided and is for the Society’s use only;                 documents or information, whether relating to
                                                                     the property or not, the mortgage and conduct
  A Report and Valuation on the property may be
                                                                     of the mortgage account and any information
  prepared in limited circumstances by an external
                                                                     or documentation involving me or the property
  Valuer. I understand that the Report is a valuation
                                                                     (which may include sensitive information) for initial
  for the Society only. This is a limited report and
                                                                     and ongoing credit assessment purposes and in
  is not a Homebuyers or Building Survey. The
                                                                     connection with the taking out of the mortgage,
                                                                     operation and statistical analysis of my mortgage
  of Valuers (“the Valuer”) and I am making no
                                                                     account and to the passing of this information to
  agreement with the Valuer. Neither the Society
                                                                     the Society’s agents and third party processors
  nor the Valuer will warrant, represent or give any
                                                                     if this is necessary for any of these purposes.
  assurance to me that the statements, conclusions
                                                                     Data may be transferred to any country including
  and opinions expressed or implied in the Report
                                                                     countries outside the European Economic Area
  and Valuation will be accurate and valid and the
                                                                     for any of these purposes and for systems
  Report and Valuation, if supplied, will be without
                                                                     administration. I further consent to the Society
  any acceptance of responsibility to me on the part
                                                                     passing the same to any transferee, potential
  of the Valuer or the Society, even if the Valuer is
                                                                     transferee, guarantor, potential guarantor of the
  negligent in relation to the Report and Valuation.
                                                                     mortgage or their legal or mortgage intermediary.
Marketing consent                                                    passing any details relating to the mortgage
                                                                     application up to and including completion of the
We may bring to your attention (by mail, telephone,
                                                                     loan to any mortgage intermediary who introduced
e-mail or otherwise) products or services of Ipswich
                                                                     my application to the Society;
Building Society or other selected suppliers which
may be of interest to you.                                           information about the mortgage including the
                                                                     purpose of the loan, its amount, any sums
You can request that the Society does not use your
                                                                     secured, the interest rate, the term of the loan and
information for marketing purposes by ticking the
                                                                     the repayment details being passed to any person
boxes below or writing to Ipswich Building Society,
                                                                     who is required to sign the Society’s standard
                                                                     Form of Consent or Form of Acknowledgement or
Applicant 1                                                          their legal advisers;
   Do not contact me by telephone, email or other                    information on undisputed personal debts which
   electronic media for marketing purposes                           are in default and where no satisfactory proposals
                                                                     for repayment have been received by the Society
   Do not provide my details to third parties for
                                                                     following formal demand, being passed to a credit
   marketing purposes
                                                                     reference agency;
   Do not send me details of the Society’s other
                                                                     (in the event the property to be mortgaged is
   products or services
                                                                     repossessed by the Society) information being
Applicant 2                                                          passed to a credit reference agency;
   Do not contact me by telephone, email or other                    for registration on the arrears and possessions
   electronic media for marketing purposes                           register maintained by the Council of Mortgage
                                                                     Lenders;
   Do not provide my details to third parties for
   marketing purposes                                                disclosure to regulatory bodies for the purpose of
                                                                     monitoring compliance with any regulatory rules,
   Do not send me details of the Society’s other
                                                                     and to the Financial Ombudsman Service for the
   products or services
                                                                     purpose of complaints investigation;
We may monitor and/or record your telephone
conversations with us to ensure consistent
service levels (including staff training).



                                             Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Your personal data (continued)                                        an ‘association’ between joint applicants and/or
  to make enquiries of authorised referees and
                                                                      will be created at credit reference agencies, which
  licensed credit reference agencies who will
  supply the Society with credit information, as well
  as information from the Electoral Register. The
                                                                      that each other’s information will be taken into
  agencies will record details of the search whether
                                                                      account in all future applications by either or both
  or not this application proceeds. The Society
                                                                      of us. This linking will continue until one of us
  may use credit scoring methods to assess this
  application and to verify my identity. The Society
                                                                      reference agencies.
  may also make periodic searches of group records,
  credit reference agencies and fraud prevention                   Data Access
  agencies to manage my account and carry out
  ongoing credit risk assessment and statistical                   I understand that:
  analysis of the performance of my account. These
                                                                      with limited exceptions I can request in writing,
  further searches will not be seen or used by
                                                                      upon payment of a fee, details which are held
  other lenders to assess my ability to obtain credit.
                                                                      about me by Ipswich Building Society, Cassidy
  Credit searches and other information which is
                                                                      Davis, RSA, LV= and Key Retirement Solutions
  provided to the Society and/or the credit reference
                                                                      and where necessary rectify the information that
  agencies, about me and those with whom I am
                                                                      is held about me.
  other companies if credit decisions are made about                  I have the right of access to my personal records
  me, or other members of my household. This                          held by credit and fraud agencies. The Society
  information may also be used for debt tracing and                   will supply their names and addresses upon
  the prevention of money laundering as well as the                   request.
  management of my account;
                                                                   Data Protection notice
  to prevent or detect fraud, or to assist in verifying
  my identity, the Society may make searches of                    For the purposes of the Data Protection Act 1998
  Group records and at fraud prevention agencies                   the Society will be the data controller responsible
  who will supply information. The Society may                     for the processing of your data in relation to your
                                                                   mortgage application, the ongoing operation of your
  organisations involved in fraud prevention to                    mortgage account (if your application is approved),
  protect it and its customers from theft and fraud.               assessment of the performance of your account
  If I give false or inaccurate information and                    and after redemption of the mortgage for statutory,
  the Society suspects fraud, it will be recorded.                 regulatory, accounting, auditing or other lawful
  The Society, members of the Group, and other                     requirements. We may also use your information
  companies may use this information if decisions                  to develop products and services that may be of
  are made about me or others at my address(es)                    interest to you in the future. We will not keep your
  on credit or credit-related services or motor,                   data longer than necessary. Your data may include
  household, credit, life or any other insurance
  facilities. It may also be used for tracing and                  information” as information about your racial or
  claims assessment.                                               ethnic origin, political opinions, religious beliefs or
                                                                   beliefs of a similar nature, trade union membership,
I understand that:
                                                                   physical or mental health condition, sexual life,
  information held about me by the Credit Reference                criminal record, pending court proceedings or
  Agencies may already be linked to records relating               sentence of any alleged offence.
  to one or more of my partners. For the purposes

  linked and my application will be assessed with
  reference to any ‘associated’ records of my

  another party, I also declare that the Society is
  entitled to disclose information about my joint
  applicant and/or anyone else referred to by me,
  and search, link and/or anyone else referred to by
  me, and search, link and/or record information at
  credit reference agencies about me and/or anyone
  else referred to by me;




                                              Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
  I/We have checked the information given in this




  including those completed in other than my/our                   information provided in Part 1 of the Mortgage

  correct and complete.                                            complete, including any answers which were
  To the best of my/our knowledge and belief the                   there are no additional facts that could materially
  statements in these Declarations are true and                    affect the Society’s decision to lend to me/us.
  correct.
                                                                   Where there is further information we have
  I/We authorise you to take up references and                     provided this in the Extra Information section.
  check my/our identity in such ways that are
  deemed necessary.                                             Signature of Applicant(s) if an AIP undertaken
                                                                and a full application now applied for:
                                                                Signature of applicant 1
  to my/our mortgage requirements and I/we fully
  understand the information contained within it.




It is important that you read and understand the                Date
                                                                 D     D     M M         Y     Y     Y    Y
By signing this application you agree that we can




I/We hereby authorise and request you to provide
Ipswich Building Society with any information they
may require.
Signature of applicant 1
                                                                Date
                                                                 D     D     M M         Y     Y     Y    Y



Date
D      D   M M       Y     Y   Y   Y




Date
D      D   M M       Y     Y   Y   Y




                                           Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
It is a condition of any Mortgage Offer that your
monthly payments are made by Direct Debit. Please
complete all sections of the following form. Do not
detach, but return it with the mortgage application
form. We will send the details to your bank.                                                       (detailed in our
                                                                   Mortgage Information Guide. Copy available on
                                                                   request or on our website www.ibs.co.uk)
mortgage. Interest from the date of completion until
the end of the month will not be collected by Direct
Debit and is payable separately.




                            OF THIS FORM
                                                                                             8    0     0     1     7    6




Bank/Building Society name                                                            (Ipswich Building
                                                                   Society mortgage account number)

Bank/Building Society address

                                                                   Please pay Ipswich Building Society direct debits from
                                                                   the account detailed on this instruction subject to the
                                                                   safeguards assured by The Direct Debit Guarantee.
                                                                   I understand that this instruction may remain with
Postcode                                                           Ipswich Building Society and if so, details will be
                                                                   passed electronically to my Bank/Building Society
                                                                   Signature(s)




                   (from the top right
                                                                   Date
corner of your cheque book)
                                                                    D     D     M M         Y     Y     Y    Y




• This Guarantee is offered by all banks and building societies that accept instructions to by IpswichDebits
   This Guarantee is offered by all Banks and                          If an error is made pay Direct Building Society
   Building Societies that take amount, date or frequency of your Direct Debit Ipswich Building Society willare
• If there are any changes to the part in the Direct                   or your Bank or Building Society, you notify
                                                                       guaranteed a full you request Ipswich Building
you 7 working days in advance of your account being debited or as otherwise agreed. Ifand immediate refund from
                                                     own
   Scheme is monitored and protected by youramount and date will be branch of the amount paid. request
Society to collect a payment, confirmation of the                      your given to you at the time of the
   Bank or Building Society.
• If an error is made in the payment of your Direct Debit by Ipswich Building Society or your bank or building society
                                                                       You can cancel a Direct Debit at any time by
   If the amounts a be paid or the payment of the
you are entitled toto full and immediate refunddates amount paid from your bank or building society Society. Please
                                                                       writing to your Bank or Building
• If you receive a refund you are not entitled to, you must pay it backalso send a copy of your letter to us. to
   change, Ipswich Building Society will notify you 7                   when Ipswich Building Society asks you
                   in advance of your time by being
   working days a Direct Debit at any accountsimply contacting your bank or building society. Written confirmation
• You can cancel
   debited or as Please also notify us.
may be required. otherwise agreed.


                                              Ipswich Building Society · Intermediary Mortgage Application and Agreement in Principle
Website: www.ibs.co.uk




Email: isu@ibs.co.uk



Ipswich Building Society acts as an introducer to Liverpool Victoria group of companies for investment, protection
and pensions. Ipswich Building Society is authorised and regulated by the Financial Services Authority and entered

				
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