Mortgage Application Form - 1 of 12 Jump to Page 1, Page 2, Page 3, Page 4, Page 5, Page 6, Page 7, Page 8, Page 9, Page 10, Page 11, Page 12 To Review and Save your open online application Click Here This Online Mortgage Application form will update and save your information between every page. You may exit the application at any time and your information entered into the form will still be available upon your return. Up to 6 applications can be processed at any one time. Please ensure that Cookies are allowed by your Internet Browser. A - INTERMEDIARY Application Ref: * = Required Field iMAP Broker ID Number * (this is usually the same as your case tracking password) Click here if you have forgotten your Broker ID Number Contact Name * Name of Firm * Address * Postcode *   Email Address * Telephone Number * Fax Number Name of Network/Mortgage Club FSA Registration Number * Appointed Representative FSA firm reference number CCL Number Your reference Agreement in principle number (if applicable) PRODUCT DETAILS Lender * Please Choose Abbey Accord Mortgages Affirmative Aldermore Commercial Amicus Intelligent Lending Bank of Ireland Bank of Scotland Barclays Birmingham Midshires Bluestone Bristol & West CMS Brytanic Buckinghamshire Building Society Capital Homeloans Cheltenham & Gloucester Cheshire Morgage Corparation Clydesdale Coventry Family Building Society First National Fleet Mortgages FPlus Halifax Harpenden Kensington Kent Reliance LANDBAY Leeds & Holbeck Magellan Masthaven Masthaven Secured Loans Metrobank Mortgage Trust Mortgages for Business Mortgages PLC MT FInance National Counties Nationwide Natwest Newcastle Building Society Northern Rock Head Office Paragon Pepper Home Loans Platform Precise Principality Building Society Royal Bank of Scotland Saffron Building Society Santander Scarborough Specialist Mortgages Scottish Widows Shawbrook Bank - Secured Loan Team Skipton Building Society Streambank The Mortgage Lender The Mortgage Works Together United Trust Bank Vida Home Loans Virgin Woolwich Zephyr Product Code Rate/APR * %     Initial interest rate term / end date * Mortgage Type * Please choose Purchase Purchase - Buy To Let Purchase - Right to Buy/Current Purchase - First Time Buyer Remortgage - Home Remortgage - Buy to Let Was this a face-to-face application? * Yes No Number of applicants?* 1 2 Level of advice provided * Advised Sale Non-advised Sale Date on which sale took place Type of transaction * Regulated Mortgage Contract Consumer Credit Act Non-regulated APPLICATION DETAILS Fees payable: (as per KFI) When Pay able? Refundable? If yes please provide circumstances: Broker Fee   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No Arrangement Fee   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No Application Fee   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No Legal Fees   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No HLC   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No Building Insurance   £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No Other Fees  £ Please choose Upfront At Offer Stage At Completion Added to Loan Yes    No TOTAL  £       Please provide details of all other fee(s) payable Procuration Fees Payable: Please provide the details of all parties who will receive payment  should this mortgage complete (applicants please note that that these amounts are not  payable by you): Name      £  Name      £  Name      £  The Valuation Fee referred to on the previous page incorporates an Administration Fee. Our policy is to refund 100% of the Valuation & Administration Fee if the application is cancelled, for whatever reason, prior to the valuer making the inspection.The Mortgage Trading Company Limited will not refund any of the Valuation & Administration Fee after the fee has been spent, and the valuer has made the inspection.test Please advise payment route for procuration fee payment Direct     Network Is / are the applicant(s) required to purchase any compulsory insurance products through you or your business? Yes     No If Yes, please provide details Please give details of any material non-cash inducements (other than standard procuration / packaging and / or scheme fees) that you have included within the KFI SELF-CERTIFICATION / SELF-DECLARATION OF INCOME Reason for self-certification Tick box Please provide detailed explanation below Proof of income not readily available Self-employed / contractor Earned income from various sources Investment Income Where there is a deadline Other DATA PROTECTION ACT Your application will be assessed by the lender using a credit assessment process and by searching the  files of credit reference agencies who will record this search. Any details provided by you or relating to  your agreement will be held in the lenders’ computer records, and may be returned after your account  has been closed. The lender will disclose details about you and your agreement to credit reference agencies who may  make them available to subscribing lenders for future credit assessment or fraud prevention. The lender  may use these details and may disclose them to others for market research and other purposes subject  to the provisions of the DATA PROTECTION ACT 1998. Under the terms of the Data Protection  Act, you have the right to obtain a copy of the information held about you on payment of the  appropriate fee, to know the source of the information, to receive the names of the organisations to  whom your information will be or has been disclosed, and the purposes for which your information will  be or has been used. You can also ask for any inaccurate details to be amended.   YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE