MORTGAGE APPLICATION

FORM

(INTERMEDIARIES)

Please tick Please tick

Purchase Further Advance

Remortgage Transfer of Equity

Capital Raise (No Existing Lender)

2

CONTENTS PAGE Subject Section Number Page Number PURPOSE OF LOAN Section 1 6

YOUR DETAILS Section 2 6

YOUR EMPLOYMENT DETAILS Section 3 9

YOUR SELF-EMPLOYED INCOME DETAILS Section 4 10

FINANCIAL DETAILS Section 5 12

PROPERTY DETAILS Section 6 14

FAMILY, DEPENDANTS AND OTHER PEOPLE WHO LIVE WITH YOU Section 7 16 LOAN DETAILS Section 8 16

- HOUSE PURCHASE ONLY Section 8a 17

- REMORTGAGE ONLY Section 8b 18

- FURTHER ADVANCE ONLY Section 8c 19

SOLICITOR / CONVEYANCER Section 9 21

VALUATION AND INSPECTION Section 10 21

HOME INSURANCE Section 11 23

- OWN INSURANCE ARRANGEMENTS ONLY Section 11a 23

PROTECTING YOUR MORTGAGE PAYMENTS Section 12 24

IDENTITY VERIFICATION Section 13 24

DECLARATION Section 14 25

ADDITIONAL INFORMATION Section 15 29

DIRECT DEBIT FORM 33

REFERENCE AUTHORITY 35

3

NOTES TO HELP YOU COMPLETE YOUR MORTGAGE APPLICATION

• Please complete this Application Form in ink and write in BLOCK CAPITALS. All applicable sections must be

completed. Failure to do so will result in a delay with the processing of your application.

• Please remember to read and sign the Declaration (Section 14) and complete the Direct Debit form (attached to

the back of this application form). Failure to do so will result in a delay with the processing of your application.

• Please remember to include your cheque for the payment of fees if you are paying by this method. Please make

your cheque payable to ‘Penrith Building Society’, and include the address of the property to be mortgaged on the

reverse.

• If you are sending any original documents by post, please make sure they are securely packaged and sent via

“Signed For” or “Special Delivery” post.

• Documentation

For Employed applicants: Your last three payslips and P60 must accompany the application.

For Self-Employed applicants: Last two years certified accounts must accompany the application. Where

applicable, HMRC forms SA302 are required.

The last three months bank statements for all applicants will be required.

• If you need additional space to answer any of the questions, please use the space in Section 15.

• If you need help in completing this application form, contact us on 01768 863675 or speak to your mortgage

intermediary.

Thank you for choosing the Penrith Building Society.

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE.

Head Office: 7 King Street, Penrith, Cumbria, CA11 7AR Tel: 01768 863675 www.penrithbs.co.uk

4

INTERMEDIARY USE ONLY

Intermediary full name

Adviser’s full name

Firm Address Telephone Number

Mobile Number

Fax Number

Email Address

TO BE COMPLETED IN ALL CASES

Please note that the Society will use this email address to communicate with you in connection with the processing of the application.

Network or intermediary BACS details to be inserted here: Account name and sort code:

Network FCA number if applicable:

Account Number:

Intermediary Firm FCA registration number:

Please note the Society will only accept applications where advice and a recommendation has been given.

If terms have been discussed and agreed by the Society, please state with whom, the date and give details of the agreement

If KFI has been produced for you by Penrith Building Society please provide ref number

Mortgage scheme (MUST be completed)

Have you charged the customer a fee for arranging this mortgage?

No Yes – if yes, how much

(Must be completed)

When is this fee payable?

Before completion On completion After completion

If payable on completion, is it refundable if the loan does not proceed? Yes No

Procuration fee payable by the Society: £

Split: Direct to Broker £

Payable to Network £

MONEY LAUNDERING – To be completed by a regulated UK intermediary

Was the verification taken: Face to face or Non face to face

£

5

Details of Individual Applicant 1 Applicant 2

Name

Address

Date of Birth

Please provide certified copies of documentary evidence of ID obtained. Details of Introducting firm (or sole trader)

Full name of Regulated Firm (or sole trader)

FCA Reference Number

Adviser Declaration

I confirm that I am acting on behalf of the applicants and have their permission to access their information.

Adviser Name

I confirm that to the best of my knowledge, the information contained on this application is true and accurate.

Adviser Signature

I confirm I am not aware of any change in the applicant(s) circumstances since the advice was given.

Date

DOCUMENTS ENCLOSED – (please tick if enclosed) Latest P60 plus last 3 months payslips Copy of Fact Find Valuation fee Certified copies of ID KFI Three months Bank Statements for all applicants Two years certified accounts for self-employed Statements for existing mortgage (if applicable) (or where applicable HMRC forms SA302) covering last two years for all applicants

6

Section 1 – PURPOSE OF LOAN

1.1 Purpose of the loan (PLEASE TICK)

Purchase Remortgage Transfer of Equity

Capital Raise (No Existing Lender)

Further Advance

Section 2 – YOUR DETAILS APPLICANT 1 APPLICANT 2

2.1

Are you an existing customer?

Yes No

Yes No

2.2

If ‘Yes’ do you have a mortgage or savings account with us?

Mortgage Savings

Mortgage Savings

2.3 PBS Account Number(s)

2.4

Surname

2.5

Forename(s)

2.6 Title Mr Mrs Miss Ms Other

Mr Mrs Miss Ms Other

2.7

Marital Status

2.7a Relationship to Applicant 1

2.8 Previous name(s)

(last 3 years)

2.9

Nationality

2.10 Are you a UK citizen?

Yes No

Yes No

2.10a

Do you hold a UK/EU Passport?

Yes No

Yes No

2.11 If ‘No’, do you have

indefinite leave to remain in the UK/

Yes No

Yes No

2.12 National Insurance number

2.13

Date of Birth

2.14 Are you related to a staff member?

Yes No

Yes No

2.14a

If ‘Yes’, please state relationship

2.15

Email Address

7

2.16

Telephone Number

Day

Day

Mobile

Mobile

Evening

Evening

2.17 Preferred Contact Method Post Post

(See item 20 in Section 14) Email Email

Telephone Telephone

2.18 Number of

dependents and their age(s)

No

Age(s)

No

Age(s)

2.19

Present Address

If at this address for less than 2 years please provide previous addresses in Section 15

Postcode

Postcode

2.20 How long have you lived at this address?

years months

years months

Should this address be used as your correspondence address? Yes No Yes No If ‘No’, please state the reason and correspondence address here:

2.21 Basis of Owned Outright Owned Outright occupation at your

present address Owned subject to mortgage Owned subject to mortgage Rented Rented With Parents/Relatives/Other With Parents/Relatives/Other

2.22 Lender’s / Landlord’s name

2.23 Lender’s / Landlord’s Address

Postcode

Postcode

2.24

Loan/Rent Account Number

2.25 Monthly Payment/Rent

£

£

8

2.26

Approximate Balance Outstanding (Mortgage only)

£

£

2.27

Sale Price/Value

£

£

2.28 Will this be paid off when you take out the mortgage?

Yes No

Yes No

2.29 If ‘No’ please give reason

2.30 CREDIT HISTORY Applicant 1 Applicant 2

Yes / No Yes / No

Have you ever owned a property which has been taken into possession by a lender, either as a result of a voluntary arrangement or Court Action?

Have you ever missed a payment, made a late payment or defaulted on any credit agreement?

Have you ever had a judgement for debt recorded against you (County Court Judgement)?

If Self-employed/controlling Director, has a judgement for debt been recorded against your company?

Have you ever been party to insolvency proceedings, bankruptcy or made a formal arrangement with your creditors? Or is there an outstanding bankruptcy petition against you?

Have you ever been involved in any court proceedings for debt or ever been convicted for theft, fraud, robbery or any other criminal offence (other than a motoring offence)?

Have you ever had a mortgage application declined/refused?

Please complete the details below for all defaults and County Court Judgements registered against you (the certificate of satisfaction should be attached, where applicable).

Applicant 1 (tick)

Applicant 2 (tick)

Amount Date Registered by whom Date satisfied (if applicable)

£

£

£

£

Please explain the reasons for the financial difficulties:

9

Section 3 – YOUR EMPLOYMENT DETAILS (If Self-Employed, please complete Section 4)

3.1

Occupation

3.2 Basis Employee Self Employed Employee Self Employed Retired Director Retired Director

If Director - please state % shareholding - please state % shareholding

3.3 Anticipated retirement age

Years

Years

Note: If this exceeds the State Retirement Age, you will be required to provide evidence of affordability into

retirement, ie. proof of pension, etc. If you have more than one employer please enter the information requested in Sections 3.1 – 3.20 in Section

15 – Additional Information. If self-employed please give full details in Section 4.

3.4

Employer’s name

3.5

Nature of Business

3.6 Employer’s Business Address

Postcode

Postcode

3.7 Wages/Salary department contact details if different from above.

3.8 Employee Payroll Number

3.9 How long have you been employed in that company?

Years Months

Years Months

3.10

Are you employed by a relative?

Yes No

Yes No

3.11

Is your employment

Full Time

Part time

Full Time

Part time

Permanent Temporary/

Zero Hours

Permanent Temporary/

Zero Hours

Fixed Contract

Sub Contract

Fixed Contract

Sub Contract

3.12

Contract length

%

%

10

3.13

Contract end date

Other

Please state Please state

3.14

Annual basic salary

£ Per annum

£ Per annum

3.15

Overtime

£ Per annum

£ Per annum

3.16

Commission

£ Per annum

£ Per annum

3.17

Shift Allowance

£ Per annum

£ Per annum

3.18

Other pay

£ Per annum

£ Per annum

Total Gross Income

£ Per annum

£ Per annum

3.19 Other income SOURCE: AMOUNT: SOURCE: AMOUNT:

eg. pension, rents, maintenance,

£ Per annum

£ Per annum

investments, etc

£ Per annum

£ Per annum

£ Per annum

£ Per annum

3.20 What is your NET monthly income

£ Per month

£ Per month

(your income after tax is deducted)?

Section 4 – YOUR SELF-EMPLOYED INCOME DETAILS 4.1 Basis Self Employed Self Employed Director Director

- Please state % shareholding - Please state % shareholding

4.2 Company name, address and contact details

Postcode

Postcode

4.3

Telephone Number

4.4

Nature of Business

4.5

On what basis do you trade?

(Sole trader, partnership, etc)

%

%

11

4.6 If limited company, please give details,

Ie. company number

4.7

Date business started

4.8 What is your share of the company’s net

£ Per annum

Year

ending

£ Per annum

Year

ending

taxable profit for the

last 2 tax/trading years

£ Per annum

Year

ending

£ Per annum

Year

ending

4.9 If you receive a salary in addition to your share of the net taxable profit, how much do you get?

Gross per year (before tax)

£

Per annum

Gross per year (before tax)

£

Per annum

Net per month (after tax)

£

Per annum

Net per month (after tax)

£

Per annum

4.10 Other income SOURCE: AMOUNT: SOURCE: AMOUNT:

eg. pension, rents, maintenance,

£ Per annum

£ Per annum

Investments, etc

£ Per annum

£ Per annum

£ Per annum

£ Per annum

4.11 Company Accountant’s name, address and contact details

Postcode

Postcode

4.12 Company Accountant’s email

address

4.13

Telephone Number

4.14 What is your TOTAL NET

£ Per month

£ Per month

monthly income? (your income after tax is deducted)

4.15 Anticipated changes Might your income or expenditure change significantly in the near future?

Yes No

Do you anticipate moving or any other significant changes in the foreseeable future?

Yes No

Are you aware of any changes to your circumstances that are likely to impact on your ability to meet your monthly mortgage repayments?

Yes No

If ‘Yes’ to any of the above, please provide details:

12

Section 5 – FINANCIAL DETAILS

5.1 Please give details of all substantial expenditure: Please indicate if any of your outstanding credit commitments will be repaid on completion of your new mortgage.

Applicant 1 Applicant 2 Monthly payment Monthly payment

Personal Loans *

£

£

Credit Cards *

£

£

Hire Purchase *

£

£

Mortgage/Secured Loans *

£

£

Child Maintenance/CSA*

£

£

Bank overdraft

£

£

Total

£

£

* please give full details of all loans in the “Additional Loan Information” part of Section 15. Please give details of your other committed expenditure.

Applicant 1 Applicant 2

Monthly payment Monthly payment

Childcare/School Fees

£

£

Car Expenses- insurance, tax maintenance etc.

£

£

Life Cover/ Term Assurance/ Critical Illness Cover

£

£

Mortgage/Income Protection

£

£

Health Insurance

£

£

Total

£

£

5.2 Please give details of your total household living expenses:

Applicant 1 Applicant 2 BASIC ESSENTIAL EXPENDITURE Monthly payment Monthly payment

Food/Groceries/Housekeeping

£

£

Telephone/Mobile Phone

£

£

Council Tax

£

£

Gas

£

£

13

Electricity

£

£

Other Heating

£

£

Gas & Electricity (if paid together)

£

£

Gas/Electricity/Heating (if paid together)

£

£

Water Rates

£

£

Home Insurance

£

£

Leasehold Ground Rent & Service Charge

£

£

Essential Travel/Fuel Costs/Fares

£

£

Total

£

£

OTHER HOUSEHOLD EXPENDITURE

Personal goods/expenditure, ie. toiletries, tobacco, gym, etc

£

£

Recreation/Holiday

£

£

TV/Internet/Satellite/Cable

£

£

Clothing

£

£

Total

£

£

TOTAL EXPENDITURE

£

£

What is your monthly budget for mortgage

payments?

£

£

FOR OFFICE USE ONLY: Confirmation of affordability

TOTAL NET DISPOSABLE INCOME AVAILABLE

£

£

(income less outgoings)

5.3 Please give details of savings / stocks / shares held

Savings

£

£

Shares/Stocks

£

£

Bonds

£

£

14

Section 6 – PROPERTY DETAILS

6.1

Type of property

House Flat/Maisonette Bungalow

6.2 Description of property Detached Semi-detached Mid Terraced End Terraced

6.3

Does the property have a garage?

Yes No

6.4 If the property has allocated parking, is it off-site or on-site?

Off-site On-site

6.5 Is the property next to or above retail/business premises?

Yes No

If ‘Yes’, we may not be able to proceed with your application – please give details and refer to us or your Adviser Position of premises in relation to your property:

Type of premises

Property Details (all property types)

6.6 What is the tenure of the property?

Leasehold Freehold

If leasehold, please give details Remaining term Ground rent per year Annual maintenance charge

6.7 Please give details of the accommodation. Please note that ensuites without a bath and shower rooms don’t count as bathrooms. Outbuildings are buildings like detached workshops, stables and barns.

Number of Number of Number of Living rooms bedrooms kitchens Number of Number of Number of bathrooms separate toilets outbuildings

Other

6.8

Construction type of the walls

Stone Brick Timberframe

If ‘other’, we may not be able to proceed with your application – please give details and refer to us or your adviser.

Other

6.9 What is the roof made of? If ‘other’ please specify.

Slate or tile Other

6.10 What type of roof does the property have? If ‘other’ please specify

Flat Pitched

Other

£

£

15

6.11 Full address of the property to be mortgaged

Postcode

6.12 When was the property built? If you don’t know the exact year, please give the approximate year that it was built.

6.13 Is the property wholly for your own and your dependents’ private residential purposes?

Yes No If ‘No’ please give details below:

6.14

Will this property be your main residence?

Yes No If ‘No’ please give details below:

6.15 Will at least 40% of the property be used for your own residential use?

Yes No If ‘No’ please give details below:

If ‘No’, please indicate what percentage will be used for residential use and tell us what other purpose the property is used, eg. let to tenants, let to family, part business/part private

6.16 If this is a new build property, are you getting any discounts or incentives as part of the package?

Yes No If ‘No’ please give details below:

If ‘Yes’, please give details:

6.17 Please give the name and address of the builders who built, or are building the property

6.18

Which of the following certificates will be provided?

National House Building Council Zurich Municipal Agreement Housing Association Municipal Property Local Authority Building Control Warranty Building Life Plans Premier Guarantee New Home Warranty Scheme Professional Consultant

16

If ‘Professional Consultant’, please give details of the chartered architect or chartered surveyor who supervised, or are supervising the build

6.19 Are instalments required during the building works?

Yes No

6.20 Is this a former or current Local Housing Authority or Housing Association property?

Yes No

Questions 6.21 – 6.23 are only applicable to flats and maisonettes

6.21 If the flat/maisonette is in a block, please give details

Number of Number of On what Flats in block storeys in block floor is the flat

Please Note: The Society only lends on properties where there is a maximum of 6 storeys in the block.

6.22

Is the property

Converted Purpose built Studio

(If the property is a studio, we may not be able to proceed with your application – please refer to us or your Adviser)

Maisonette

6.23

Does the property have a lift?

Yes No

Section 7 – FAMILY, DEPENDANTS AND OTHER PEOPLE WHO LIVE WITH YOU 7.1 Household Type

Number of Adults

Number of Children

7.2 Excluding the applicant(s), please give details of all people aged 17 or over who will, or may occupy the

property. If no one state NONE

Full Name Date of Birth Relationship

Section 8 – LOAN DETAILS Please complete:

Please tick Section 8a if you are purchasing a property, or Section 8b if you are remortgaging from another lender or capital raising, or Section 8c if you are an existing borrower applying for Further Lending (and not moving home)

17

Section 8a – House Purchase Only

8a.1

Purchase price

£

8a.2

Deposit

£

8a.3

LOAN REQUIRED

£

8a.4 Source of deposit (The Society may ask for proof)

8a.5 Please indicate if any of the following discounts/incentives apply (please tick)

Sale at undervalue, ie. family discount Shared ownership Part exchange/Builder’s incentive Right to buy

Other (please explain)

8a.6

Total incentive

£

8a.7 Do you envisage carrying out any improvements to the property?

Yes No

(If ‘Yes’, please give details of the improvements and how they will be funded)

8a.8

REPAYMENT BASIS

MORTGAGE SCHEME REQUIRED

Amount of loan on

CAPITAL & INTEREST

Amount of loan INTEREST

ONLY

TOTAL MORTGAGE REPAYMENT

TERM Years

£

£

£

£

£

£

8a.9 Product fee (if applicable to the product terms)

£

8a.10 If the product fee is to be added to the mortgage loan, has this been agreed by the applicants?

Yes No

Applicant 1 Applicant 2

8a.11 Does the mortgage term exceed the state retirement age?

Yes No

Yes No

8a.12 If ‘Yes’, please provide details of how you intend to keep up your mortgage payments in retirement, eg. retirement income details. Please note: you will be required to provide evidence.

8a.13 If you have selected any element of the loan on INTEREST ONLY, please give details of how you intend to repay the capital and state why interest only is required. Please note: you will be required to provide evidence.

18

8a.14 Do you have sufficient life assurance to cover the total mortgage?

Yes No

If NO, we would strongly recommend that you review your protection

Section 8b – Remortgage Only 8b.1 Are there any other loans (except your

current mortgage) presently secured against this property?

Yes No

8b.2 If ‘Yes’, please give details:

Date started Amount of secured loan

Purpose of loan Provider Account number

£

£

£

8b.3

Original purchase price

£

8b.3 Estimated current property value

£

8b.4

Date of purchase

8b.4 Outstanding mortgage balance

£

8b.5

LOAN REQUIRED

£

8b.6

REPAYMENT BASIS

MORTGAGE SCHEME REQUIRED

Amount of loan on

CAPITAL & INTEREST

Amount of loan INTEREST

ONLY

TOTAL MORTGAGE REPAYMENT

TERM Years

£

£

£

£

£

£

8b.7 Reason for additional borrowing

If debt consolidating, complete details overleaf

19

If you are repaying any existing loans or credit cards, ie. combining them with your mortgage, please provide the following information:

Original reason/purpose for the loan/credit card, etc

Balance Provider Account number To be repaid in

full

Yes / No

£

£

£

£

Please note: Where debts are being repaid the Society reserves the right to make payments direct to the Provider.

Applicant 1 Applicant 2

8b.8 Does the mortgage term exceed the state retirement age?

Yes No

Yes No

8b.9 If ‘Yes’, please provide details of how you intend to keep up your mortgage payments in retirement, eg. retirement income details. Please note: you will be required to provide evidence.

8b.10 If you have selected any element of the loan on INTEREST ONLY, please give details of how you intend to repay the capital and state why interest only is required. Please note: you will be required to provide evidence.

8b.11 Do you have sufficient life assurance to cover the total mortgage?

Yes No

If NO, we would strongly recommend that you review your protection

Section 8c – Further Advances Only 8c.1 Are there any other loans (except your

current mortgage) presently secured against this property?

Yes No

8c.2 If ‘Yes’, please give details

Date started Amount of secured loan

Purpose of loan Provider Account number

£

£

£

20

8c.3

State purpose for additional funds

CAPITAL & INTEREST INTEREST ONLY TOTAL MORTGAGE REPAYMENT

TERM Years

£

£

£

(If the loan is required for home improvement purposes the Society may request written estimates. If structural alterations are to be made to the property, plans and evidence of relevant Local Authority approvals must be submitted and the Society’s consent obtained before work commences. The Society may require that all of the work should be completed before the funds are released.)

8c.4 Product fee (if applicable to the product terms)

£

8c.5 If the product fee is to be added to the mortgage loan, has this been agreed by the applicant(s)

Yes No

8c.6 Other changes to the existing loan? eg. change of term, repayment type, etc

DEBT CONSOLIDATION

8c.7 If you are repaying any existing loans or credit cards, ie. combining them with your mortgage, please provide the following information.:

Original reason/purpose for the loan/credit card, etc

Balance Provider Account number To be repaid in

full

Yes / No

£

£

£

£

Please note: Where debts are being repaid the Society reserves the right to make payments direct to the Provider.

Applicant 1 Applicant 2

8c.8 Does the mortgage term exceed the state retirement age?

Yes No

Yes No

8c.9 If ‘Yes’, please provide details of how you intend to keep up your mortgage payments in retirement, eg. retirement income details. Please note: you will be required to provide evidence.

8c.10 If you have selected any element of the loan on INTEREST ONLY, please give details of how you intend to repay the capital and state why interest only is required. Please note: you will be required to provide evidence.

21

8c.11 Do you have sufficient life assurance to cover the total mortgage?

Yes No

If NO, we would strongly recommend that you review your protection

The funds can be electronically transferred to your bank account or to a third party’s account as applicable. If funds are released electronically in more than one instalment a fee may apply. Alternatively, they can be forwarded by cheque.

8c.12

Name of account holder(s)

8c.13

Bank/Building Society Account Number

8c.14

Sort code of branch

8c.15 Bank address

Postcode

Section 9 – SOLICITOR / CONVEYANCER It is the Society’s policy to allow Solicitors or Licenced Conveyancers to act for both the Society and the

borrower(s) only if the practice has three or more partners and they can satisfy the Society that they have suitable Professional Indemnity cover, not under the assigned risk pool. If you choose a Solicitor who is not acceptable to the Society, then you may continue to use that chosen Solicitor, although in addition the Society would instruct its Solicitor and you would be liable for their fee.

Name, Address & Telephone Number of your Solicitor/Licensed Conveyancer

Please note that we reserve the right to use our own Solicitor/Licensed Conveyancer.

Postcode

Email Address

Contact Name

Telephone Number

Section 10 – VALUATION AND INSPECTION The Society is legally obliged to obtain a Valuation Report to determine the value of your house for mortgage

purposes. Since the Valuer’s inspection will be limited you are strongly advised, for your own protection, to obtain a fuller inspection and report. Details are provided in the Society’s “A Guide to Mortgage Services” booklet. If you wish to obtain a fuller report, please indicate below the type required. All applicants must pay the appropriate fee for the Society’s Valuation Report for mortgage purposes.

Valuation & Report for Homebuyers Report & Building Survey & Mortgage purposes Mortgage Valuation Mortgage Valuation

22

10.1

Name, address and telephone number of Estate Agents selling the property, or of the Seller if a private sale

Postcode

Tel Number

Mobile Number

10.2 Who should the Valuer contact to gain access to the property?

Tel Number

Mobile Number

FEE PAYMENT – if applicable – please refer to KFI

Valuation Fee

£

Application Fee

£

Product Fee

£

Total Fees

£

PAYMENT METHOD You can either pay by cheque or bank transfer. Please state your preference below: CHEQUE

I enclose a cheque for

£

OR BANK TRANSFER If you would like to pay your fee(s) by bank transfer please contact the Society for details of how to do this.

23

Section 11 – HOME INSURANCE We require that your property is insured for the full reinstatement value, on or before completion of your mortgage. Protecting your property and its contents is an important decision and we feel that you should be able to select the level of cover to meet your own requirements. Penrith Building Society is appointed as an introducer of general insurance business to Mortgage Advice Bureau Ltd (MAB) Penrith Building Society and Mortgage Advice Bureau Ltd (MAB) are authorised and regulated by the Financial Conduct Authority. In accordance with the Introducer’s Data Protection Licence, Penrith Building Society undertakes to pass Mortgage Advice Bureau Ltd (MAB) your details to enable contact to be made. Your general Insurance needs will be discussed and assessed appropriately and where applicable quotations and all necessary insurance arrangements will be provided. If you wish to be referred please tick the box and confirm the best contact details to enable Mortgage Advice Bureau Ltd (MAB) to make contact at a convenient time to you. As a condition of the loan we require that you insure the property for at least the full rebuilding cost using an index-linked policy. For peace of mind we recommend that you combine your Buildings and Contents insurance. We will require details of your Insurance Provider and a copy of your current insurance schedule. Please tick to confirm this has been supplied. PLEASE NOTE THAT THE INSURANCE MUST BE ACCEPTABLE TO PENRITH BUILDING SOCIETY

Insurance Provider

Amount of Cover

£

Monthly Premium

£

Insurance Commences

Renewal Date

Policy Number

24

INSURANCE DECLARATION I/we understand and agree to: 1) Accept sole responsibility for the choice of insurer, the sum insured, the extent of cover and the financial

consequences of any terms, conditions or excesses imposed. 2) Ensure the sum insured is not less than the rebuilding figure given in the valuation report and is index-linked annually. 3) Ensure that the cover provided by the policy includes financial protection against loss or damage to the property for

all major insurable perils, including but not restricted to: Fire, Flood, Storm, Theft, Escape of Water, Malicious Damage, Subsidence, Landslip and Heave and Legal Liability.

4) The interest of Penrith Building Society is noted on the policy and a copy of the policy schedule confirming this is forwarded for the Society’s records.

If you change insurance company within the term of the mortgage a copy of the new policy schedule should be provided to the Society.

5) Undertake to pay all premiums as they fall due to maintain the policy cover for the life of the mortgage. 6) The Society accepts no responsibility for any loss suffered by me/us in connection with the insurance of the property,

however caused. Applicant 1 Applicant 2 Signature(s)

Date Date

Section 12 – PROTECTING YOUR MORTGAGE PAYMENTS The Society suggests you give consideration to protecting your mortgage payments. There are providers of Payment Protection Insurance and products designed to protect you against loss of income. For impartial information about insurance, please visit the website at www.moneyadviceservice.org.uk

Section 13 – IDENTIFICATION VERIFICATION Your identity will need to be verified. For a list of acceptable documentation, please see “A Guide to Mortgage Services” booklet for additional information. Non ‘Face to Face’ Applications If you are applying for a mortgage without meeting one of our staff in person, then an additional name or address identification document is needed for each applicant. Please see “A Guide to Mortgage Services” booklet for additional information. Please note: Original documents (not certified copies) may be requested. IMPORTANT NOTICE We recommend that if you are sending items through the post, please enclose them securely and send them to us by “SIGNED FOR” or “SPECIAL DELIVERY” post.

25

Section 14 – DECLARATION (PLEASE READ CAREFULLY & SIGN) 1. I/We agree to become bound and abide by the

Rules of the Society.

2. I/We declare that I am/we are aged 18 or over and that in applying for this loan on the property described in this application, I/we declare that all the information provided herein is, to the best of my/our knowledge, accurate and complete and, that it will form the basis of any Offer of Advance by the Society and any Insurance made by the Society's Insurer's.

3. If I/we give you false or inaccurate information and you suspect fraud, you will record this. You may pass information to the police and authorities involved in fraud prevention to protect yourselves and your customers from theft and fraud. You may decide to decline my/our application.

4. I/We undertake to notify the Society of any changes in my/our circumstances, eg. redundancy, change of employment, relationship breakdown, serious illness or injury, etc, which arise following the completion of this form.

5. It has been recommended that I/we obtain a fuller inspection and report on the proposed property and not to rely solely on the Society's Valuation Report, when deciding whether or not to proceed. If I/we have chosen the Valuer's report, I/we understand that it is only for the use of the Society to enable it to decide whether the property is a suitable security for any advance made and does not imply that the price paid is reasonable. I/We also understand that the Valuer's report is not a detailed survey and cannot be relied upon to reveal any faults or defects to the property nor that the property is constructed of sound materials. I/We understand that no responsibility is accepted by the Society or its Valuer for any omissions, conclusions, or the accuracy or validity of any statements or opinions made or implied in the valuation report. I/We understand that the Valuer's report is not a structural survey and that if a structural survey is required it must be obtained independently at my/our expense.

6. If applicable, I/we may have to show where the money for the deposit on the property I/we am/are buying came from.

7. I/We understand that the first named applicant shall be the representative joint borrower entitled to exercise the rights of membership.

8. I/We understand that the Society will keep any commission, fees or allowances which, become due to it from Insurers.

9. Not applicable to further advances – I/We confirm that the deposit towards the purchase price, stamp duty, legal and other fees and charges will be provided by me/us without recourse to additional borrowing unless already known to and agreed in writing with the Society beforehand.

10. I/We authorise the Society to supply a copy of the Offer of Advance and to provide any other

information about my/our application and any subsequent loan advanced by the Society to an insurer, where any general, life or pension policy forms part of the loan agreement or any intermediary who submits this application on my/our behalf if so requested by them.

11. I/We authorise my/our Solicitor to disclose to the Society all information relevant to the Society’s decision to lend and I/we waive any right to claim Solicitor/Client confidentiality or legal privilege in respect of such information.

12. I/We understand that you may disclose information about me/us, my/our application and any subsequent loan to your external auditors and regulatory bodies including the Prudential Regulation Authority, Financial Conduct Authority, Financial Ombudsman Service, agents and service providers.

13. I/We give permission to the Society to discuss with HMRC, information which I/we have supplied in relation to my current tax reference, national insurance number and employment details together with earnings from the previous tax year

14. The Society does not warrant by the making of an advance that the price agreed to be paid for the property is reasonable.

15. Penrith Building Society is committed to protecting and respecting your privacy and will treat all your personal information as private and confidential (even when you are no longer a borrower).

Your Rights For the purposes of General Data Protection Regulation, the Society is the Data Controller responsible for the processing of your personal data. You have the right to request in writing a copy of the details held about you and where necessary the right to object to certain processing, the right to correct, sometimes delete and restrict the personal data the Society uses. In addition, you have the right to complain to the Society and the Information Commissioners Office, which enforces data protection laws, at https://ico.org.uk.

As a result of the General Data Protection Regulation, we have published a Privacy Notice to make it easier for you to find out how we use and protect your information.

A copy of the Privacy Notice will be provided to you on completion of your mortgage, however you can also view this on the Society’s website www.penrithbs.co.uk or a copy can be picked up in Branch.

Where you have provided your consent to the Society, such as to receive marketing materials, you have the right to withdraw it at any time. You can do this by calling into the Branch, phoning us on 01768 863675 or writing to us at 7 King Street, Penrith, Cumbria, CA11 7AR.

26

How we use your data a) The Society will only retain your personal

data only for as long as necessary to administer your account in line with regulatory and legal requirements.

b) The Society processes your personal information to enable it to provide a service for its members and customers which may include managing your accounts, maintaining its own accounts and records, supporting staff training and development, promoting its services; undertaking market research and the provision of financial services and advice.

c) If false and inaccurate information is provided and fraud is identified, your details will be passed to fraud prevention agencies.

d) The Society requires a lawful reason to process your personal data and for some processing more than one legal basis may be relevant (except where the Society relies on Consent). The Society uses the following reasons to process your personal data: Consent, Performance of a Contract, Legal Obligation and Legitimate Interests.

Nothing about your accounts nor your name and address will be disclosed to anyone, including any organisation of which the Society is an agent, other than in certain exceptional cases permitted by law. These are:

• Where the Society is legally compelled to do so;

This will not be used as a reason for disclosing information about you or your accounts (including your name and address) to anyone else including other organisations of which the Society is an agent for marketing purposes;

• Where there is a duty to the public to disclose;

• Where disclosure is made at your request or with your consent.

Information which you provide to the Society or which is obtained by the Society through dealings with you may be held on the Society’s computers and in other ways and used to administer your account, for statistical analysis, for debt collection and fraud prevention and to bring to your attention (by mail, telephone, email or otherwise) products or services of the Society or other selected suppliers which may be of interest to you.

Where the Society requires, or is requested by you to provide, buildings, contents, creditor (income protection), or other insurance cover information which you provide to the Society may be passed to the relevant Insurer. Such information may be used for the assessment of insurance risk, administration of your account,

claims processing, debt collection and the prevention of fraud.

The Society may search the files of one or more Credit Reference Agencies when assessing your application. We obtain personal information from other third-party sources such as Fraud Prevention Agencies, Credit Referencing Agencies or other organisations to assist in prevention and detection of crime. Whether or not the application proceeds, a record of such a search will be recorded against your file with the agency and other agency users may see that record. In the case of joint applications the searching of the Credit Reference Agency’s files will result in a financial connection between each of the applicants being established at the Credit Reference Agency. You may contact the Society to find out which agency has been used so that you can obtain a copy of the details that the agency holds about you.

Please contact the Society if you have any questions about the information we hold about you:

• Phone: 01768 863675

• Write to: Penrith Building Society, 7 King Street, Penrith, Cumbria, CA11 7AR

• Email: DPO@penrithbs.co.uk

You should advise the Society if at any time you become aware of any information held by the Society about you being inaccurate.

If the Society intends to take possession of your property, you will be advised that this information may be disclosed to credit reference agencies.

16. I/We consent to the Society using and disclosing the information contained in my/our application form and about my/our account in the following ways.

• Passing the report and valuation to any other firms of valuers or surveyors if any further inspection or re-valuation is required at any time;

• Using particulars in this application, any supporting documents or information, whether relating to the property or not, the mortgage and conduct of the mortgage account and any information or documentation involving me or the property (which may include sensitive information) for initial and ongoing credit assessment purposes and in connection with the taking out of the mortgage, operation and statistical analysis of my/our mortgage account and to the passing of this information to the Society’s agents and third party processors if this is necessary for any of these purposes. The Society is based in the UK, but sometimes your personal information may be transferred outside the UK, but within the European Economic Area (EEA). If it is processed

27

within the EEA then it is protected by European data protection standards. I/We further consent to the Society passing the same to any transferee, potential transferee, guarantor, potential guarantor of the mortgage and their legal or mortgage intermediary;

• Passing any details relating to the mortgage application up to and including completion of the loan to any mortgage intermediary who introduced my/our application to the Society.

• Information about the mortgage including the purpose of the loan, its amount, any sums secured, the interest rate, the term of the loan and the repayment details to any person or guarantor who is required to sign the Society’s standard Form of Consent or their legal advisers;

• Information on undisputed personal debts which are in default and where no satisfactory proposals for repayment have been received by the Society following formal demand, being passed to a credit reference agency;

• In the event of the property to be mortgaged being repossessed by the Society information being passed to a credit reference agency or similar body including any mortgage indemnity guarantee provider;

• Disclosure to regulatory bodies for the purpose of monitoring compliance with any regulatory rules and to the Financial Ombudsman Service for the purpose of complaints investigation;

• To make enquiries of authorised referees and licensed credit reference agencies who will supply the Society with credit information, as well as information from the Electoral Register; the agencies will record details of the search whether or not this application proceeds. The Society will use credit search methods to assess this application and to verify my/our identity. The Society may also make periodic searches of group records, credit reference agencies and fraud prevention agencies to manage my/our account and carry out ongoing credit risk assessment and statistical analysis of the performance of my/our account. These further searches will not be seen or used by other lenders to assess my/our ability to obtain credit. Credit searches and other information which is provided to the Society and/or the credit reference agencies, about me and those with whom I/we am linked financially may be used by the Society and other companies if credit decisions are made about me/us, or other members of my/our household. This information may also be used for debt tracing and the prevention of money

laundering as well as the management of my/our account;

• Using my/our information to help develop and improve the products and services offered to me and other customers;

• To prevent or detect fraud or to assist in verifying my/our identity, the Society may make searches of fraud prevention agencies who will supply information. The Society may also pass information to financial and other organisations involved in fraud prevention to protect it and its customers from theft and fraud. The Society and other companies may use this information if decisions are made about me or others at my/our address(es) on credit or credit-related services or motor, household, credit, life or any other insurance facilities. It may also be used for tracing and claims assessment;

• If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies to prevent fraud and money laundering;

• Further details explaining how the information held by fraud prevention agencies may be used can be obtained by writing to the Head of Mortgages, Penrith Building Society, 7 King Street, Penrith, Cumbria, CA11 7AR;

• Passing relevant information to insurers in connection with any application for household or income protection insurance;

• We may contact HM Revenue and Customs, Department for Work and Pensions, any lender, landlord, employer or professional adviser named on this form to obtain information to enable us to confirm any income received and payments made.

17. I/We undertake to pay any valuation fees incurred in providing the Society with a valuation of the property whether or not the loan applied for is granted.

The Society may refuse to grant a loan for any of the following reasons: the condition of the property / the property not providing adequate security for the advance / the applicant not fitting the Society’s lending criteria / subsequent enquiries revealing that details given by the applicant are materially incorrect or misleading / the loan not being taken up within the stated period of the offer / a material change in the circumstances of the applicant which could adversely affect their ability to repay the loan.

18. I/We authorise the Penrith Building Society to make reference to any party, including credit reference agencies, that the Society deems necessary in support of the application, and

28

19. I/We authorise any party approached by the Society for such reference, to furnish any information so requested.

20. I/We understand that the Society will endeavour to communicate with me/us through our preferred

communication method, however, there may be instances, where the Society is obliged to contact me/us in an alternate manner.

I/We confirm there have/have not* been any changes in our circumstances since the mortgage advice was given. (If there have been any changes you must notify the Society as this may affect our recommendation.)

* Please delete as appropriate

All applicants to sign I/We agree to my/our information being used for marketing purposes, if this box is ticked – Applicant 1 Applicant 2

Preferred Marketing Method – Applicant 1 Post Email Telephone

Preferred Marketing Method – Applicant 2 Post Email Telephone

Applicant 1 Applicant 2 Signature(s) Print Name(s) in Full

Date Date

If a person other than the applicant(s) has completed this form, that person must sign the declaration below. I hereby certify that I have checked the details given on this form, and that they are true and correct to the best of my knowledge. Signature Print Name in Full

Date

29

Section 15 – ADDITIONAL INFORMATION

ADDITIONAL LOAN INFORMATION Use this space to give any additional details of any loans, mortgages or HP agreements you have. (Please use a separate sheet if necessary.)

Applicant Name Loan Company Balance outstanding

Monthly payment

Loan end date

Is the loan to be repaid from advance

£

£

£

£

£

£

£

£

£

£

£

£

Use this space to give any additional information requested in any of the questions and any information which you feel will help the Society in assessing your application. (If you require more space please attach any additional sheets to this application form.)

30

Signature(s) Applicant 1 Applicant 2

Date Date

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE.

31

32

Penrith Building Society

Head Office: 7 King Street, Penrith, Cumbria, CA11 7AR

Tel: 01768 863675 Fax: 01768 891275

www.penrithbuildingsociety.co.uk

Telephone calls may be monitored and/or recorded for security and training purposes.

Penrith Building Society is authorised by the Prudential Regulation Authority and regulated by the Financial

Conduct Authority and the Prudential Regulation Authority.

Financial Services Register Number: 164473 JAN 2019 V1.60

33

Instruction to your Bank or Building Society to pay by direct debit Please fill in the whole form including “official use” box using a ball point pen and send it to:

Originator’s Identification Number Name(s) of Account Holder(s) Bank/Building Society account number Branch Sort Code Branch Sort Code Instruction to your Bank or Building Society Name and full postal address of your Please pay Penrith Building Society Direct Debits from Bank or Building Society the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Penrith Building Society and if so, details will be passed electronically to my Bank/Building Society. Mortgage Reference Number

Banks and Building Societies may not accept Direct Debit Instructions for some types of account ......................................................................................................................................................................................................................

This guarantee should be detached and retained by the Payer

Penrith Building Society 7 King Street, Penrith, Cumbria, CA11 7AR

To: The Manager Bank/Building Society

Address

Postcode

- -

The Direct Debit Guarantee

• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

• If there are any changes to the amount, date or frequency of your Direct Debit Penrith Building Society will notify you 7 working days in advance of your account being debited or as otherwise agreed. If you request Penrith Building Society to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

• If an error is made in the payment of your Direct Debit by Penrith Building Society or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.

• If you receive a refund you are not entitled to, you must pay it back when Penrith Building Society asks you to.

• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

1 5 2

9 2 8

5

5

FOR PENRITH BUILDING SOCIETY OFFICIAL USE ONLY This is not part of the instruction to your Bank or Building Society

Please indicate your preferred date of payment:

Monthly 6th

Monthly 15th

Monthly 26th

Signature(s)

Date

AUG 2013 VERSION 1.10

34

35

REFERENCE AUTHORITY 1. I/We authorise the Penrith Building Society to make reference to any party, including credit reference agencies,

that the Society deems necessary in support of the application, and 2. I/We authorise any party approached by the Society for such reference, to furnish any information so requested. Applicant 1 Applicant 2 Signature(s) Name(s)

Date Date