NSBS Broker Mortgage Application Form 2020 (F22B) V12.qxp A4 Form 31/03 .

Transcription

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 1Mortgage Application FormMortgage Application FormBroker Application

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 1Mortgage Application FormIMPORTANT You need to provide the correct information and/or documents in response to all questionsraised in this application form and these must be as complete as possible to enable us to assess yourability to afford the loan being requested. If we are unable to carry out an assessment of affordabilitybecause you choose not to provide the requested information or documents, we will not be able toprovide the loan. Please complete this application using BLOCK CAPITALS and tick boxes whereappropriate. If a question is not applicable, indicate this by writing N/A in the appropriate section.www.swansea-bs.co.ukImportantApplication checklist to be completed in ALL casesYou must provide the following documents along with this application form. We will have to return your application if any of the documentsrequested are missing. Tick each of the following boxes as you attach the necessary documentsChecklist(Introduced application supporting documentation need to be certified by the introducer)Salary or payslips for the past 3 months and your latest P60 (employed applicants only)3 years accounts and income tax returns (self-employed applicants only) - must be full returns and notabbreviatedLast 3 months continuous personal and, where relevant, business bank accounts statementsfor EACH applicant for ALL accounts whether held solely or jointlyLatest Annual Mortgage Statement including Buy-to-LetsLatest credit card statement(s) / store card statement(s) / Loan details & HP agreements covering the last 12months or original agreement if Loan / HP agreement has been in existence for less than 12 monthsSales particulars where property being purchasedPurpose of loan(Please tick)PurchaseRemortgageFurther AdvanceSelf Build/RenovationFirst Time BuyerBTLRate SwitchTransfer of EquityCapital Raise (no existing lenders)Intermediary use onlyIntermediary Full NameFirm AddressPostcodeAdviser’s Full NameTelephone NumberMobile NumberFax NumberEmail Address*Network FCS Number (if applicable)Intermediary Firm FCA Registration NumberService provided for MortgageAdvice and RecommendationYesNo* Please note the Society will use this email address to communicate with you in connection with the processing of this application.1

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 2Summary of mortgage requiredType of mortgageAmount of mortgageTerm of mortgageRepayment type: Product chosen:If terms have been discussed and agreed by the Society, please state with whom, the date and give details of the agreement:If an ESIS has been produced for you by Swansea Building Society please provide Reference Number:Have you charged the customer a fee for arranging this Mortgage?NoWhen is this payable?Before completionYes - if Yes, how much(must answer)On completionIf payable on completion, is it refundable if the loan does not proceed?After completionYesNoPlease detail the mortgage club / network you are submitting this application via (if applicable)Money Laundering - to be completed by a regulated UK IntermediaryWas the verification taken Face-to Face?YesNon Face-to-FaceID Taken / Type/Ref. number:Details of Individual(s)First ApplicantSecond Applicant/GuarantorNameNameCurrent AddressCurrent AddressPostcodeDate of BirthD D/M M/YPostcodeYYYD DDate of BirthM M/Y/YYYConfirmationI/we confirm that(a) the above information was obtained by me/us in relation to the customer.(b) the information I/we have obtained to verify the customer, (tick one only)meets the standard evidence set out within the guidance for the UK Financial Sector issued by JMLSG; orexceeds the standard evidence (written details of the further verification evidence taken are attached to this confirmation).SignedPositionNameDateD D/M M/YYYY/YYYYNote that this certificate must be signed by the person who has seen the original documentary evidence.Adviser Declaration:I confirm that I am acting on behalf of the applicants and have their permission to access their information.I confirm that to the best of my knowledge, the information contained in this application is true and accurate.Adviser’s Name (print)Adviser’s SignatureDateD D/M M2

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 3Personal DetailsFirst ApplicantSecond ApplicantAre you an existing customer (Y/N)Are you an existing customer (Y/N)If ‘Yes’ do you have a mortgage or savings with us? (Y/N)If ‘Yes’ do you have a mortgage or savings with us? (Y/N)Swansea Building Society Account Numbers:Swansea Building Society Account Numbers:Title (Mr/Mrs/Etc.)Title (Mr/Mrs/Etc.)Forename(s) in fullForename(s) in fullSurnameSurnamePrevious Name(s)(Last 3 years)Previous Name(s)(Last 3 years)Current AddressCurrent AddressPostcodeDate at current addressD D/M M/YPostcodeYOwnerCurrent residentialstatusYYDate at current addressD D/RentedM MYYOwnerOwned (subject to mortgage)With Parents/Relatives/Other (state)Previous Addressif less than 3 yearsCurrent residentialstatusYYRentedOwned (subject to mortgage)With Parents/Relatives/Other (state)Previous Addressif less than 3 yearsPostcodePostcodePrevious address fromD D/M M/YYYYPrevious address fromD D/M M/YYYYtoD D/M M/YYYYtoD D/M M/YYYYOwnerPrevious residentialstatusRentedOwnerOwned (subject to mortgage)With Parents/Relatives/Other (state)NI NumberDate of BirthPrevious residentialstatusRentedOwned (subject to mortgage)With Parents/Relatives/Other (state)NI NumberD D/M M/YYYYDate of BirthD D/M M/Home Phone ( Code)Home Phone ( Code)Work Phone ( Code)Work Phone ( Code)Mobile PhoneMobile Phoneemail Addressemail AddressNationalityNationalityAre you a UK citizen, do you hold a EU passport? (Y/N)Are you a UK citizen, do you hold a EU passport? (Y/N)Do you have indefinite leave to remain in the UK? (Y/N)Do you have indefinite leave to remain in the UK? (Y/N)Marital StatusMarital StatusRelationship to second applicantRelationship to first applicantHow ManyDependents?3/AgesHow ManyDependents?AgesYYYY

NSBS Direct Mortgage Application Form 2022 (F22) v26.qxp A4 Form 06/04/2022 2:33 pm Page 4First ApplicantSecond ApplicantPlease provide details of all bank / building society accountsPlease provide details of all bank / building society accountsBank NameSort CodeAccount No.Bank NameSort CodeAccount No.Bank NameSort CodeAccount No.Bank NameSort CodeAccount No.Bank NameSort CodeAccount No.Bank NameSort CodeAccount No.Should this address be used as your correspondence address? (Y/N) If ‘No’ please state why and alternative correspondence address here:Lender’s/Landlord’s NameLender’s/Landlord’s NameLender’s/Landlord’s AddressLender’s/Landlord’s AddressPostcodeD DDate at this address/M M/YPostcodeYYYLoan/Rent Account No.D DDate at this address/M M/YYYYLoan/Rent Account No.Monthly Payment/Rent Monthly Payment/Rent Approx. balanceoutstanding(Mortgage only) Approx. balanceoutstanding(Mortgage only) Sale Price / Value Sale Price / Value Will this be paid off when you take out the mortgage? (Y/N)Will this be paid off when you take out the mortgage? (Y/N)If ‘No’ please give reasonIf ‘No’ please give reasonIf you have been renting at a different address(s) in the last 3 years, please provide full details of your rental residential history over the last3 years prior to the above in the ‘Additional Information’ pages at the end of this application form.For BTL Applications use onlyFirst ApplicantSecond ApplicantAre you a first time landlord? (Y/N)Are you a first time landlord? (Y/N)Was the property inherited? (Y/N)Was the property inherited? (Y/N)Is this a ‘Let to Buy’ transaction? (Y/N)Is this a ‘Let to Buy’ transaction? (Y/N)Have you or a related person occupied, or will occupy the property? (Y/N)Have you or a related person occupied, or will occupy the property? (Y/N)Do you intend to let the property to a related person? (Y/N)Do you intend to let the property to a related person? (Y/N)CAUTION: If you have answered ‘Yes’ to any of these questions an affordability assessment will be requiredDo you own any other let properties? (Y/N)Do you own any other let properties? (Y/N)If you have other let properties please provide full details in the “Existing BTL Properties” section at pages 11-124

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 5Employment Details (if self-employed please complete next section)We require three years employment history please provide additional details on page 21 if applicableFirst ApplicantSecond loyedEmployeeBasisDirector - % shareholdingSelf-EmployedDirector - % shareholdingAnticipated Retirement Age?Anticipated Retirement Age?Note: If the requested loan exceeds the State Retirement Age, you will be requiredto provide evidence of affordability into retirement i.e. proof of pension etc.Note: If the requested loan exceeds the State Retirement Age, you will be requiredto provide evidence of affordability into retirement i.e. proof of pension etc.Employer NameEmployer NameJob DescriptionJob DescriptionStart DateD D/M MY/YYYStart DateD D/M MYYYIf in current role for less than 3 years, please detail separately previous rolesincluding start and end dates covering the last 3 years.If in current role for less than 3 years, please detail separately previous rolesincluding start and end dates covering the last 3 years.Nature of the BusinessNature of the BusinessEmployer’s AddressEmployer’s AddressPostcodePostcodeEmployer’s Payroll Department TelephoneEmployer’s Payroll Department TelephoneEmployer’s Payroll Department EmailEmployer’s Payroll Department EmailEmployee Payroll NumberEmployee Payroll NumberTax OfficeTax OfficeTime employed by this company?YrsAre you employed by a relative? (Y/N)Is your employmentMthsTime employed by this company?YrsAre you employed by a relative? (Y/N)PermanentTemporaryFixed ContractSub ContractIs your employmentOther (state)Employed Income (per annum)PermanentTemporaryFixed ContractSub ContractOther (state)Employed Income (per annum)Annual Basic Salary Annual Basic Salary Overtime Overtime Commission Commission Shift Allowance Shift Allowance Other Pay Other Pay Total Gross Income Total Gross Income Other income - e.g. pension, rents, maintenance etc. (per annum)Other income - e.g. pension, rents, maintenance etc. (per annum)SourceSourceNet Monthly Income (after tax)5Y/AmountAmount Net Monthly Income (after tax) Mths

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 6Self-employed Income DetailsFirst ApplicantBasisSecond ApplicantSelf-employedDirector - % shareholdingBasisSelf-employedDirector - % shareholdingAnticipated Retirement Age?Anticipated Retirement Age?Note: If the requested loan exceeds the State Retirement Age, you will be requiredto provide evidence of affordability into retirement i.e. proof of pension etc.Note: If the requested loan exceeds the State Retirement Age, you will be requiredto provide evidence of affordability into retirement i.e. proof of pension etc.Company NameCompany NameNature of the BusinessNature of the BusinessTelephoneTelephoneCompany AddressCompany AddressPostcodePostcodeOn what basis do you trade? Sole trader etc.On what basis do you trade? Sole trader etc.VAT No.VAT No.Date business startedCompany No.D D/M M/YYYYDate business startedCompany No.D D/M M/YYWhat is your share of the Company’s net taxable profit for the last3 tax/trading years:What is your share of the Company’s net taxable profit for the last3 tax/trading years: per annumYear ending per annumYear ending per annumYear ending per annumYear ending per annumYear ending per annumYear endingYIf you receive a salary in addition to your share of the net taxable profit,how much do you get:If you receive a salary in addition to your share of the net taxable profit,how much do you get:(a) Gross per year (before tax) (a) Gross per year (before tax) (b) net per month (after tax) (b) net per month (after tax) Other income - e.g. pension, rents, maintenance etc. (per annum)Other income - e.g. pension, rents, maintenance etc. (per annum)SourceSourceNet Monthly Income (after tax)AmountAmount Net Monthly Income (after tax)Accountant’s NameAccountant’s NameName of person dealingName of person dealingAccountant’s AddressAccountant’s AddressPostcodeY PostcodeAccountant’s TelephoneAccountant’s TelephoneAccountant’s EmailAccountant’s Email6

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 7Financial DetailsFirst ApplicantSecond hlyPaymentTo o berepaidPersonal Loans* Personal Loans* Credit Cards* Credit Cards* Bank Overdraft* Bank Overdraft* Hire Purchase* Hire Purchase* Mortgage /Secured Loans* Mortgage /Secured Loans* Child / maintenance/ CSA* Child / maintenance/ CSA* Student Loans Student Loans EndowmentPremiums EndowmentPremiums * Please give details of all loans in the Additional Details SectionHousehold Type* Please give details of all loans in the Additional Details SectionNumber of AdultsNumber of ChildrenPlease give details of your total household monthly living expenses relating to post mortgage completion.Gas / Heating Gas / Heating Electricity Electricity Water Rates Water Rates Council Tax Council Tax Home Insurance Home Insurance Telephone & Mobiles Telephone & Mobiles Leasehold Ground Rent & Service Charge Leasehold Ground Rent & Service Charge Essential Travel i.e. to work or school Essential Travel i.e. to work or school Food / Groceries Food / Groceries Household Purchases Household Purchases TV / Satellite / Internet TV / Satellite / Internet Total Household Total Household Other household expenditureOther household expenditureClothing Clothing Gym Gym Recreation Recreation Holidays Holidays Childcare / School Fees Childcare / School Fees Car - Insurance Car - Insurance Car - Maintenance Car - Maintenance Car - Fuel Car - Fuel Car - Tax Car - Tax Total Other Household Total Other Household Life Cover / Critical Illness Life Cover / Critical Illness Other insurances Other insurances Total insurances Total insurances Total Expenditure Total Expenditure Insurances7

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 8For office use only: Confirmation of affordabilityTotal Net Disposable Income Available(income less outgoings)Total Net Disposable Income Available(income less outgoings) Anticipated changesMight your income or expenditure change significantly in the near future? (Y/N)Do you anticipate moving or any other significant changes in the foreseeable future? (Y/N)Are you aware of any changes in your circumstances that are likely to impact on your ability to meet your monthly mortgage repayments? (Y/N)If ‘Yes’ to any of the above, please provide details:Credit HistoryApplicant 2/GuarantorApplicant 1Have you ever owned a property which has been taken into possession by a lender, whether as a result of a voluntary arrangementor Court Action? (Y/N)Have you ever missed a payment, made a late payment or defaulted on any credit agreement? (Y/N)Have you ever had a judgement for debt recorded against you (County Court Judgement)?Or, if Self-employed/controlling Director, against your company? (Y/N)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? (Y/N)Have you ever been involved in any court proceedings for debt or ever been convicted for theft, fraud, robbery or any other criminaloffence (other than a motoring offence)? (Y/N)Have you ever had a mortgage application denied/refused? (Y/N)Have you ever missed a payment on a credit arrangement / mortgage? (Y/N)Have you been party to any business interests and/or directorships where the business has failed and creditors have not been repaidin full? (Y/N)Have you taken a payment holiday on a mortgage or credit commitment? (Y/N)Please complete the details below for all defaults and County Court Judgements registered against you (the certificate of satisfactionshould be attached, where applicable)Applicant 1(tick)Applicant 2(tick)AmountRegisteredby whomDateDate satisfied (where applicable) DD/ M M / YYYYDD / M M /YYYY DD/ M M / YYYYDD / M M /YYYY DD/ M M / YYYYDD / M M /YYYY DD/ M M / YYYYDD / M M /YYYYPlease explain the reasons for the financial difficulties:Family, dependents and other people who live with you*NameDate of BirthRelationshipDD / M M /YYYYDD / M M /YYYYDD / M M /YYYYDD / M M /YYYY* Each person listed over the age of 17 will need to sign a Consent To Mortgage Form – if they are unable to, please speak to your adviser to discuss.8

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 9Existing Property Assets and LiabilitiesPlease complete for any existing properties owned including any investment propertiesProperty 1AddressIs this an investment property?Who owns this property?Mortgage lenderMortgage Account NumberInterest RateMortgage End DateOutstanding BalanceEstimated ValueIs this a Repayment orInterest Only Mortgage?Current Monthly PaymentMonthly Rent ReceivedIs this Mortgage to be repaid?Property 2AddressIs this an investment property?Who owns this property?Mortgage lenderMortgage Account NumberInterest RateMortgage End DateOutstanding BalanceEstimated ValueIs this a Repayment orInterest Only Mortgage?Current Monthly PaymentMonthly Rent ReceivedIs this Mortgage to be repaid?9

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 10Property 3AddressIs this an investment property?Who owns this property?Mortgage lenderMortgage Account NumberInterest RateMortgage End DateOutstanding BalanceEstimated ValueIs this a Repayment orInterest Only Mortgage?Current Monthly PaymentMonthly Rent ReceivedIs this Mortgage to be repaid?Property 4AddressIs this an investment property?Who owns this property?Mortgage lenderMortgage Account NumberInterest RateMortgage End DateOutstanding BalanceEstimated ValueIs this a Repayment orInterest Only Mortgage?Current Monthly PaymentMonthly Rent ReceivedIs this Mortgage to be repaid?If you own more than 4 properties, please provide details on page 20 “Additional Details”.10

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 11Existing BTL Properties(Please provide details) we require a copy of the latest mortgage statement for these properties along with a copy of the AST agreement.Property Type(e.g. 2 flats, bungalow)Property AddressTotals:11Date PurchasedOwnership Name(legal owner)Mortgage Provider

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 12ValueMortgageBalanceLTV%Repayment orInterest OnlyMortgage Cost(monthly)Rental Income(monthly)Rental IncomeCover %ASTTenancyAgreement(Y/N)Letting Agents(name of agents)Please provide details of additional properties in the additional information page if required.12

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 13Property to be MortgagedFull address of the propertyto be mortgaged (if known)Property TypePostcodeDetachedSemi-DetachedMid-TerraceDoes the property have agarage? (Y/N)End-TerraceHouseFlat/maisonetteBungalowCoach HouseIf the property has allocated parking is it on-siteor off site?Is the property next to or above retail/business premises? (Y/N)If ‘Yes’, we may not be able to proceed with your application - please give details and refer us to your adviser.Position of premises inrelation to your propertyType of premisesProperty details (all property types)LeaseholdWhat is the tenure of the property?Maintenance ChargeIf Leasehold what is the remaining term?What is the Ground Rent per annum?Frequency Ground Rent paidWhen is the Ground Rent reviewed?Maintenance & Service ChargesNumber of Living RoomsFreehold BedroomsKitchensBathroomsSeparate ToiletsOutbuildingsOtherMethod of Construction - if ‘Other’, we may not be able to proceedwith your application - please give details and refer to your AdviserStoneBrickTimberframeRoof Construction Type - if ‘Other’ please specifySlateTileOtherRoof Type - if ‘Other’ please specifyFlatPitchedOtherOtherWhat was the approximate year the property was built?Will the whole of the property be occupied by you solely as a private residence immediately following completion of the mortgage? (Y/N)If ‘No’ please give details in the additional information box on page 21Will part of the property be sublet, rented out or occupied by a lodger? (Y/N)If ‘Yes’ please give details and state the nature of relationship to the applicant using the additional information box on page 21Will at least 40% of the property be used for your ownresidential use? (Y/N)If ‘No’, please indicate what percentage of the property will be used for residential use and tellus for what other purpose the property is used e.g. let to tenants, let to family, partbusiness/part privateIf this is a new build property, are you getting anydiscounts or incentives as part of the package? (Y/N)If ‘Yes’ please give detailsPlease give the name of the builders who built, or arebuilding the propertyAre these builders registered with the NHBC or Buildzonescheme? (Y/N)If not NHBC or Buildzone,please state the scheme usedIf ‘No’ please give details of the chartered architect or charteredsurveyor who supervised, or are supervising the buildIs this a former or current Local Housing Authority or Housing Association property? (Y/N)To the best of your knowledge is Japanese Knotweed in the vicinity? (Y/N)Is the property subject to any agricultural restrictions? (Y/N) If ‘Yes” please supply full information on the additional information box on page 21Does the property have a private drainage facility? (Y/N)Type of systemDoes the property have a private water supply? (Y/N)SourceIs the source within the boundary of the property? (Y/N)If NO provide details.EPC – What is the current EPC rating for the property13Year of installation

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 14The following questions are only applicable to flats and maisonettesIf the flat/maisonette is in a block, please give detailsIs the property (If the property is a studio, we may not be able toproceed with your application – please refer to us or your Adviser)Number of flats in blockConvertedNumber of storeys in blockPurpose-builtOn what floor is the flatStudioMaisonetteIs there a lift to access the floor on which the flat/maisonette is situated? (Y/N)We do not lend on ex local authority flats or MaisonettesYour Financial SituationInitial Costs:Applicant 1Applicant 2 Stamp DutyLegal FeesMortgage ValuationMortgage Arrangement FeeTotalWhere is this being funded from?Deposit and Anti-Money Laundering RequestsWhat is the source of your deposit?SavingsFamily giftEquity from sale of propertyOtherPlease provide details including evidenceDetails of your Savings and InvestmentsISAStocks and SharesBank/Building SocietyOtherTotalDo you anticipate a change in the amount of Savings held (Y/N)What is the purpose of your savings?If ‘Other’ please provide detailsPension fund value: 14

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 15House Purchase OnlyHas your offer been accepted? (Y/N)Purchase price Deposit Loan Required Arrangement Fee Total Loan Is the arrangement fee to beadded to the loan? (Y/N)Term of mortgage requiredSale at undervalue i.e. Family discountPlease indicate if any of thefollowing incentives /discounts apply (tick)Total incentiveShared ownershipPart-exchange/Builder’s incentiveRight to BuyOther (please explain) Do you envisage carrying out any improvements to the property? (Y/N)If ‘Yes’ please give details of the improvements and how they will be funded:Amount of loan onCAPITAL & INTERESTAmount of loan onINTEREST ONLYTotal Product fee (if applicable to the product terms)Mortgage Repayment Term (Years) If term is longer than current mortgage confirm that the customer has been made aware of the implications of extending the term? (Y/N)Does the mortgage term exceed the state retirement age? (Y/N)If ‘Yes’, please provide details of how you intend to keep up your mortgagepayments in retirement e.g. retirement income details. Please note: you will berequired to provide evidence.If you have selected any element of the loan on INTEREST ONLY, please completepage 19.Do you have sufficient life assurance to cover the total mortgage? (Y/N)** If ‘No’ we would strongly recommend that you review your protectionConfirmation of deposit:How much is the depositneeded?15 Where is the depositcoming from?

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 16Re-mortgage OnlyAre there any other loans (except your current mortgage) presently secured against this property? (Y/N) If ‘Yes’ give details below:Date StartedAmount of secured loanDD/ M M / YYYY DD/ M M / YYYY DD / M M / YYYY Original purchase pricePurpose of loan Estimated current valueDDate of PurchaseLoan RequiredProviderD / M M / YYYY Is the arrangement fee to be added to the loan? (Y/N)Amount of loan on CAPITAL & INTERESTAmount of loan on INTEREST ONLYTotal Account number Outstanding mortgage balance Arrangement Fee Total Loan Mortgage Repayment Term (Years)Reason for additional borrowing (if debtconsolidating, complete details in next section)If term is longer than current mortgage confirm that the customer has been made aware of the implications of extending theterm? (Y/N)Does the mortgage term exceed the state retirement age? (Y/N)If ‘Yes’, please provide details of how you intend to keep up your mortgagepayments in retirement e.g. retirement income details. Please note: you will berequired to provide evidence.If you have selected any element of the loan on INTEREST ONLY, please completepage 19.Do you have sufficient life assurance to cover the total mortgage? (Y/N)** If ‘No’ we would strongly recommend that you review your protectionDebt ConsolidationIf you are repaying any existing loans or credit cards i.e. combining them with your mortgage, please provide the following informationOriginal reason /purpose for the loan/credit card etc.BalanceProviderAccount NumberTo be repaid infull (Y/N) Does the mortgage term exceed the state retirement age? (Y/N)If ‘Yes’, please provide details of how you intend to keep up your mortgagepayments in retirement e.g. retirement income details. Please note: you will berequired to provide evidence.If you have selected any element of the loan on INTEREST ONLY, please completepage 19.Do you have sufficient life assurance to cover the total mortgage? (Y/N)** If ‘No’ we would strongly recommend that you review your protection16

NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp A4 Form 31/03/2022 1:43 pm Page 17Further Advance OnlyAre there any other loans (except your current mortgage) presently secured against this property? (Y/N) If ‘Yes’ give details below:Date StartedAmount of secured loanDD/ M M / YYYY DD/ M M / YYYY DD / M M / YYYY Purpose of loanState purpose for additional fundsProviderAccount numberMortgage Repayment Term (Yrs)CAPITAL & INTERESTINTEREST ONLY Total Loan Required Is the arrangement fee to be added to the loan? (Y/N)Arrangement Fee Total Loan If term is longer than current mortgage confirm that the customer has been made aware of the implications of extending the term? (Y/N)Does the mortgage term exceed the state retirement age? (Y/N)If ‘Yes’, please provide details of how you intend to keep up your mortgagepayments in retirement e.g. retirement income details. Please note: you will berequired to provide evidence.If you have selected any element of the loan on INTEREST ONLY, please completepage 19.Do you have sufficient life assurance to cover the total mortgage? (Y/N)** If ‘No’ we would strongly recommend that you review your protectionIf the loan is required for home improvement purposes the Society may request written estimates. If structural alterations are to be made to the property, plansand evidence of relevant Local Authority approvals must be submitted and the Society's consent obtained before work commences. The Society may requirethat all of the work should be completed before the funds are released.Product Fee (if applicable to the product terms)If the product fee is to be added to the mortgageloan, has this been agreed by the applicant(s) Other changes to the existing loan? e.g change of term, repayment type etc.Debt ConsolidationIf you are repaying any existing loans or credit cards i.e. combining them with your mortgage, please provide the following informationOriginal reason /purpose for the loan/credit card etc.Balance Does the mortgage term exceed the state retirement age? (Y/N)If ‘Yes’, please provide details of how you intend to keep up your mortgagepayments in retirement e.g. retirement income details. Please note: you will berequired to provide evidence.If you have selected any element of the loan on INTEREST ONLY, please completepage 19.Do you have sufficient life assurance to cover the total mortgage? (Y/N)** If ‘No’ we would strongly recommend that you review your protection17ProviderAccount NumberTo be repaid infull (Y/N)

NSBS Direct Mortgage Application Form 2022 (F22) v26.qxp A4 Form 06/04/2022 2:33 pm Page 18Self Build/Renovation OnlyDo you own a plot/property? (Y/N)If owned is there a mortgage on the plot/property? (Y/N)If mortgaged what is the outstanding

Employment Details (if self-employed please complete next section) D D M M Y Y Y Y. Employee Self-Employed Director - % shareholding Permanent Temporary Fixed Contract Sub Contract Other (state) Other income - e.g. pension, rents, maintenance etc. (per annum) Source Amount Net Monthly Income (after tax) D D M M Y Y Y Y. NSBS Broker Mortgage Application Form 2020 (F22B) v12.qxp_A4 .