Intermediary mortgage data capture form
Intermediary mortgage data capture form
Broker name FCA number
Username Contact number
Create new case
Application type New purchase
Property purpose Owner occupation
Remortgage Second property
Add case applicants
Applicant 1 Application type
First time buyer Borrower with other lender Forename
Existing TSB borrower Mortgage free
Surname
Date of birth (DD/MM/YYYY)
Buy to Let
Payment route
Applicant 2 Application type
First time buyer Borrower with other lender Forename
Surname
Date of birth (DD/MM/YYYY)
Existing TSB borrower Mortgage free
Loan requirements
Property Property location
England
Scotland
Has the applicant located the property they wish to buy? If yes:
Property type Converted flat / Maisonette Semi ? detached bungalow Self contained flat / Maisonette
Detached bungalow Semi ? detached house Self contained studio flat
Is the property a new build / newly converted or refurbished?
Will any of the applicants have legal ownership of any properties other than the security property?
Wales Yes
Detached house Terraced bungalow Yes Yes
No
Purpose built flat / Maisonette Terraced house No No
1
Loan requirements (continued)
Property ownership type
Standard
Purchase price ?
Shared Ownership
Purchase price of share ?
Full market value ?
Right to Buy
Discounted purchase price ?
Full market value ?
Equity Share Equity share scheme
Builders Equity Share Help to Buy ? Scotland Purchase price of share ?
Housing Association / Local Authority
Help to Buy ? Wales
Full market value ?
Help to Buy London Help to Buy
Term of equity share loan
Years
Discount / Concessionary Purchase Discounted purchase price ?
Months
Full market value ?
Buy to Let details
Letting type
Single occupancy ? single assured shorthold tenancy (England and Wales)
Do any of the applicants or their relatives intend to live in the property during the mortgage term?
Yes
No
Would any of the applicants be providing a portfolio form to support the application?
Yes
No
Single occupancy -- single short assured tenancy/private rented tenancy (Scotland)
Expected monthly rental income
? Expected tenancy length
Are all of the applicants first time landlords?
Yes
No
Do any of the applicants currently own any other let properties?
Yes
No
Have any of the applicants inherited or been gifted the property?
Yes
No
Has your client or a member of their family ever lived in the property since
Yes
No
they acquired it?
Loan Requirements Total loan amount ?
Interest only amount ?
Preferred loan term
Years
Months
Amount transferred from other lender ?
Not yet known
Repayment strategies
Acceptable repayment strategy options include:
Endowment
Investment bond
Sale of security property
Stocks and Shares ISA
Repayment strategy 1
Applicant 1
Repayment type
Monthly cost incurred with strategy ?
Pension
Sale of second property / Buy to let
UK FTSE listed securities and shares Unit trust or OEIC
Applicant 2
Interest only amount satisfied
?
Realisation date
2
Repayment strategies (continued)
Current Value
?
Provider
Additional information if "Sale of second property / Buy to let"
Estimated value of property
?
being sold
Repayment strategy 2 Applicant 1
Repayment type
Monthly cost incurred with strategy ?
Current Value
?
Provider
Additional information if "Sale of second property / Buy to let"
Estimated value of property being sold
Repayment strategy 3 Applicant 1
Repayment type
Monthly cost incurred with strategy ?
Current Value
?
Provider
Additional information if "Sale of second property / Buy to let"
Estimated value of property being sold
Deposit details
Source of deposit Builder Cashback or Incentive
Amount towards deposit ?
Equity
?
Gift
?
Housing association / RSL
?
Additional borrowing
Reason for additional borrowing Reason for additional borrowing Reason for additional borrowing
Reference
Estimated mortgage balance of
?
property being sold
Applicant 2
Interest only amount satisfied
?
Realisation date
Reference
Estimated mortgage balance of property being sold
Applicant 2
Interest only amount satisfied
?
Realisation date
Reference
Estimated mortgage balance of property being sold
Source of deposit Forces Help to Buy Savings Tenants incentive scheme
Amount towards deposit ? ? ?
Amount ? Amount ? Amount ?
3
Personal details
Applicant 1
Applicant 2
Title
Title
Mr
Mrs
Miss
Ms
Dr
Mx
Mr
Mrs
Miss
Ms
Dr
Mx
Reverend Forename - as shown on id
Reverend Forename - as shown on id
Middle name(s) - as shown on id (if applicable)
Middle name(s) - as shown on id (if applicable)
Surname - as shown on id
Surname - as shown on id
Gender
Male
Female
Gender
Male
Female
Existing TSB Bank plc customer
Yes
No
Existing TSB Bank plc customer
Yes
No
Nationality
Nationality
Date of birth (DD/MM/YYYY)
Date of birth (DD/MM/YYYY)
Marital Status Single
Widowed / Surviving Civil Partner
Separated
Cohabiting
Is the applicant retired?
Expected retirement age
Number of financially dependent children
Number of financially dependent adults Is the applicant a permanent UK resident?
Does this applicant have indefinite leave to remain in the UK?
Does this applicant have an acceptable Visa?
Has this applicant changed name in the last 3 years?
If yes
Title
Mr
Mrs
Miss
Reverend Forename
Married / Civil Partner
Divorced / Person whose Civil Partnership has been dissolved
Not disclosed
Marital Status Single
Widowed / Surviving Civil Partner
Separated
Cohabiting
Yes
No
Is the applicant retired?
Expected retirement age
Yes Yes Yes Yes
Ms
Number of financially dependent children
Number of financially dependent adults
No
Is the applicant a permanent UK resident?
No
Does this applicant have indefinite leave to remain in the UK?
No
Does this applicant have an acceptable Visa?
No
Has this applicant changed name in the last 3 years?
If yes
Title
Dr
Mx
Mr
Mrs
Miss
Reverend Forename
Married / Civil Partner
Divorced / Person whose Civil Partnership has been dissolved
Not disclosed
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Ms
Dr
Mx
Middle Name(s)
Middle Name(s)
Surname
Surname
4
Address history
We need to capture address history for last 3 years
We need to capture address history for last 3 years
When did you move in?
When did you move in?
Month
Year
Month
Year
Occupancy Owner occupier
Council tenant Current address
Private tenant
Living with friends or relatives
Occupancy
Renting from housing association
Owner occupier
Provided by employer
Council tenant
Current address
Private tenant
Living with friends or relatives
Renting from housing association
Provided by employer
Address type UK
UK address
BFPO
Overseas
Address type UK
UK address
BFPO
Overseas
Flat
Flat
Building name Building number Street District
Building name Building number Street District
Town County BFPO address Service number Rank Care of Surname Unit or Regiment Operation name BFPO number Overseas address
Postcode
Town County BFPO address Service number Rank Care of Surname Unit or Regiment Operation name BFPO number Overseas address
Postcode
Postcode
5
Postcode
................
................
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