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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