Application Form Bedrooms Employed Employed Per Week Per Week Per Week If Flat,No

Application Form Introducer name Ref Contact in Y3S Amount required Term Y3S Loans is a trading name of b2b Loans & Mortgages Ltd. A company registered in £ months/years England no. 5752425. Registered office: Units 9-10, Neptune Court, Vanguard Way, Cardiff, CF24 5PJ. Authorised and regulated by the Financial Conduct Authority. All Purpose of loan loans are secured on property and are subject to credit and age status restrictions. Are you Married Single Divorced Widowed Separated Common Law First applicant’s full name(s) Date of birth Second applicant’s full name(s) Date of birth Current address Postcode Home tel How long at this address? No. of children under 18 Work tel (1st app) nd Your details Your Age(s) of children under 18 Work tel (2 app) Previous address Mobile (1st app) (if at current address nd less than three years) Mobile (2 app) Security address Email address First applicant, are you Self-employed Employed Occupation Employer’s name and address How long in job Second applicant, are you Self-employed Employed Occupation Employer’s name and address How long in job First applicants bank name/ Time bank account address held If self employed, accountant’s Accountant’s tel name and address Your income Your First applicant’s total gross £ Per week Per month Per year income before deductions Second applicant’s total gross £ Per week Per month Per year income before deductions Other income £ Per week Per month Per year Mortgage Approximate amount £ Total monthly £ Total arrears £ outstanding payments (if any) Second mortgage or other Approximate amount £ Total monthly £ Total arrears £ loan secured on property outstanding payments (if any) Mortgage lender’s name How long with Mortgage this lender A/C no. Highest arrears in last 12 mths When did they (if any) occur? If applicable, name/address A/C no. of second lender Your mortgage Your If ‘Yes’, how Have you ever had any Yes No County Court Judgements many? Previous mortgage lender Previous mortgage A/C No. Property type Bungalow Flat If flat, no. of rooms? Maisonette Terraced Semi Detached Shared ownership? Yes No Bedrooms Reception rooms Bathrooms Garage? Yes No Is it Freehold Leasehold If leasehold, no. of years left on the lease Construction Year built Purchase date Purchase price £ Estimated value now £ Major alterations since Did you purchase your property as an Yes No purchase/reason for recent ex-council house? Your property Your increase in value Please enclose a copy of the latest Property Valuation if possible If ‘No’ was property formally owned by Yes No the council? How much discount were If ‘yes’ what value did the council place you given? on the property at the time of purchase? Disclosure and use of your information First applicant’s signature Date I/We confirm the information given in this application is accurate and that you, or any lender to whom you Second applicant’s signature Date submit this application, may use and disclose my date as described in the I/we do not wish to receive correspondence from you offering Unless you tick the box, both we and any other broker or lender we refer this application to Data Protection Act. other products which you think may interest me/us. may write to you offering other products which we or they feel may be of interest to you. To: First Mortagee/Second Mortgagee/ Date Solicitor/Accountant/Other. Please First applicant’s signature take this as permission to disclose any information required by Y3S. Second applicant’s signature Date Y3S Loans, Units 9-10 Neptune Court, Call our team free Email Visit Vanguard Way, Cardiff CF24 5PJ. 0800 014 7797 [email protected] www.y3sloans.com MARRIED COUPLES/ALL PROPERTY OWNERS/BOTH APPLICANTS MUST SIGN THIS FORM IN BOTH PLACES. THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE. Y3S Loans is a trading name of b2b Loans & Mortgages Ltd. A company registered in England no. 5752425. Registered office: Units 9-10, Neptune Court, Vanguard Way, Cardiff, CF24 5PJ. Authorised and regulated by the Financial Conduct Authority. All loans are secured on property and are subject to credit and age status restrictions..

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