ADDITIONAL BORROWER / GUARANTOR FORM

APPLICANT / COMPANY GUARANTOR INFORMATION
APPLICANT / GUARANTOR
NAME

TitleFirst & Middle Name(s)Last Name
PREVIOUS NAME OR ALIAS
DATE OF BIRTH

DayMonthYear
CURRENT DATE

DayMonthYear
Date
APPLICANT 1 AGE
CURRENT ADDRESS

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
PREVIOUS ADDRESS

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
HAVE YOU LIVED AT THIS ADDRESS FOR LESS THAN 3 YEARS?
PERMANENT RIGHT TO RESIDE IN THE UK?
CONTACT NUMBER
EMAIL ADDRESS
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
EMPLOYMENT DETAILS
NAME OF EMPLOYER
ANNUAL INCOME
CREDIT HISTORY
HAS THE APPLICANT(S), BORROWING COMPANY, OR ANY OF THE DIRECTORS, SHAREHOLDERS OR GUARANTORS:
EVER BEEN REFUSED A MORTGAGE ON A PROPERTY?
MISSED A MORTGAGE OR SECURED LOAN PAYMENT WITHIN THE LAST 12 MONTHS?
EVER HAD A CCJ (COUNTRY COURT JUDGEMENT) OR ANY OTHER DEBT FORMALLY RECORDED AGAINST THEM?
EVER BEEN DECLARED BANKRUPT OR BEEN A DIRECTOR OR SHAREHOLDER OF A COMPANY PLACED INTO OR ADMINISTRATION?
EVER BEEN SUBJECT TO AN IVA (INDIVIDUAL VOLUNTARY ARRANGEMENT) OR CVA (COMPANY VOLUNTARY ARRANGEMENT)?
EVER FAILED TO KEEP UP PAYMENTS ON A MORTGAGE OR LOAN?
EVER BEEN CONVICTED OR CHARGED WITH AN OFFENCE OTHER THAN A DRIVING OFFENCE?
EVER HAD A PROPERTY REPOSSESSED?
EVER BEEN A DIRECTOR OR SHAREHOLDER OF A COMPANY IN WHICH A RECEIVER OR LIQUIDATOR HAS BEEN APPOINTED?
BEEN ASSOCIATED WITH A BUSINESS THAT HAS FAILED TO KEEP UP REPAYMENTS ON A MORTGAGE, CREDIT CARD OR OTHER FINANCIAL ARRANGEMENT, BEEN INSOLVENT OR HAD A COURT ORDER FOR DEBT REGISTERED AGAINST IT?
ADDITIONAL INFORMATION (IF THE ANSWER TO ANY THE ABOVE IS ‘YES’ PLEASE PROVIDE INFORMATION BELOW)
PRIVACY NOTICE
A COPY OF OUR PRIVACY NOTICE IS AVAILABLE TO REVIEW HERE
MARKETING PREFERENCES
We sometimes produce useful material about the property market along with changes to legislation and regulation. Please tick below if you would like to receive this information:
We would also like to keep in touch with you about our products and services which may be of interest. Please tick below if you would like to receive this information:
DECLARATIONS
APPLICANT / GUARANTOR
I declare that the replies to the questions in this application form and any supplementary form(s) are true and complete in every respect to the best of my knowledge and I understand that the lender has relied on the replies and that these may form the basis of any contract between me and the lender and its transferees and assignees.

I hereby acknowledge that I have reviewed and understood 9Y Capital Limited's Privacy Notice, which outlines how my personal data will be collected, processed, and used.

I consent to 9Y Capital Limited processing and using my personal data in accordance with the terms described in the Privacy Notice.

Please call us on 0203 839 5012 if you want to understand how your data will be used.

You have a legal right to receive a copy of the information we hold about you.
FULL NAME
DATE

DayMonthYear
Should be Empty:

APPLICANT / COMPANY GUARANTOR INFORMATION

APPLICANT / GUARANTOR

CREDIT HISTORY

HAS THE APPLICANT(S), BORROWING COMPANY, OR ANY OF THE DIRECTORS, SHAREHOLDERS OR GUARANTORS:

PRIVACY NOTICE

MARKETING PREFERENCES

DECLARATIONS

APPLICANT / GUARANTOR