APPLICATION FORM

APPLICATION FORM
SUBMITTING INTERMEDIARY DETAILS
COMPANY NAME
CONTACT NAME
EMAIL ADDRESS
CONTACT NUMBER
IS A BROKER COMPLETION FEE BEING CHARGED?

YesNo
BROKER FEE AUTHORITY
INTERMEDIARY FIRM
BROKER FEE AMOUNT
BY CONFIRMING BELOW, YOU AUTHORISE 9Y CAPITAL LIMITED AND THEIR SOLICITORS TO MAKE A PAYMENT ON COMPLETION OF THE ABOVE AMOUNT, TO THE INTERMEDIARY LISTED ABOVE FOR THE SERVICES THEY HAVE PROVIDED TO YOU.

Confirmed
DATE

DayMonthYear
PRINT NAME
BORROWER DETAILS
IS THE BORROWER A LIMITED COMPANY OR INDIVIDUAL(S)?

Limited CompanyIndividual(s)
COMPANY NAME
COMPANY NUMBER
SIC CODE
IF NOT UK REGISTERED, COUNTRY OF INCORPORATION

FOR COMPLEX COMPANY STRUCTURES, PLEASE PROVIDE A COMPANY STRUCTURE CHART.

THE FOLLOWING SECTION: ‘APPLICANT / COMPANY GUARANTOR INFORMATION’ WILL NEED TO BE COMPLETED FOR ALL COMPANY DIRECTORS AND THOSE WITH A SHAREHOLDING OF 20% OR MORE IN THE COMPANY.
APPLICANT / COMPANY GUARANTOR INFORMATION

APPLICANT / GUARANTOR 1
NAME

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

DayMonthYear
CURRENT DATE

DayMonthYear
Date
CURRENT ADDRESS

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
APPLICANT 1 AGE
PREVIOUS ADDRESS

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
HAVE YOU LIVED AT THIS ADDRESS FOR LESS THAN 3 YEARS?

YesNo
PERMANENT RIGHT TO RESIDE IN THE UK?
CONTACT NUMBER
EMAIL ADDRESS
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
EMPLOYMENT DETAILS
NAME OF EMPLOYER
ANNUAL INCOME

APPLICANT / GUARANTOR 2
NAME

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

DayMonthYear
APPLICANT 2 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?

YesNo
PERMANENT RIGHT TO RESIDE IN THE UK?
CONTACT NUMBER
EMAIL ADDRESS
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
EMPLOYMENT DETAILS
NAME OF EMPLOYER
ANNUAL INCOME

APPLICANT / GUARANTOR 3
NAME

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

DayMonthYear
APPLICANT 3 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?

YesNo
PERMANENT RIGHT TO RESIDE IN THE UK?
CONTACT NUMBER
EMAIL ADDRESS
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
EMPLOYMENT DETAILS
NAME OF EMPLOYER
ANNUAL INCOME

APPLICANT / GUARANTOR 4
NAME

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

DayMonthYear
APPLICANT 4 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?

YesNo
PERMANENT RIGHT TO RESIDE IN THE UK?
CONTACT NUMBER
EMAIL ADDRESS
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
EMPLOYMENT DETAILS
NAME OF EMPLOYER
ANNUAL INCOME

END
LOAN DETAILS
PURCHASE OR REFINANCE?
LOAN AMOUNT REQUIRED
LOAN TERM REQUIRED
SERVICING METHOD
IF PART & PART, PLEASE CONFIRM RETAINED PERIOD
WHERE WILL INTEREST PAYMENTS BE MADE FROM?

PURCHASE
PURCHASE PRICE
IS THIS A BELOW MARKET VALUE TRANSACTION
DEPOSIT SOURCE (SELECT ALL THAT APPLY)

SavingsThird party investmentProperty refinance proceedsProperty sales proceedsOther
IF 'OTHER' WAS SELECTED, PLEASE CONFIRM SOURCE OF DEPOSIT

REFINANCE
PREVIOUS PURCHASE PRICE
DATE PURCHASED
CURRENT MORTGAGE BALANCE
PLEASE CONFIRM THE USE OF ANY LOAN PROCEEDS OVER & ABOVE THE CURRENT MORTGAGE BALANCE

END
HOW DO YOU INTEND TO REPAY THE LOAN?
PLEASE CONFIRM WHETHER THERE IS A SPECIFIC DATE YOU WOULD LIKE TO COMPLETE THE LOAN

DayMonthYear
SECURITY DETAILS
PROPERTY ADDRESS
ESTIMATED CURRENT MARKET VALUE
FIRST OR SECOND CHARGE
PROPERTY TYPE
TENURE
DESCRIPTION OF PROPERTY
(PLEASE LET US KNOW IF THERE ARE ANY OTHER FACTORS TO TAKE INTO CONSIDERATION, I.E. NON-STANDARD CONSTRUCTION, EX LOCAL AUTHORITY ETC.)
IS THE PROPERTY CURRENTLY LET?
PASSING RENT (PA)
INTENTIONS FOR THE PROPERTY / PLANNED WORKS DURING THE LOAN TERM
PLEASE PROVIDE NAME & CONTACT DETAILS FOR THE VALUER TO GAIN ACCESS
WOULD YOU LIKE TO ADD ADDITIONAL SECURITY?

YesNo
ADDITIONAL PROPERTY ADDRESS
ESTIMATED CURRENT MARKET VALUE
FIRST OR SECOND CHARGE
PROPERTY TYPE
TENURE
DESCRIPTION OF PROPERTY
(PLEASE LET US KNOW IF THERE ARE ANY OTHER FACTORS TO TAKE INTO CONSIDERATION, I.E. NON-STANDARD CONSTRUCTION, EX LOCAL AUTHORITY ETC.)

REFURBISHMENT OR DEVELOPMENT DETAILS
IS PLANNING PERMISSION IN PLACE FOR THE WORKS?
PLANNING REFERENCE NUMBER (IF AVAILABLE)
CURRENT GIA OF PROPERTY
PROPOSED GIA OF PROPERTY
BUILD COSTS (EXCLUDING CONTINGENCY)
CONTINGENCY
S106 / CIL
PROFESSIONAL FEES
GROSS DEVELOPMENT VALUE (GDV)
ESTIMATED POST WORKS RENTAL INCOME (PA)
CONTRACTOR DETAILS
ESTIMATED DURATION OF WORKS

APPLICANT / GUARANTOR 1
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.
Confirmed
FULL NAME
DATE

DayMonthYear

APPLICANT / GUARANTOR 2
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.
Confirmed
FULL NAME
DATE

DayMonthYear

APPLICANT / GUARANTOR 3
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.
Confirmed
FULL NAME
DATE

DayMonthYear

APPLICANT/ GUARANTOR 4
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.
Confirmed
FULL NAME
DATE

DayMonthYear

END
WOULD YOU LIKE TO SHARE THIS FORM?
WOULD YOU LIKE TO SHARE THIS FORM?*

Yes, I want to share this form with someone else before submitting it.No, the form is complete and I am ready to submit it.
ENTER NEXT APPLICANT’S EMAIL ADDRESS BELOW AND SUBMIT THE FORM FOR THEM TO RECEIVE A LINK TO EDIT THE FORM.
EMAIL ADDRESS OF THE NEXT APPLICANT TO COMPLETE FORM:
PLEASE NOTE THAT IF YOU SHARE THIS FORM WITH SOMEONE, ALL OF THE INFORMATION YOU HAVE COMPLETED WILL BE VISIBLE TO THEM, INCLUDING ANY PERSONAL INFORMATION.
MESSAGE FOR NEXT APPLICANT (OPTIONAL)

	NAME	SHAREHOLDING (%)	PG AVAILABLE	ROLE PERFORMED IN COMPANY
DIRECTOR 1
DIRECTOR 2
DIRECTOR 3
DIRECTOR 4

APPLICATION FORM

SUBMITTING INTERMEDIARY DETAILS

BROKER FEE AUTHORITY

BORROWER DETAILS

APPLICANT / COMPANY GUARANTOR INFORMATION

LOAN DETAILS

SECURITY DETAILS

SOLICITOR DETAILS

CREDIT HISTORY

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

ADDITIONAL SUPPORTING INFORMATION

PRIVACY NOTICE

MARKETING PREFERENCES

DECLARATIONS

WOULD YOU LIKE TO SHARE THIS FORM?