Initial Expression of Interest Form

Your Details

Address

Enquiry Details

Address of Property to be Renovated

Postcode

Name of First Applicant

Name of Second Applicant (if applicable)

Applicants Address (if different to property above)

Applicants Postcode(if different to property above)

Email Address

Telephone Number(s)

Amount you would wish to borrow (up to maximum of £25,000)

Please tick the boxes and sign below to confirm your agreement to the following:

My title to this property is registered at HM Land Registry and I provide consent for this to be verified by Flintshire County Council

I Agree

The property is / is not held in Trust

Yes it is held in Trust No it isn't held in Trust

I accept there is an administration fee of up to £500 incurred with the loan

I Agree

Works will be completed within 12 months of the loan approval

I Agree

I claim a Means Tested Benefit – If so, state which benefit

I Agree

I will provide details of my income and expenditure for application purposes

I Agree

I have finance arranged for any additional expenditure required to renovate the property

I Agree

I have provided consent for my mortage provider to be contacted

I Agree

I intend to do the following with the property

Occupy Rent Sell

Two original documents must be provided. One from List A and one from List B.

List A - Passport, Driving Licence

Attachments

Drop your files here

Drop files here, paste, or import from

20Mb Limit per file. Max of 10 files. Most image, video, audio, and text formats are accepted.

List B - Council Tax Bill, Current Utility Bill (not less than 3 months), Current Bank Statement / Credit Card Statement.

Attachments

Drop your files here

Drop files here, paste, or import from

20Mb Limit per file. Max of 10 files. Most image, video, audio, and text formats are accepted.

Description of Works

Warning: If you knowingly make a false statement the loan may be cancelled, you may be required to pay back the loan and you may be liable to prosecution.