Company

Please read before you start your application:

Please refer to the MyMortgages.ie Checklist and endeavour to have all of your supporting documentation to hand when completing this online application form.

Do not close this browser window before submitting, or the details you entered will be lost. Please complete as many fields as possible. If you do not have the information needed for some sections, please submit the form and we can complete later.

Any queries completing the form please email [email protected] or call 0214277037 during business hours and 0868060601 outside business hours.

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We look forward to helping you on your mortgage journey.

Homeloan

Application Form

Please tick box relevant to your application

First Time Buyer

Second Time Buyer

Homeloan Re-mortgage

Investment Property Purchase

Investment Property Remortgage

Equity Release

Are you intending to avail of the First Home Scheme?

Yes

Is this a Switcher Mortgage?

Yes No

Number of Applicants *

1 2

Mortgage Advisor

Joey Sheahan

Date

Name/s of Applicant/s

Page 2 ...of 8

IF THIS FORM IS INCOMPLETE, WE WILL NOT BE ABLE TO ASSESS YOUR APPLICATION.

Intermediary Information

CBI Authorisation No.

CBI00037894

Intermediary Tel No.

021 427 7037

Email Address

[email protected]

Intermediary Name

MyMortgages Ltd. t/a MyMortgages.ie

Intermediary Address

51 South Mall, Cork

Intermediary Eircode

T12 AVW9

Have you provided advice for this mortgage?

Yes No

Are you charging a fee for arranging this mortgage?

Yes No

Amount of mortgage fee

Your Personal Details - All Applicants

Title

First Name *

Surname *

Maiden Name

Mother's Maiden Name

Sex

Male Female

Date of Birth

eg: 25/12/2001

PPS Number

Mobile Number

Home Number

Work Number

Email Address *

Address

Eircode

County

Country

Time at Current Address

Last Address if Less Than 3 Years at Above Address

Eircode of Last Address

Nationality

Country of Birth

Place of Birth (eg: County / City)

Are you...

Married Remarried Single Separated Divorced Widowed

Number of children

Age 1

Age 2

Age 3

Age 4

Age 5

Monthly Childcare Costs

Are you a first time buyer

Yes No

Are you currently

Owner Private Rented Living with relatives Other

Total Household Monthly Rent

If you own the property you currently live in, do you intend to

Sell it. Rent it out.

App 1 and 2 Childcare Costs

App1 + App2 Total Childcare:

App1 and 2 Total Monthly Rent

App1 + App2 Total Monthly Rent:

If you own the property you currently live in, do you intend to

Sell it. Rent it out.

Are there any other persons over the age of 17 years, who will occupy the property?

Yes No

If yes, how many?

Affordability

Are you aware of any known future changes to your circumstances which may affect your ability to repay the proposed mortgage?

Yes No

If Yes please provide details.

Are you aware of any health issues that may affect your ability to work and meet the repayments of this facility?

Yes No

If Yes please provide details.

Are you a US Citizen?

Yes No

Are you a US Tax resident?

Yes No

If yes, enter your US TIN number (Taxpayers Identification No)

Are you a tax resident in Ireland?

Yes No

Are you a tax resident in any other country?

Yes No

Where you are tax resident outside of Ireland, please enter your non-Irish country of tax residence and the related TIN in the table below.

Country of Residence

TIN:

Is any of your income/assets being used to support the repayment of this mortgage sourced from a currency other than euro?

Yes No

If yes, which currency?

Are you resident in a foreign country?

Yes No

If yes, which country?

Note: If the currencies / countries above differ, only one can be used for the purposes of monitoring exchange rate fluctuations.
Please choose which you would like to monitor? (select one box only)

Income Currency

Country of residence

N/A or not relevant

N/A

*For further information on FATCA or CRS please refer to https://www.revenue.ie/en/business/aeoi/index.html

Page 3 ...of 8

Employment Details

Note: Applicants in employment must submit a Certificate of Income together with the most recent original P60 and three most recent payslips

Are you:

Employed Self Employed Homemaker

Occupation

Employers name

Employers address

Length of time with this employer

Length of time with this employer years

Length of time with this employer

Work contact number

If less than 2 years with present employer, please provide the following details:

Previous employer's name

Previous employer's address

Previous employer's Eircode

Length of time with this employer

Length of time with previous employer years

Length of time with previous employer

Occupation

Employers name

Employers address

Length of time with this employer

Length of time with this employer years

Length of time with this employer

Work contact number

If less than 2 years with present employer, please provide the following details:

Previous employer's name

Previous employer's address

Previous employer's Eircode

Length of time with this employer

Length of time with previous employer years

Length of time with previous employer

Self Employed Applicants

Note: Self employed applicants must submit the last two years Financial audited accounts and two years revenue approved tax returns

1st Applicant

Trading name and address of business

Nature of business

Date established

Accountant's name and address

Telephone number

2nd Applicant

Trading name and address of business

Nature of business

Date established

Accountant's name and address

Telephone number

Income Details - Annual Income

(that will be certified by employer or accountant)

Gross basic salary

Other Income

Source of other income

please tick

Guaranteed Regular Irregular

Commission

please tick

Guaranteed Regular Irregular

Overtime

please tick

Guaranteed Regular Irregular

Bonus

please tick

Guaranteed Regular Irregular

Financial Details

Annual outgoings including Overdraft and Credit Card (statements confirming satisfactory repayment history should be submitted)

Short Term (non mortgage) Debt

Do you have any Term Loans, PCP, HP or maintenance payments?

Yes No

Term Loan / PCP Facilities

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Loan Balance

Monthly repayment

Arrears (if any)

Final Payment Date

Term Loan / PCP Facilities

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Loan Balance

Monthly repayment

Arrears (if any)

Final Payment Date

Term Loan / PCP Facilities

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Loan Balance

Monthly repayment

Arrears (if any)

Final Payment Date

Credit Cards

Do you have a credit card?

Yes No

Credit Card Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Credit Card Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Credit Card Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Credit Card Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Credit Card Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Credit Card Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Overdraft

Do you have an overdraft facility on any of your bank accounts?

Yes No

Overdraft Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Overdraft Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Overdraft Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Overdraft Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Overdraft Owner

Applicant 1 Applicant 2

Are you clearing this loan as part of your new mortgage?

Yes No

Name of Lender

Account Number

Current Balance

Overdraft Limit

Monthly repayment

Arrears (if any)

Final Payment Date

Once-off Expenses

Have you had any exceptional once-off expenses in the last 6 months that would affect your savings. Eg purchase of car, professional fees, home improvements etc?

If Yes, please be prepared to provide invoices/receipts as part of the next phase of your application when we request supplementary information.

Please itemise and explain all transactions in your accounts over €1,000 noting the account, the date and the purpose.
Please ignore wages and rent/mortgage repayments/credit card payments.

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Transaction Owner

Applicant 1

Applicant 2

Bank Account No.

Date

Amount

Description

Details of monthly childcare costs / maintenance or any other financial commitments

Page 4 ...of 8

Other Property Assets

Do you currently own any existing properties?

Yes No

Credit History

Have you ever been made bankrupt, made any arrangements with creditors, had any court judgements for debt made against you or been in arrears with any existing or previous loan?

Yes No

If Yes, please provide details

Have you received a formal police caution in the last 5 years, ever been convicted of, or have any prosecutions pending?

Yes No

If Yes, please provide details

Savings and Investments

Institution name

Account No.

Current Savings Balance

Regular savings amount

Frequency (eg Weekly, Monthly)

Institution name

Account No.

Current Savings Balance

Regular savings amount

Frequency (eg Weekly, Monthly)

Institution name

Account No.

Current Savings Balance

Regular savings amount

Frequency (eg Weekly, Monthly)

Institution name

Account No.

Current Savings Balance

Regular savings amount

Frequency (eg Weekly, Monthly)

Page 5 ...of 8

Purchase Application

Please complete this section if you are buying a new property.

Please outline purpose of new mortgage

New Home Purchase Homeloan Remortgage Investment Property Purchase Investment Property Remortgage Equity Release

Address of property to be mortgaged

Selling Agent

Purchase price

Estimated property value

Estimated legal costs

Deposit and costs required to complete the purchase

Property BER

A1 - B3 C1 - G Unknown

Please tell us how you raised this deposit

Savings Sales of shares Equity release Gift Other

If other, please specify

Is the property to be mortgaged?

New built house in an estate Apartment Second hand property Self Build

If the property is to be let, expected monthly rental income

For Newly Built Properties Only

Name and address of builder

Builders phone number

Will the property have a Home Bond or Premier Guarantee?

Yes No

Is planning permission granted?

Yes No

Property BER

A1 - B3 C1 - G Unknown

Re-Mortgage Application Property Details

Please complete this section if you are switching Mortgage from another Bank /Financial Institution.

Is the property being mortgaged the family home?

Yes No

Address of property to be remortgaged

Name of current lender

Mortgage account number

Mortgage amount outstanding

Existing monthly repayment

Year of purchase

Existing interest rate

Purchase price

Estimated property value

New mortgage required

Type and description of property (house / apartment/3 bed etc.)

Property BER

A1 - B3 C1 - G Unknown

Use this space to tell us the purpose(s) of any additional borrowing

Purpose of Re-Mortgage

Identifies amounts required to clear your existing mortgage and other loans - Use this space to tell us the purpose(s) of any additional borrowing and other loans.

Home Improvements (see below)

Other 1 (please specify)

Other 2 (please specify)

Other 3 (please specify)

If home improvements please provide brief details of proposed works

Page 6 ...of 8

Top-Up Application

Please complete this section if you are an existing customer seeking a top-up on your mortgage. Use this space to tell us the purpose(s) of any additional borrowing and other loans.

Existing Mortgage Account Number

Amount required

Purpose of Top-Up

Home Improvements (see below)

Other 1 (please specify)

Other 2 (please specify)

Other 3 (please specify)

If home improvements please provide brief details of proposed works

Your Mortgage Type, Rate & Term Details

Amount of total loan required

Mortgage term

15 yrs 20 yrs 25 yrs 30 yrs 35 yrs Other

Choice of interest rate

Fixed Variable

If you wish to split your loan over different type, rate or terms, please provide details

NOTE: WRITTEN CONFIRMATION WILL BE REQUIRED FOR ANY CHANGES TO THE ABOVE.

Solicitors Details

Solicitors Name

Solicitors Firm / Company Name and Address

Solicitors phone number

Solicitors email address

Additional Information Section

(e.g other sources of income, additional relevant information, guarantor information, details of other assets / liabilities).

Additional Details

Page 7 ...of 8

Declaration & Signatures

I/We declare that:

the information given in this form is true and complete to the best of my/our knowledge and belief, whether completed by me or otherwise and all
facts relevant to this application have been disclosed.
there are no existing loans or advances in my/our names with any lender other than declared in this form.
I/we have no convictions or pending prosecutions relating to acts of dishonesty, such as theft or fraud.
I/we will tell our mortgage intermediary of changes to information provided prior to the loan being drawn down.

I/We authorise you:

to make any enquiries necessary to confirm the nformation given in this form and for credit ssessment.
where done in the interests of fraud prevention, to make such enquiries as necessary in relation to my/our mortgage application and to disclose
information provided by me/us on this application.
to access mortgage information on our behalf from the lender through whom you arrange mortgage facilities on your behalf.
I/We consent to and authorise, the lender through whom you organise mortgage facilities, to supply you with information pertaining to my/our mortgage post loan completion as requested by me /us.

I/We agree to the securitisation of our mortgage, at the lenders discretion, and to disclosure of my/our name, address and other information relevant to the loan. This information will only be disclosed to a lender on the understanding that it intends to participate in funding the mortgage and that the information will be kept confidential. The securitisation process involves packaging mortgages together and asking other financial institutions to share the credit risk and
security. This would not affect the relationship between you and the lender. The lender would still be responsible for the administration of your mortgage.

I/We declare and agree that:

This form must not be construed as an offer on behalf of the lender and any advance offered may be revised or cancelled before the advance is paid.
I am/We are 18 years and over.
I/We will pay any expenses that may be incurred in dealing with this application other than through the investigation of Title.
I/We will pay any insurance charges necessarily incurred by the lender.
I/We authorise any enquiries of my/our employer(s) or auditor/accountant or lenders or any other parties.
The rate of interest will be that which the lender is charging on the date on which the loan cheque is drawn down and subsequently the rate and repayment may vary within the terms of the Mortgage Deed.
I/We will not let the property or use it for any other business purposes without the lenders consent in writing.
No responsibility can be accepted by the lender for the condition of the property.
I/We acknowledge that by this loan application form, I/We have been informed by the lender in writing that any insurance which the lender requires to be effected or maintained on the property may be effected or maintained by me/us with any insurer and with any agency or any intermediary subject to the lenders requirements.
I/We further authorise the lender to supply such information as I/We have given to the lender to an Insurance Company, if it is necessary, to obtain a suitable indemnity policy, or any other insurance.
I/We authorise the lender to send my/our solicitor copies of any letter issued by the lender to me/us on foot of this application and any other information in the lenders possession relevant to this application.
I/We understand that I/We should not rely on the lenders valuation report in any way in deciding whether or not to purchase the property and that the lender‘s valuation shall not be construed as reasonableness of purchase price for value. I/We understand that if, contrary to the lenders recommendation, I/We do not request or obtain a fuller report for my/our own purposes, I/We run the risk that the property may suffer from serious defects which are not mentioned in the lenders valuation report and that the report may be defective, or may be inadequate for my/our purposes.
I/We further understand that should the lender grant a loan this shall not signify an assurance or guarantee that the property is soundly constructed and free of defects.
I/We are aware and agree that this application form may be presented to more than one lender for underwriting.
I/We understand that I/We are not guaranteed access to the lowest cost mortgage available in the market.
Where applicable I/We have read the detailed mortgage related fees information sheet which I/We understand constitutes part of my/our mortgage application.
I/We consent to and authorise the lender to release personal data relating to me/us and information relating to all transactions between the lender or any subsidiary company of the lender and me/us including credit references to any person or body including any credit information agency and whether for the purpose of a loan transfer and securitisation scheme or otherwise.

I/We acknowledge that I/We have read MyMortgages.ie’s Terms of Business herein and confirm that I/We understand and are in agreement with them. *

Yes

Click to view our Terms of Business

I/We acknowledge that I/We have read MyMortgages.ie’s Privacy Policy herein and confirm that I/We understand and are in agreement with it. *

Yes

Click to view our Privacy Policy

I/We understand that I/we have the right to be removed from MyMortgages.ie's marketing lists in the future, by unsubscribing or contacting the business and requesting same. I/We wish to avail of MyMortgages.ie’s services on the above basis and consent to being contacted by phone and email. *

Phone, Email and SMS

Where did you hear about My Mortgages.ie?

Facebook LinkedIn Instagram Tik Tok Twitter Walk In TV Referral Radio Media Other

Page 8 ...of 8

In signing the below, I declare that the details mentioned above have been brought to my attention and are agreeable and acceptable to me.

Applicant Signature *

Type name in box above

Date *

For the purposes of the Consumer Credit Act 1995 (This is optional)

I/We hereby consent, for the purposes of Section 45 of the Consumer Credit Act, 1995 to any notice or written communication connected with this
Mortgage Application being sent to any member of my/our family/families or to my/our employer(s), accountant(s), solicitor(s), or agent(s) or any
other person I/we may designate for this purpose.

Applicant Signature

Type name in box above

Date

For the purposes of the Consumer Credit Act 1995 (This is optional)

I/We also hereby consent, for the purposes of Section 46 of the Consumer Credit Act, 1995 to any communications by telephone and to any visit
from the Lender or any person acting on the Lender’s behalf at my/our place(s) of employment or business at any time.

Applicant Signature

Type name in box above

Date

Consumer Credit Act 1995

All loans are subject to the satisfactory appraisal of status and financial standing and require security over the property and appropriate mortgage
protection/life assurance and home insurance.

WARNING: YOUR HOME IS AT RISK IF YOU DO NOT KEEP UP PAYMENTS ON A MORTGAGE OR ANY OTHER LOAN SECURED ON IT.
VARIABLE RATE HOMELOAN: THE REPAYMENT RATES ON THIS HOUSING LOAN MAY BE ADJUSTED BY THE LENDER FROM TIME TO TIME.
IF YOU CHOOSE AN ENDOWMENT LOAN, AND THE INSURER DOES NOT GUARANTEE THAT THE PROCEEDS OF THE POLICY WILL BE
ENOUGH TO REPAY THE LOAN WHEN DUE:
WARNING: THERE IS NO GUARANTEE THAT THE PROCEEDS OF THE INSURANCE POLICY WILL BE SUFFICIENT TO REPAY THE LOAN IN FULL
WHEN IT BECOMES DUE FOR REPAYMENT. IT MAY BE NECESSARY TO INCREASE THE PREMIUM AMOUNT PAYABLE IN ORDER TO SECURE
AN INCREASE IN THE PROCEEDS OF THE POLICY ON MATURITY. THE EARLY SURRENDER OF AN ENDOWMENT POLICY IN RESPECT OF AN
ENDOWMENT LOAN MAY YIELD A LOWER RETURN TO THE BORROWER THAT PAID IN PREMIA AND OTHER CHARGES.

Consumer Protection Code 2012

All loans are subject to the satisfactory appraisal of status and financial standing and require security over the property and appropriate mortgage
protection/life assurance and home insurance.

WARNING: IF YOU DO NOT MEET THE REPAYMENTS ON YOUR CREDIT AGREEMENT, YOUR ACCOUNT WILL GO INTO ARREARS. THIS MAY
AFFECT YOUR CREDIT RATING, WHICH MAY LIMIT YOUR ABILITY TO ACCESS CREDIT IN THE FUTURE.
WARNING: IF YOU DO NOT MEET THE REPAYMENTS ON YOUR LOAN, YOUR ACCOUNT WILL GO INTO ARREARS. THIS MAY AFFECT YOUR
CREDIT RATING, WHICH MAY LIMIT YOUR ABILITY TO ACCESS CREDIT IN THE FUTURE.
WARNING: IF YOU DO NOT KEEP UP YOUR REPAYMENTS YOU MAY LOSE YOUR HOME IF YOUR MORTGAGE IS EVER ON A VARIABLE RATE:
WARNING: THE PAYMENT RATES ON THIS HOUSING LOAN MAY BE ADJUSTED BY THE LENDER FROM TIME TO TIME.
IF YOUR MORTGAGE IS EVER ON A FIXED RATE: WARNING: YOU MAY HAVE TO PAY CHARGES IF YOU PAY OFF A FIXED-RATE LOAN EARLY.
IF YOUR MORTGAGE IS ON AN INTEREST ONLY TERM: WARNING: THE ENTIRE AMOUNT THAT YOU HAVE BORROWED WILL STILL BE
OUTSTANDING AT THE END OF THE INTEREST ONLY PERIOD.
IF YOUR MORTGAGE IS AN EQUITY RELEASE MORTGAGE AND IS BEING USED FOR DEBT CONSOLIDATION PURPOSES:
WARNING: THIS NEW LOAN MAY TAKE LONGER TO PAY OFF THAN YOUR PREVIOUS LOANS. THIS MEANS YOU MAY PAY MORE THAN IF YOU
PAID OVER A SHORTER TERM.