THE TRINIDAD BUILDING AND LOAN ASSOCIATIONLOAN APPLICATION FORM

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Mortgages
Investments

THE TRINIDAD BUILDING AND LOAN ASSOCIATION

LOAN APPLICATION FORM

1st Applicant

Title:

First Name *

Middle Name

Surname *

Date of Birth: *

Home Street Address *

Street Address 2:

City

Phone No: *

Email *

Loan Amount *

Property Market Value:

Percentage Finance:

Rate:

Amortised Period

Monthly Installment: *

Purpose of Loan:PurchaseConstructionHome ImprovementLandHome EquityOther

2nd Applicant / Guarantor

Title:

First Name *

Middle Name

Surname *

Date of Birth:

Home Street Address

Street Address 2:

City

Phone No:

PROPERTY OFFERED AS SECURITY

Street Address *

Street Address 2

City

Purchase Price:

Cost of Construction:

Building:

Land:

TOTAL:

Type of Property: *Bungalow / HouseTown HouseApartmentOther

Specify if other:

Tenure: *FreeholdLeasehold:

Unexpired period of Lease:

Land Area:

Age of Building:

Exterior Finish:

Roof:

Walls:

No. of Rooms:

EMPLOYER INFORMATION

1st Applicant

Employer:

Nature of Employer's Business:

Employer's Street Address:

Street Address 2:

City

Position Held:

Length of Service:

Monthly Income from Employer:

TTD

Other Income:

TTD

Deposit at TBLA:

TTD

Shares at TBLA:

TTD

Marital Status:

Do you own any other property?

ID No:

Passport No:

2nd Applicant / Guarantor

Employer:

Nature of Employer's Business:

Employer's Street Address:

Street Address 2:

City

Position Held:

Length of Service:

Monthly Income from Employer:

TTD

Other Income:

TTD

Deposit at TBLA:

TTD

Shares at TBLA:

TTD

Marital Status:

Do you own any other property?

ID No:

Passport No:

DEPENDENTS

DEPENDENT 1

Name:

Age:

Nature of Relationship:

Occupation:

Income:

TTD

Home Street Address

Street Address 2

City

DEPENDENT 2

Name:

Age:

Nature of Relationship:

Occupation:

Income:

TTD

Home Street Address

Street Address 2

City

SELF EMPLOYED

Name of Business:

Business Street Address

Street Address 2

City

Type of Business:

No. of Years in Business:

Last 4 Years Income

Income Year 1:

Income Year 2:

Income Year 3:

Income Year 4:

Last 4 Years Expenses

Expenses Year 1:

Expenses Year 2:

Expenses Year 3:

Expenses Year 4:

Last 4 Years Profit / Loss

Profit / Loss Year 1:

Profit / Loss Year 2:

Profit / Loss Year 3:

Profit / Loss Year 4:

PROPERTY INFORMATION

Is the property mortgaged at present?YesNo

If yes, to whom?

Amount standing as at:

Date

Monthly Payment:

Interest Rate:

Date

Name of person(s) who holds title to property:

Original Mortgage Amount:

Date Taken Out:

Total Market Value of Land and / or Building:

Cost of Land Per Sq. Ft:

Total Cost of Building:

Purpose for which the building will be used:

Actual or Estimates of Monthly Rental:

BANKING/PERSONAL INFORMATION

Name of Banker(s):

Address of Banker(s) Street Address

Street Address 2

City

Type of Accounts:

Average Balance:

TO COMPLY WITH THE RULES OF THE ASSOCIATION *I AGREEWE AGREE

INSURANCE INFORMATION

Life Insurance Policy

Name of Company:

Type of Policy:

Duration of Policy:

Coverage Value:

Cash Surrender Value as at:

Is the above mentioned policy free for assignment as collateral?YesNo

If no, to whom is the policy assigned?

When will the policy be released?

PERSONAL FINANCIAL STATEMENT

Income / Expenditure

Single / Combined

Applicant Monthly Income

Wages / Salary (Gross):

Amount:

Allowances

Amount:

Other Income

1. Description:

Amount:

2. Description:

Amount:

3. Description:

Amount:

Sub Total:

Co-Applicant Monthly Income

Wages / Salary (Gross):

Amount:

Allowances

Amount:

Other Income

1. Description:

Amount:

2. Description:

Amount:

3. Description:

Amount:

Sub Total:

Total Income (A):

Applicant Monthly Expenditures

Income Tax:

Amount:

N.I.S.:

Amount:

Credit Union Loans Premium:

Amount:

Bank Loan Premium:

Amount:

Mortgage Premium:

Amount:

Hire Purchase Premium:

Amount:

Credit Card Premium:

Amount:

Other Loan Premium:

Amount:

Rent:

Amount:

Car Expenses:

Amount:

Living Expenses:

Amount:

Entertainment:

Amount:

Utilities:

Amount:

Pension Contribution:

Amount:

Savings:

Amount:

Children Expenses:

Amount:

Medical:

Amount:

Other Expenses:

Amount:

Total Expenditure (B):

Surplus / Deficit (A-B):

Total DSR:

Comments:

NET WORTH STATEMENTS

Single / CombinedAssets

Real Estate (M.V.) 1:

Amount:

Real Estate (M.V.) 2:

Amount:

Motor Vehicles 1:

Amount:

Motor Vehicles 2:

Amount:

Life Insurance CSV:

Amount:

Mutual Funds:

Amount:

Company Stocks:

Amount:

Fixed Deposits:

Amount:

Cash at Bank:

Amount:

Pension Fund Balance:

Amount:

Personal Belongings:

Amount:

Credit Union Shares:

Amount:

Other Assests

1 Description:

Amount:

2 Description:

Amount:

3 Description:

Amount:

Total (C):

Liabilities

Bank Loans:

Amount:

Credit Card:

Amount:

Hire Purchase Loans:

Amount:

Car Loans:

Mortgage Loan:

Credit Union Loans:

Other Liabilities

1 Description:

Amount:

2 Description:

Amount:

3 Description:

Amount:

Total (D):

Net Worth (C-D):

I We declare that the above statement to be complete and is a true statement of my our financial position for the purpose of procuring credit from the Trinidad Building and Loan Association.

Who declare the above statement to be complete *I declareWe declare

Above is true statement of *my financial positionour financial position

1) UNDERTAKINGS OF APPLICANT(S)

Choose one to confirm. *I hereby undertake and acknowledge with the Association as followsWe hereby undertake and acknowledge with the Association as follows

1.1 To pay all legal and closing costs, insurance premiums, charges and payments required to be made by the OWNERS / MORTGAGEES by law and as may be provided for the Association's mortgage security documents. *ownersmortgagees

1.2 To meet all costs and expenses that may arise in respect of valuation fees, legal expenses, including legal fees of the Association's Attorney-at-Law in respect to the preparation of the security document and any consequential costs associated therewith, and all reasonable necessary expenses associated with perfecting the title of the Association to the property the subject matter if this Application.

1.3 That where the title of the security should prove to be defective or should I / WE decline or omit to accept the money granted by way of loan under this application or should the application be declined by the Association, I / WE will forthwith on demand pay all sums, costs and expenses incurred by the Association arising as consequence of this application. *I agreeWe agree

1.4 That where the loan is to be advanced on a draw-down basis for the improvement of premises, that where the Association shall in its sole discretion find the materials and workmanship of an inferior and unsatisfactory standard the Association reserves the right to cease further advances on the loan.

1.5 That the statements and answers contained in this application shall form the basis upon which the Association may agree to advance to ME / US the loan applied for and that if any untrue statements have been made or information withheld the Association may notwithstanding any term to the contrary contained in MY / OUR mortgage taken on the faith thereof it may refuse to grant the loan or forthwith demand repayment of the balance then due and owing on the loan as a debt. loan as a debt. *advance to ME , MY mortgageadvance to US , OUR mortgage

1.6 That I / WE acknowledge that this loan would bind our estate, successors and assigns. *I acknowledgeWe acknowledge

2) UNDERTAKINGS OF APPLICANT(S)

2.1 That all the statements and answers contained on this application for a loan are full, complete and true;

2.2 That I / WE are of full age and under no legal impediment and all the answers contained in the above application are correct to the best of MY / OUR knowledge, information and belief; *I am of full age / MY knowledgeWe are of full age / OUR knowledge

2.3 I / WE have not been refused a loan on this security nor am I / WE being pressed for payment by the present mortgagees, if any; *I declareWe declare

2.4 I / WE are the beneficial owner(s) and either by MYSELF / OURSELVES or through MY / OUR tenants, AM / ARE in possession of the whose of the said lands and that no person has or exercises any right of occupation or possession over any part thereof, or any of the buildings thereon; *I , MYSELF , MY , AM (agree to above)WE , OURSELVES , OUR , ARE (agree to above)

2.5 I am / We are how many years old?

My / Our spouse/s Is / Are how many years old?

AND I / WE MAKE this declaration conscientiously believing the same to be true and according to the Statutory declaration Act, Chapter 7:04 and I / WE are aware that if there is any statement in this Declaration which is false, in fact which I / WE know or believe to be false or do not believe to be true, I / WE are aware that if there is any statement I am / We are liable to fine and imprisonment. *I MAKE this declarationWE MAKE this declaration

Dated:

Declared by:Enter each name on a new line.

Witness:

3) CONSENT CLAUSE

I / WE declare that to the best of MY / OUR knowledge the above information is true. I / WE authorise and consent to The Trinidad Building and Loan Association obtaining further information on MY / OUR credit, employment history, security and background from any financial institution, credit bureau, or any PERSON / CORPORATION with whom I / WE may have had dealing with from time to time. Any such source is hereby authorised to provide The Trinidad Building and Loan Association with the requested information. *I declare aboveWE declare above

You are authorized to use, give to, obtain, verify, share and exchange credit and other information about MY / OUR credit history with any credit bureau and other credit grantors. *I agreeWe agree

I / WE jointly and severally agree to indemnify you against any loss, claims, damages, liabilities, actions and proceedings, legal and/or other expenses, which may be directly, or reasonable incurred as a consequence of such disclosure on your part. *I agreeWe agree

Witness:

Date

Witness Address:

Witness Occupation:

Witness Signature here:

1st Applicant Signature here:

2nd Applicant Signature here:

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