Loan Application Form Page 4

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Loan Application Authorisation Continued
(Pursuant to section 14 of the Credit Contracts and Consumer Finance Act 2003)
Your Declaration
I/We disclose that the particulars and information on the submitted Application are true and correct and that they reflect the financial positions of me/us at today’s date
and that no information has been withheld that might affect the Bank’s decision on this application.
I/We certify that I am/we are not undischarged bankrupt(s), or liable under any proceedings under the Insolvency Act 2006 and its amendments.
I/We certify that I/we have not been committed or convicted of any criminal or traffic offence that may inhibit an insurer from providing insurance cover against a
specific security item as required by the Bank.
Club/Society Declaration
I/We certify that we have handed the Bank an up to date copy of the Rules/Constitution of the Club/Society and I/we remain the duly appointed Officers of the Club/
Society, as designated in the Application. I/We certify that by resolution of a legally constituted meeting of the Club/Society authority was granted to submit the Appli-
cation to the Bank and a copy of the relevant minutes of the meeting is presented herewith. I/We certify that the Club/Society is not subject to any legal or liquidation
proceedings.
Authorisation
I/We authorise loan payments to be deducted from my/our Bank account. I/We authorise the Bank to pay to the Solicitor/Firm nominated by us in the Application, the
proceeds of the loan or such lesser amount as they shall request in writing. I/We agree to the terms of the Privacy Act 1993 as listed above, which I/we have read and
understood.
Acknowledgement
I/We acknowledge that:
- Any offer of loan facilities, whether the property is inspected or not, gives no approval or warranty express or implied as to the condition or value of the
property.
- If I/we wish to check the value or condition of the property I/we will arrange for an independent inspection or valuation of the property.
Signed by the applicant(s):
Date:
/
/
Borrower(s):
Date:
/
/
Covenantor(s):
Office use only
Loan Approved/Recommended and submitted to Lending
Consultant
Date
/
/

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