Loan Application Form Page 5

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Declaration of Credit Purpose
(Pursuant to section 14 of the Credit Contracts and Consumer Finance Act 2003)
To:
TSB Bank Limited
Date:
/
/
I/We
“Borrower(s)” declare that the credit referred to in the Loan Application dated on or about the date of this Declaration, which is to be provided to me/us by
TSB Bank Limited:
PLEASE CHECK ONE BOX
is being obtained primarily for business or investment purposes (or for both purposes), and that
is being obtained primarily for personal, domestic, or household purposes, and that
PLEASE CHECK ONE BOX
I/we am/are not registered for Good and Services Tax (GST).
I/we am/are registered for Goods and Services Tax (GST).
I/We confirm that I/we have read and understood this Declaration.
SIGNED by the Borrower(s):
Electronic Statement Request
Yes
No
PLEASE TICK ONE BOX.
(N.B: Customer must be registered for TSB Bank HomeBank and all existing loans will also be converted to Electronic Statements)
SIGNED by the Borrower(s):
Insurance Declaration
House Insurance
It is a requirement that your house is insured prior to your loan being advanced. TSB Bank can contact you and arrange the appropriate cover over the phone.
Yes, I/we would like to be contacted about Fire & General insurance, please arrange for a consultant or a Bank appointed agent to contact me/us.
Loan Insurance
Loan insurance is not a mandatory requirement, however we do recommend that suitable cover is undertaken to minimise financial risk, in the event of redundancy,
bankruptcy, permanent or temporary disability and death.
Yes, I/we are interested in finding out more information about loan insurance. Please arrange for someone to contact me/us.
No, I/we am/are not interested in loan insurance.
Detailed product information is available by visiting the Bank’s website , under the “Home Loans” heading. TSB Bank does not guarantee or
underwrite insurance products, it markets on behalf of various insurers, and is not liable if an insurer declines to pay a claim. TSB Bank does receive commission from
the sale of insurance policies from the various insurers.
SIGNED by the Borrower(s):

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