Industry Standard Financial Statement This Statement Is For Use In The Marp Page 9

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I/we understand that the information provided will only be used for the purpose of assisting my lender to assess my financial
situation under its Mortgage Arrears Resolution Process.
Protecting Your Information
“Your lender will keep your information confidential and will only use this information for the purpose of assisting you in accordance with its
Mortgage Arrears Resolution Process in accordance with your lender’s obligations under the Data Protection Acts 1988 and 2003. For more
information on your rights under the Data Protection Acts, see the Data Protection Commissioner’s website at
I declare that the information I have provided represents my/our financial situation, and commit to informing my lender if my situation
changes.
I consent to [name of lender] conducting a credit reference check.
Signed: _______________
Date: ____________
[Note: Declarations confirming the accuracy of the information provided and consent to a credit reference check must be completed for every
SFS. Any other declarations requiring the consumer’s signature (for example to give permission for the lender to contact other parties
regarding the borrowers financial situation) must be optional (i.e., a lender cannot deem the SFS to be incomplete if such declarations are not
signed by the consumer).]

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