ESIS & Authority Request

Select which form(s) you need to use: *

Declaration of Authority

ESIS Request

Both

Are you an Appointed Representative? *

Yes

Network FCA Number *

Are you submitting this case through a Club? *

Yes

How many borrowers are on the mortgage? *

One

Two

Three

Four

Is the mortgage held in a company name? *

Yes

Vernon Account Number *

Declaration of Authority

I confirm that I have the relevant consent from the borrower(s) detailed above for you to release information required on their mortgage to me to facilitate their mortgage product transfer. This consent is valid for this transaction only and will expire upon completion.

I confirm I have authority to proceed *

By submitting this form, you will be requesting an ESIS to be produced for the chosen mortgage product(s).

You must submit or have already submitted a Declaration of Authority in order to request an ESIS.

A copy of the ESIS will be sent to you and a copy will be sent to the borrower(s) along with an acceptance form for them to review, sign and return if they are happy to proceed.

Mortgage Product(s) requested *

How should the product fee be paid? *

Up Front

Added to the loan

N/A

Have you charged the borrower(s) a separate fee for your service? *

Yes

Products

Pages

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Form Selection

Broker Details

Customer Details

Borrower One

Borrower Two

Borrower Three

Borrower Four

Property Address

Declaration of Authority

ESIS Request

Thank you for submitting your request.

We have received it and we will respond to you within 2 working days.

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