Cavan County Council

Comhairle Chontae an Chabháin

Housing Section

 049 4378300

HousePurchaseLoan

ApplicationForm

IMPORTANT : PLEASE NOTE

  • Applicants are advised to submit their applications in person: as photographic I.D. is required to be shown. Itwill be copied and returned.A photocopy will not be sufficient.
  • Please submit your application to theCustomer Service Desk, which is on the second floor of the Johnston Central Library, Farnham Street, Cavan – beside the Courthouse.
  • Please note that incomplete applications will be returned to the applicant.
  • Original documentation is required – photocopies will not be sufficient.
  • Postal address for submission of any additional documentation:

House Purchase Loan Applications,

Housing Section, Cavan County Council, Courthouse,Cavan.

Updated October ‘16

CavanCountyCouncil:

Checklist

Applicationfeeof€25(nonrefundable)

Fullycompletedapplicationform

HPL1Form- stampedbythe RevenueCommissioners(Appendix2) Photographic Identification(currentpassportordriverslicence)

Proof ofpresentaddress(currentutilitybillorbankstatement)

OriginalSalaryCertificate(Appendix1)

Up-to-dateP60

4 x most recentpayslips

Social Welfare Form - if applicable to second applicant (Appendix 3)

Refusal Letter from a Bank or Building Society x 2(no more than 2 months old)

SignedCustomerDeclarations (all sections of application form must be signed)

OriginalCurrentAccountStatements– 6months

Original Savings Statements – 12 months (a savings record must be shown)

Original Loan Statements – 12 months (including any credit card accounts)

Details required if Applicant is SelfEmployed

AccountantsReport/AuditedAccounts(2YearsRequired) CurrentTaxBalancingStatement

CurrentPreliminaryRevenueTaxPaymentReceipt

Cavan County CouncilHousePurchaseLoanApplication

Personal Details Number of applicants First applicant

First name

Middle initial:

Second applicant

First name:

Middle initial:

Surname:Maiden name ifapplicable:

Surname:Maiden name ifapplicable:

Date of birth:PPSN:

//

Date of birth:PPSN:

//

Gender:FemaleMale Mother’s maiden name: Nationality:

Gender:FemaleMale Mother’s maiden name:Nationality:

Marital status:

Married Divorced Married Divorced

Single Separated Single Separated s

Widowed Other Widowed Other

e-mail: e-mail:

Work tel:

Work tel:

Home tel:

Home tel:

Mobile:

Mobile:

Current address:

Current address:

How long at this address: Years Months How long at this address: Years Months

Previous address: Previous address:

Number of dependents:Ages:


Number of dependents:Ages:

Nature of Current Tenure

Yes Monthly Rent No

Doyou rentyour

current

accommodation?

Do you rent your current accommodation?

Yes Monthly Rent No


HomeOwner / LivingwithParents / / HomeOwner / / LivingwithParents
Tenant / LocalAuthorityTenant / Tenant / LocalAuthorityTenant
Other / Other /

Nature of Current Tenure (continued)

Are you on alocal authority Housing List?Are you on alocal authority Housing List?

NoYesNoYes

If yes, pleasegive details:

Have you ever owned or built a house or flat?Have you ever owned or built a house or flat?

NoYesNoYes

If yes, pleasegive details:

Loan Purpose

Private purchase:

Affordable home:

Local authority tenant purchase:

EmploymentStatus

Employed: Self-employed:Not employed:

Employed:Self-employed:Not employed:

EmploymentDetails

Employers name:

Employers name:

Employers address:

Employers address:

Type of business:

Type of business:

Occupation:

Occupation:

Employment status e.g. permanent, etc:

Employment status e.g. permanent, etc:

Date commenced present employment://

Date commenced present employment://

Gross basic salaryp.a.:€

Gross basic salaryp.a.:€

Overtime p.a.€

Overtime p.a.€

Bonus p.a.€

Bonus p.a.€

Commission p.a.€

Commission p.a.€

Other income p.a.:€

Source of otherannual income:

Other income p.a.:€

Source of otherannual income:

If less than 6 months in current employment, please give previous employment contact details:

If less than 6 months in current employment, please give previous employment contact details:

Self-EmploymentDetails

Trading name and address:

Trading name and address:

Date of commencement of business: / / / / / Date of commencement of business: / / / /
nature of business: / nature of business:

Sole trader:Director / partner:

Sole trader:Director / Partner:

State % shareholding:

State % shareholding:

Self-Employment Details (continued)

Total net profit:€ (all partners, before drawings) Drawings:€ (State your drawings only)

Previous employer’s name and address:

Total net profit:€ (all partners, before drawings)Drawings:€ (state your drawings only)

Previous employer’s name and address:

Previous employment - from://

Previous employment from://

Previous employment - to://

Nature of business:

Previous employment to://

Nature of business:

Occupation:

Occupation:

Financial HistoryCommitments

Savings

First applicantSecond applicantFinancial Institution(s)

Deposits:€€

Current account:€€

Other:€€

Borrowings /Loans

*Please include detail on all existing borrowings- includingany credit cardaccounts.

Applicant 1: Do you currently have any loans?Applicant 2: Do you currently have any loans?

Yes No Yes No

BorrowerPurposeAmount owingMonthly repaymentLender

€€

Financial HistoryCommitmentscontinued

First applicantSecond applicant

Haveyou oryour spouse everbeen insolvent, bankrupt, involved in court proceedings for debt or compounded with creditors?Have anyjudgements been registered againstyou personally? Haveany judgements been registered against a companyofwhichyou are a director?

Haveyou oryour spouse everbeen insolvent, bankrupt, involved in court proceedings for debt or compounded with creditors?Have anyjudgements been registered againstyou personally? Haveany judgements been

registered against a companyofwhichyou are a director?

YesNoYesNo

Ifyes to any ofthe above, please give details:Ifyes to any ofthe above, please give details:

Areyou obliged to payalimony/child support or separation maintenance?

Areyou obliged to payalimony/child support or separation maintenance?

YesNoYesNo

ifyes, please state monthly amount:ifyes, please state monthly amount:

€€

Haveyou everhad a loan or made a previous applicationHaveyou everhad a loan or made a previous application to anyother lending agency? to anyother lending agency?

Yes:No:Yes:No:

If yes, please give details:If yes, please give details:

Details of Propertyto be Mortgaged

Address of propertyto be mortgaged:

Stage of construction: _------

Completion date: ------

Is the property registered with: Homebond Scheme Yes / No

Is the property registered with: Premier Guarantee Scheme: Yes / No

Loan Amount: Loan term:

Outlay Funding

Purchase Price Savings

Stamp duty (if applicable) Other * please specify

Legal Expenses Mortgage required:

Other*

Total Expenditure Total Finance

* Please give details of ‘other’above

Contact Details

SolicitorValuation access

Name and address of personwithwhom an inspection

Name and address:

maybe arranged:

Telephone:Telephone:

ImportantNotices

Consent under the Consumer Credit Act 1995

UndertheConsumerCreditAct1995acustomer’s consentis requiredif thecustomer wishesthe local authoritytobeabletotelephonehim/herathis/her placeofemployment/businessinconnectionwithaCreditAgreement.Fromtimetotimethelocalauthoritymayneedtocontactyouduringworkinghoursin connectionwiththeAccount.Shouldyouwishtogiveyourconsentyoushouldsignthispart.

I/Weherebyconsent to the localauthoritycontactingme/usbytelephone at my/ourplaceofemployment/business.

Signature of first applicant:Date

Signature of second applicantDate

Credit Reference Searching & Reporting

The local authoritymayfromtimetotimemakesearchesagainstyouontherecordsheldbycreditreferenceagencies.Whensuchasearch ismadethe Credit referenceagencieswill keeparecordforaperiod(usuallyfor ayear)thatthesearchhasbeenmade. thelocalauthoritymay alsoprovide information tocreditreferenceagencies concerningthisapplicationandthemannerinwhichtheAccountis conducted.Forthisthelocalauthorityrequires yourconsent.Pleasenotethatifyoudonot consentthelocalauthoritymaynotbeabletoconsideryourapplication.

Youhavetherightatanytimetorequestfromanycreditreferenceagencyacopyofany“personaldata” withinthe meaningoftheDataProtection Act1988 (asamendedorre-enactedfromtimetotime)thatsuchacreditreferenceagencyholdsaboutyou(forwhichtheymaychargea small fee)andtohave inaccuraciesinthat informationcorrected.

I/Weauthorisethelocal authoritytocarryourcreditreferencesearchesagainstme/us.I/We acknowledgethatsuchcreditreference agencieswillrecord that suchasearch has beenmadeanddisclosethatfacttotheir membersforaperiodofatleastoneyear.I/Wealsoauthorisethelocalauthoritytoprovide informationconcerningthisapplicationandtheconduct of the Accounttocredit referenceagencies.

Signature of first applicant:Date

Signature of second applicantDate

Data Protection Notice

ACCESSTOPERSONALDATA.Youhavetherightat anytimetorequestacopyofany'personaldata'withinthemeaningoftheDataProtection Act1988 (asamendedorre-enactedfromtimetotime)thatthe localauthorityholds aboutyouand tohaveinaccuracies inthat informationcorrected.

Consumer Credit Act 1995

Pleasenote carefullythefollowinginformationrelatingtoHousingLoanswithinthemeaningoftheConsumerCreditAct1995.

“WARNING: YOURHOMEISAT RISKIFYOUDONOTKEEPUPPAYMENTSONAMORTGAGEORANYOTHERLOAN SECUREDONIT.” VARIABLE RATELOANS - “THE PAYMENT RATES ON THISHOUSINGLOAN MAY BEADJUSTED BY THELENDER FROMTIMETO TIME.” ARREARS

Interestwillbeappliedtotheoutstandingbalanceoftheloan.This balanceincludesanyelementofunpaidinterestandchargeswhich willaccrueinterest on the rateapplicable totheaccount.

VALUATION

Wherethe propertyis sourced bytheapplicantontheopenmarket,eachapplicationmustbesupportedbyavaluationreportcarriedoutbyanapproved independentorlocalauthorityvaluer.Valuation/surveyfeesarepayablebytheapplicant(s)tothefirmofvaluerswhoundertakethe valuation.

Right to Cancel the Contract

Youdonothavea righttocancelthecontractonceyouhavedrawndownahousingloanbutyoumayrepayahousingloanearlyas outlinedinthenext paragraph.

Right to Terminate the Contract

Youmayatanytimerepayallorpartof theloanearly

Ifyoufailtomakeanypaymentdue tousinrespectof theloanor, ifanyoftheother eventsof defaultwhichwillbe specifiedinthe contractbetweenusfor theloanweretooccur wemaycallfortheimmediaterepaymentof theloantogether withall accruedbutunpaidinterestthereonandallothercostsand expensespayable under thecontract. Wemayalsoenforceourmortgageoveryourpropertyandsellit and realize anysecuritygiventousandapplythe proceedsofsaleinrepaymentoftheloanandallinterestandcostsandexpenses.

Governing Lawand Language

Allourdealingswithyou,andallcontractsbetweenus,willbegovernedbythelawsof Ireland.

Allcontractsbetweenus,all information, whichwesupplytoyou,andallothercommunications withyouwillbein English.

Complaint Procedures

Weaim to provideanefficient service toour customersanditis ourpolicytoensurethat allyourconcernsaredealtwithfairlyandpromptly. Ifyouhaveanycomplaintpleasetelephoneor writeto:

LocalAuthorityHouse PurchaseLoan Section

WARNINGS

YOUR HOME IS AT RISK IF YOU DO NOT KEEP UP PAYMENTS ON A MORTGAGE ORANY OTHER LOAN SECURED ON IT. THEPAYMENTRATESONAHOUSINGLOANMAY BEADJUSTEDBYTHELENDERFROM TIMETO TIME.

THE COST OF MONTHLY REPAYMENTS MAY RISE.

NOTICE: Under the Credit Reporting Act 2013 lenders are required to

provide personal and credit information for credit applications and credit

agreements of €500 and above to the Central Credit Register. This

information will be held on the Central Credit Register and may be used by

other lenders when making decisions on your credit applications and credit

agreements.

Declaration

Personal Details

Applicant’s name(s):

Address of propertyto be mortgaged:

Details of Mortgage Required

Purchase price/value of property:Amount of loanrequired:

€€

Repayment term required:

Valuation

The local authoritywill requireavaluation ofand certain other informationabouttheproperty youwishtobuy.Thevaluationreport, ofwhichyouwill obtaina copy, is designed especiallyfor theneedsofthelocalauthoritytohelpusdecideifthepropertyrepresentsadequate securityfor the loan you require.The valuation report willbe based onalimited inspectionandisnotintendedtobeastructural surveynor aconditionreport.Itis importantthatyoushouldnotrelyinanywayonthevaluationreport.It is possiblethatthereare defectsintheproperty whicharenotreportedbutwhichamoredetailedinspectionwouldreveal. Thismeansthatthevaluationreportmaynotmakeyouawareofdefectswhichcould affect your decisiontobuy.The local authorityrecommendsthatyouobtainamorecomprehensivereportor structural survey.

Insurance

Mortgage Protection

Itis aconditiononall loansthat MortgageProtectionCover is effectedbefore theloanchequeissues.Thereisastandard mortgageprotection insuranceschemewhichis compulsory withlocal authorityhousepurchaseloans. Thecost ofmortgageprotection insurancewhichcovers bothdeathandpermanentdisability will beadded toyourmonthlymortgage repayments.

PropertyInsurance

Itis aconditiononall loansthat propertyinsuranceis effected beforetheloanchequeissues.

Signature & Declaration

I/Wedeclarethatthe informationgivenbyMe/Usinthisformandinappendix1,1Aand2attachedis correctto thebest ofMy/Our knowledgeandbeliefandthatthese documents werecompletedbefore this declarationwassigned. I/We declarethatI/Weam/are of full ageandI/We herebymakeapplicationfor anadvancewiththe localauthorityupon

mortgageofthepropertydescribedabove.I/Wedeclarethattheforegoing statementsand particularsand anyother informationwehavegiventothe localauthorityto be strictlytrue, tothebest ofmy/our knowledgeandbelief.I/Weacknowledgethat,inorder toprocessthis loanapplication,thelocalauthorityits servantsand agentswill holdandprocess information inconnectionwiththis application (together withsuch other informationsuppliedtoor obtainedby thelocalauthorityseparately) and will hold andprocess samefor administrative,customer careandservicepurposesandthestatistical purposes oftheDepartment oftheEnvironmentHeritage andLocal Governmentwhererequiredbythat department.I/Wehavereadthe sectionaboveheadedvaluation,I/WeunderstandthatI/Weshouldnotrelyonthevaluationreportin any wayindeciding whetheror notto purchase theproperty.I/Weunderstand thatif,contrary tothethelocalauthorityrecommendation,I/Wedonotrequestorobtainanindependentstructural surveyformy/our ownpurposes, I/We runthe riskthat thepropertymaysufferfromseriousdefects whicharenotmentionedin the ValuationReportandthatthereportmaybedefective,ormaybeinadequatefor

my/our purposes.I/Wefurther understandthatshouldthelocalauthoritygrantaloan thisdoesnotsignifyanassuranceor guarantee thatthepropertyis soundlyconstructed andfree from defects.I/We notethatifI/We are approvedby thelocalauthorityfor aloanthatatanytimebeforethecompletion ofthemortgagetransactionthelocal authorityhastheright

towithdrawor varytheapproval.

Signatures

First applicant:Date:

Second applicant:Date:

APPENDICES

APPENDIX1–SALARYCERTIFICATE APPENDIX2–HPL1FORM

APPENDIX3–SOCIALWELFAREFORM

SALARYCERTIFICATE –To be completedby FirstApplicant’s Employer

NameofEmployee: ______

Lengthofservicewiththecompany:Years

Months

Positionheldwithinthecompany:

Theexactlocationofemployment:

Isemploymentpermanent?YesNo

Isemployeeonprobationperiod?YesNo

Sofar areyouabletotellwillhe/shecontinuetobeinyourservice?YesNo

Ifso,whatisthemaximumofsuchscaleandbywhatannualincrementsreached?

______

SALARYDETAILS

Grossbasic wage/salary: p.a

GuaranteedRegularIrregular

Overtime: p.a

Bonus:_p.a

Commission: p.a

Otherincome*: p.a

*Pleasegivedetailsofotherincome:

THIS SECTION IS TO BE COMPLETEDBY ANAUTHORISEDCOMPANY OFFICAL Signed by:

Position:

Company Name:

Address:

Pleaseauthenticatewithcompanystamporseal

Tel Number:

Date:

THE INFORMATION GIVEN WILL BE TREATED IN THE STRICTEST CONFIDENCE

Cavan County Council – House Purchase Loan Application


SALARYCERTIFICATE – tobecompletedbySecondApplicant’s Employer

NameofEmployee:

Lengthofservicewiththecompany:Years

Months

Positionheldwithinthecompany:

Theexactlocationofemployment:

Isemploymentpermanent?YesNo

Isemployeeonprobationperiod?YesNo

Sofar areyouabletotellwillhe/shecontinuetobeinyourservice?YesNo

Ifso,whatisthemaximumofsuchscaleandbywhatannualincrementsreached?

SALARYDETAILS

Grossbasic wage/salary: p.a

GuaranteedRegularIrregular

Overtime: p.a

Bonus:_p.a

Commission: p.a

Otherincome*: p.a

*Pleasegivedetailsofotherincome:

THIS SECTION IS TO BE COMPLETEDBY ANAUTHORISEDCOMPANY OFFICAL Signed by:

Position:

Company Name:

Address:

Pleaseauthenticatewithcompanystamporseal

Tel Number:

Date:

Cavan County Council – House Purchase Loan Application

HPL1 Form – First Applicant – House Purchase Loan Application

Cavan County Council

An HPL1 form should be filled out by each applicant and posted to the Revenue Commissioners.

They will return the form to Cavan County Council.

The address to send your completed HPL1 form tois:

Revenue Commissioners, Government Offices, Millennium Centre, Dundalk, Co. Louth.

Please note: Should the Revenue Commissioners return the HPL1 form directly to you, please

forward it to Cavan County Council as soon as possible. Please include a cover note and quote

your House Purchase Loan Reference Number.

YOUR FULL NAME (BLOCK LETTERS)

PREVIOUSNAME (IF ANY)

PRESENTADDRESS

PREVIOUSADDRESS (IF ANY)

PPS NUMBER (PRSI NUMBER)

TO BE COMPLETED BY INSPECTOR OF TAXES
I hereby certify, in accordancewith my recordsand tothe best of my knowledge, that the above named person has not previously claimed income relief in respect of interest paid on money borrowed to purchase or build a dwelling.
SIGNED / DATE / / / /
OFFICIAL STAMP


HPL1 Form – Second Applicant – House Purchase Loan Application

Cavan County Council

This form must be completed if the application is a joint application - each applicant must complete a HPL1 form and send to the Revenue Commissioners.

YOUR FULL NAME (BLOCK LETTERS)

PREVIOUSNAME (IF ANY)

PRESENTADDRESS

PREVIOUSADDRESS (IF ANY)

PPS NUMBER (PRSI NUMBER)

TO BE COMPLETED BY INSPECTOR OF TAXES
I hereby certify, in accordancewith my recordsand tothe best of my knowledge, that the above named person has not previously claimed income relief in respect of interest paid on money borrowed to purchase or build a dwelling.
SIGNED / DATE / / / /
OFFICIAL STAMP


CAVAN COUNTY COUNCIL – HOUSE PURCHASE LOAN APPLICATION

THIS FORM IS REQUIRED IFTHE SECOND APPLICANT IN A JOINT APPLICATION IS RECEIVING A SOCIAL WELFARE PAYMENT

Name:

Address:

PPS Number:

In relation to the above named loan applicant I confirm that the following information is correct:

TOTAL AMOUNT OF UNEMPLOYMENT BENEFIT/ASSISTANCE RECEIVED FROM:

1stJanuary to 31stDecember = €

CURRENTAMOUNT OF UNEMPLOYMENT BENEFIT/ASSISTANCE BEING RECEIVED

€ WEEKLY

TO BE COMPLETED BY AN OFFICIAL OF THE DEPARTMENT OF SOCIAL WELFARE/EMPLOYMENT EXCHANGE
I hereby certify, in accordancewith my recordsand tothe best of my knowledge that the above named person is in receipt of social welfare payments.
SIGNED / DATE / / / /
OFFICIAL STAMP