FOR OFFICIAL USE ONLY INDEX CHECKED

TRINIDAD AND TOBAGO MORTGAGE FINANCE COMPANY LIMITED

APPLICATION NO________________________ ACCOUNT NO ________________________ TTMF/OM TTMF HDC HEAD OFFICE S/FERNANDO CHAG TOBAGO ARIMA

"ALBION COURT", 61 Dundonald Street, Port of Spain, P.O. Box 1096 Tel. Nos: 623-6112/3; 623-6565

APPLICATION FOR A FIRST MORTGAGE LOAN

Applicant(s): Address:

Phone: Amount: $ Monthly Repayment $ PURPOSE OF LOAN: Other Rate %Term/Amortised Period plus property charges Purchase ! Construction !

Phone:

Repairs !

PROPERTY OFFERED AS SECURITY Address: Purchase price: Cost of Construction: Total: The balance for financing this project to be supplied by: CASH: ( ) OTHER ( ) State source and terms of Repayment: Building: Land:

Type of Property: ( ) Bungalow/House ( ) Town House ( ) Apartment ( ) Other (specify) Tenure: ( ) Freehold ( ) Leasehold: Term of Yrs. Land Area: Age of Building: Exterior Finish: Roof Walls No. of Rooms From

Is the road to the property: ( ) Paved ( ) Private Road ( ) Local Authority Road Property is served with: ( ) Water ( ) Electricity

Sewer Disposal: ( ) Septic Tank ( ) Sewer ( ) Other Property is for: ( ) Owner Occupancy ( ) Other

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PERSONAL INFORMATION 1ST APPLICANT Employer Position Held: Length of Service: Nature of Employer's Business: Annual Income from Employer: Other Income Cash on Deposit Total Debts o/s:$ Marital Status ( ) Married ( ) Single ( ) Married ( ) Single 2ND APPLICANT/GUARANTOR

( ) Separated/Divorced ( ) Common Law ( ) Separated/Divorced ( ) Common Law Dependents (Excluding Spouse): Life Insurance: Bankers: Branch: Reference: Nationality: ID/Passport No: NIS No: Date of Birth: Do you own any other property? ( ) Yes ( ) No ( ) Yes ( ) No Phone: Reference: Phone:

Have you previously owned a dwelling? ( ) Yes ( ) No ( ) Yes

( ) No ( ) Yes ( )

Will your Attorney be preparing the Transfer Conveyance? ( ) Yes ( ) No No If yes, name your Attorney

It is agreed and understood between the company and the applicant, as part of this application, that: 1) Valuation charges, legal expenses, and other costs incidental thereto are to be borne by the applicant whether the loan fund are released or not. 2) The title to the Security must be satisfactory to the Companys Attorneys and the mortgage a first charge thereon; and the Companys Attorney shall be authorised to pay off any encumbrance against this property 3) Neither the execution nor registration of a mortgage pursuant to this application, nor the advance in part of the moneys secured thereby shall bind the mortgagee to advance the said moneys or any unadvanced portion thereon.
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4) Any misstatement of fact herein shall entitle the Company to cancel the loan and to require immediate repayment of all moneys secured by the mortgage. I/We hereby authorise and consent to your obtaining information on my/our credit and employment history from any source and any such source is hereby authorised to provide the required information. You are authorised to disclose to any Credit Bureau and other credit grantors any information about my/our credit history. I/We jointly and severally agree to indemnify you against any and all claims in damages or otherwise that may arise from such disclosure on your part. Applicant/s Signature: (1) (2) Witness: Date: Date: Date:

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ADDENDUM TO HOME MORTGAGE APPLICATION FINANCIAL DETAILS

STATEMENT DATED: NAME/S OF APPLICANT/S (1) (2)

ADDRESS(ES) OF APPLICANT(S) (1) ASSETS Cash in Hand Savings/Fixed Deposits Current Accounts Debtors CSV of Life Insurance Insured Value $__________ Furniture & Furnishings Automobile Investments (Stocks, Shares, Bonds, etc.) Public Company Private Company Real Estate Other TOTAL TOTAL Mortgage Loans (Balances Owing) NO. 1 NO. 2 (2) LIABILITIES Bank Loans Credit Union Loans H/P/ & Charge Accounts Instalment Accounts NO. 1 NO. 2

Other Liabilities (give details)

Surplus/Deficit

REMARKS:

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