*197%40/,1105646.
,9%185%*
Page 1 of 3
Mortgage Roll Number 40/ 1105646- 9
Date of Issue 16th June 2023
Time of Issue 08:42
Customer Declaration
I declare that:- I apply for a product transfer.
I will personally occupy the mortgaged property.
I agree that:- I will notify you of any changes in circumstances relating to my application before the
transaction it relates to is entered into;
I have received a Mortgage Illustration relating to this application.
I understand that:- The regulatory status of my mortgage will remain unchanged following completion of this
transaction.
If any up front fee that I am asked to pay to you is described in my illustration as non-
refundable, this means that if I do not proceed with the application for any reason, or if you
reject my application for a valid reason, I will be unable to recover the fee. Examples of why
you might refuse my application include, but are not limited to:
• Where it has not been possible to verify my stated income;
• Where it is discovered that I or any joint applicant have provided false or incomplete
information;
• Where a property assessment reveals that my property is worth less than I originally
indicated;
• Where you have a reasonable suspicion of fraud and / or other forms of financial crime.
I also understand that you may reject my application at any time at your absolute discretion.
However if you choose to rely on this right, I will be able to recover the up front fees which I
have paid to you.
The payment of any fees shall not mean that you have to make me an offer.
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP
REPAYMENTS ON YOUR MORTGAGE
Mortgage Conditions I have received a copy of the Lloyds Bank Mortgage Conditions 2019 (the 'new conditions'). I
understand that on completion of the transaction, the existing mortgage will be varied so that it
will be governed by the new conditions instead of the mortgage conditions which currently
apply (the 'old conditions').
I agree to the new conditions being substituted for the old conditions on completion of the
transaction. By signing this agreement, I also agree that, if you ask me to, I will enter into a
deed which formally records the substitution of the new conditions for the old conditions.
Signed
Dated
Signed
Dated
40/ 1105646- 9 Page 2 of 3
Privacy Notice
Who looks after your personal information
Your personal information will be held by Lloyds Bank plc which is part of the Lloyds Banking Group. More
information on the Group can be found at www.lloydsbankinggroup.com.
Our full privacy notice
This privacy notice contains key information about how we will use and share your personal information and
the rights you have in relation to this. If you want to know more please access our full privacy notice at
www.lloydsbank.com/privacy or ask us for a copy.
How we use your personal information
We will use your personal information:
• to provide products and services, manage your relationship with us and comply with any laws or
regulations we are subject to (for example the laws that prevent financial crime or the regulatory
requirements governing the products we offer).
• for other purposes including improving our services, exercising our rights in relation to agreements
and contracts and identifying products and services that may be of interest.
To support us with the above we analyse information we know about you and how you use our products and
services, including some automated decision making. You can find out more about how we do this, and in
what circumstances you can ask us to stop, in our full privacy notice.
Who we share your personal information with
Your personal information will be shared within Lloyds Banking Group and other companies that provide
services to you or us, so that we and any other companies in our Group can look after your relationship with
us. By sharing this information it enables us to better understand our customers' needs, run accounts and
policies, and provide products and services efficiently. This processing may include activities which take
place outside of the European Economic Area. If this is the case we will ensure appropriate safeguards are
in place to protect your personal information. You can find out more about how we share your personal
information with credit reference agencies below and can access more information about how else we share
your information in our full privacy notice.
Where we collect your personal information from
We will collect personal information about you from a number of sources including:
• information given to us on application forms, when you talk to us in branch, over the phone or
through the device you use and when new services are requested.
• from analysis of how you operate our products and services, including the frequency, nature,
location, origin and recipients of any payments.
• from or through other organisations (for example card associations, credit reference agencies,
insurance companies, retailers, comparison websites, social media, and fraud prevention agencies).
• in certain circumstances we may also use information about health or criminal convictions but we
will only do this where allowed by law or if you give us your consent.
You can find out more about where we collect personal information about you from in our full privacy notice.
Do you have to give us your personal information
We may be required by law, or as a consequence of any contractual relationship we have, to collect certain
personal information. Failure to provide this information may prevent or delay us fulfilling these obligations
or performing services.
40/ 1105646- 9 Page 3 of 3
What rights you have over your personal information
The law gives you a number of rights in relation to your personal information including:
• the right to access the personal information we have about you. This includes information from
application forms, statements, correspondence and call recordings.
• the right to get us to correct personal information that is wrong or incomplete.
• in certain circumstances, the right to ask us to stop using or delete your personal information.
• from 25 May 2018 you will have the right to receive any personal information we have collected from
you in an easily re- usable format when it's processed on certain grounds, such as consent or for
contractual reasons. You can also ask us to pass this information on to another organisation.
You can find out more about these rights and how you can exercise them in our full privacy notice.
Other individuals you have financial links with
We may also collect personal information about other individuals who you have a financial link with. This
may include people who you have joint accounts or policies with such as your partner/spouse, dependents,
beneficiaries or people you have commercial links to, for example other directors or officers of your
company.
We will collect this information to assess any applications, provide the services requested and to carry out
credit reference and fraud prevention checks. You can find out more about how we process personal
information about individuals with whom you have a financial link in our full privacy notice.
How we use credit reference agencies
In order to process your application we may supply your personal information to credit reference agencies
(CRAs) including how you use our products and services and they will give us information about you, such
as about your financial history. We do this to assess creditworthiness and product suitability, check your
identity, manage your account, trace and recover debts and prevent criminal activity.
We may also continue to exchange information about you with CRAs on an ongoing basis, including about
your settled accounts and any debts not fully repaid on time, information on funds going into the account, the
balance on the account and, if you borrow, details of your repayments or whether you repay in full and on
time. CRAs will share your information with other organisations, for example other organisations you ask to
provide you with products and services. Your data will also be linked to the data of any joint applicants or
other financial associates as explained above.
You can find out more about the identities of the CRAs, and the ways in which they use and share personal
information, in our full privacy notice.
How we use fraud prevention agencies
The personal information we have collected from you and anyone you have a financial link with may be
shared with fraud prevention agencies who will use it to prevent fraud and money laundering and to verify
your identity. If fraud is detected, you could be refused certain services, finance or employment. Further
details of how your information will be used by us and these fraud prevention agencies, and your data
protection rights, can be found in our full privacy notice.
Our full privacy notice
It is important that you understand how the personal information you give us will be used. Therefore, we
strongly advise that you read our full privacy notice, which you can find at
www.lloydsbank.com/privacy or you can ask us for a copy.
How you can contact us
If you have any questions or require more information about how we use your personal information please
contact us using https://secure.lloydsbank.com/retail/contact_us/how-we-can-help.asp. You can also call us
on 0345 602 1997.
If you feel we have not answered your question Lloyds Banking Group has a Group Data Privacy Officer,
who you can contact on 0345 602 1997 and tell us you want to speak to our Data Privacy Officer.
Version Control
This notice was last updated in February 2018.
