Mis-sold Mortgages Ireland

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Purpose of this form: We use this summary information to establish if you might have a case. First, please read the “Mis-sold Mortgages” and “Restructure you mortgage” and the Terms of Business located at the base of the pages.

Do not worry about having all the details below as it was some time ago.

Number of People on Mortgage *

Title *

Name *

First

Last

Email *

This is the email address that we will communicate with you even if it is a joint account

Phone contact *

This is the number we will call you if we have any issues with your application

Occupation *

Date of Birth *

Second Person

Name (Second Person) *

First

Last

Email (Second person) *

Occupation (Second person) *

Date of Birth (Second person) *

Property Details

This is the address that your mortgage is secured on

How did you hear about us *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Loan Details

Total amount borrowed *

Total amount borrowed including top ups, etc.

The YEAR the loan was drawn down *

The term of the loan in years *

The original lender *

The current loan owner if different

If your loan has been sold or transferred to another firm, please input that firm's name here

The account or reference number *

Please take this reference number from recent correspondence

Was this your primary family residence at the time loan was drawn down? *

Yes
No

We are only processing claims on family homeloans and for individuals with up to two Buy to Lets. Please complete separate form for each property

Was this loan? *

Interest Only
Capital and Interest (C&I)
Interest Only reverting to C&I

If Interest Only, did the bank enquire as to how you would pay off the capital at the end of term?

Yes
No

What was the interest rate at inception?

Please chose from ECB tracker, Standard Variable or Fixed rate. If ECB please state the margin, e.g ECB +1.25%

What was the purpose of the loan? *

Purchase home
Refinance existing home loan
Refinance existing home loan and consolidate debts
Refinance existing home loan, consolidate debts and release equity

Did you self-certify your income?

Yes
No
Unsure

You self-certified your income if you did not supply evidence of income or supplied data that did not support the amount advanced

Why do you think your mortgage was mis-sold? *

Please read our section on mis-sold mortgages and let us know here why you think your loan was mis-sold

Have you received notification that you defaulted on this loan at any point since draw down?

Yes
No
Unsure

Have you been threatened with legal proceedings?

Yes
No
Unsure

Is there a possession order on the property?

Yes
No
Unsure

The current status of your loan

Please tell us in your own words if the loan is in default, you have legal proceedings against you, you are negotiating with a vulture, there is a possession order in place, etc.

Have you complained to the Financial Ombudsman in the past? *

Yes
No

If your answer is Yes, please provide the FSPO's reference number for previous complaints in the "Please let us know..." box below

Please let us know here what you want out of this process and how did you hear about us

Please use this section to elaborate on matters relating to this loan only

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