Loan number
Applicant name(s)
Property address
(including postcode)
Completion of this form will authorise InterBay to instruct its valuer to undertake a valuation of the above property for its commercial
mortgage purposes and the mortgage application to be processed in accordance with the Conditional Mortgage Offer.
Fees paid are non-refundable and the valuation report will remain the property of InterBay unless otherwise agreed. The valuation
report will only be released at the sole discretion of InterBay.
I/We, the above named borrower(s), hereby authorise payment of the following, by the method detailed below.
Property valuation fee
£
Please note that if the true value of the property is significantly higher at valuation than the estimated above, it is possible that an
additional charge will be payable if determined by the valuer.
I, the undersigned hereby authorise InterBay to debit my credit/debit card with the above transaction.
OR
I, the undersigned have obtained authorisation to debit the below-named cardholder’s credit/debit card with the above transaction.
Cardholder/Broker Signature
Date
/
/
Cardholder/Broker Signature
Date
/
/
Please fax completed form to 0118 900 5757 with Rent Roll form (if applicable).
Valuation payment details:
Card number
Cardholder’s name
Start date
/
/
Expiry date
/
/
Issue number
Security code
Registered cardholder’s address
(including postcode)
Important: Once successful payment has been taken please ensure that payment details are shredded
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Contact name (for access to the property)
Telephone number
(to arrange access to the property)
Current use
Proposed use
Property description and current/proposed use
Is the property being purchased through an agent?
Yes
No
Yes
No
If Yes, please provide details:
Company
Address (including postcode)
Contact telephone number
Contact name
Are any changes or improvements proposed?
If Yes, please provide details:
Is any element of the property currently let?
Yes
No
If Yes:
Whole of property let
Part of property let
Rent roll form to be completed and returned with this form
Is any element of the property to be let?
Yes
No
If Yes:
Whole of property let
Part of property let
Describe proposed letting, including term of lease(s) and rental income pa.
Estimated value/purchase price of the property (bricks and mortar, excluding goodwill and VAT)
Trading value (if applicable)
£
£
Is VAT payable on the purchase price
Is the property freehold?
Yes
No
If No, please provide details (leasehold must have 65 years or more remaining at the end of the proposed mortgage term)
Years remaining on lease
Current ground rent (£pa)
Years
£
Head Office: PO Box 706, Fareham PO14 9PS. Telephone: 0345 878 7000. www.interbay.co.uk. Registered in England number: 05595882.
Registered office: Reliance House, Sun Pier, Chatham, Kent ME4 4ET. Part of the OneSavings Bank plc group (company number 7312896).
012/v15/IB/10.15
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