FCA Information from Lenders reporting form
Lender
Contact name:
Contact telephone number:
Contact email:
Details of the intermediary you wish to inform us about
Intermediary’s FRN:
Name of intermediary:
Is the intermediary an Appointed
Representative (AR)?
If yes, state name and FRN of
principal firm:
Yes / No
Name of individual(s) removed from panel (if not removed from panel, please
explain what steps have been taken in the comments box below)
Have you notified the intermediary of
your decision to remove it from your
panel?
Have you notified the principal firm
this AR has been removed from your
panel?
Yes / No
Yes / No
Have you notified the intermediary
that the FCA has been informed it has
been removed from your panel?
Do you suspect the intermediary (or
individual) was complicit in the
fraud? If yes, please explain why you
think this in the comments box below
Yes / No
Yes / No / Prefer not to answer
Was the intermediary (or individual) removed from
the lender panel because of its own mortgage
application(s)?
Yes / No
Was the intermediary (or individual) removed from
the lender panel because of applications made on
behalf of others?
Yes / No
Was one or more of the applications submitted in the
last 12 months?
Yes / No
Was one or more of the applications submitted in the
last 24 months?
Yes / No
Are there 5 or more applications that cause concern?
Yes / No
Are you aware of police involvement at the firm?
Yes / No
Has a suspicious activity report (SAR) been
submitted?
Is additional information about this notification
available? If yes,
Yes / No /
Prefer not to answer
Yes / No
documents attached / available on request
(please give details in the comments box below)
Is there any information you do not want us to share
with the intermediary? If yes, please provide details
in the comments box below
Yes / No
Have you passed this information to National Hunter?
Yes / No
Are you happy for us to pass this information to
National Hunter?
Yes / No
June 2016
Comments
Please send completed forms and any attachments to the IFL inbox:
[email protected]
If you have any queries contact Alison Slingsby or Pantea Shafiei on
0131 301 2000.
June 2016
Information from lenders reporting template
Case
reference
1.
2.
3.
4.
5.
6.
Customer
name(s)
Type of suspected fraud
(note number below)
Impersonation
Theft of funds by conveyancer
Scheme abuse
False employment
Credit abuse
Property fraud
Date(s) of
birth
Occupation(s)
Date
application
received
Case completed
/ declined?
Employment
status
Income(s)
Loan &
valuation
amounts
Property address
Income(s)
verified by
HMRC?
Individual /firm name and address of
any suspect third parties (e.g.
solicitor, accountant, etc.)
Y/N
Any additional
information
Data match CIFAS/
National Hunter / SIRA? –
give details
CIFAS?
Loaded to CIFAS / SIRA?
Y/N
CIFAS?
Y/N
National Hunter? Y / N
SIRA?
Y/N
SIRA?
Y/N
June 2016