HBFI – Loan Application Form

Borrower Details

Item	Description	Details
1	Borrower name.
2	Borrower address.

Details of Loan

Site Loan

Item	Description	Details
1	Purchase price.
2	Transaction costs.
3	Customer equity amount.
4	Please indicate the source of your equity.
5	Loan amount requested.
6	Loan term requested.

Development Loan

Item	Description	Details
1	Total development cost.
3	Customer equity amount.
4	Please indicate the source of your equity.
5	Loan amount requested.
6	Loan term requested.

Previous residential development experience

Please provide details of any recent similar/ relevant developments that you have completed. A separate table should be completed for each development.

Item	Description	Details
1	Name of development.
2	Address of development.
3	What was your specific role in the development? E.g. Developer / Contractor
4	Number of units in development.
5	Current status (e.g. fully/partially sold).
6	Date development completed.
7	Who was the development funder?

Technical information relating to the development

Item	Description	Details
A	Key Technical Information Required to process your Loan Application	Required with your Loan Application
1	Does the development have planning permission? If so, please provide the Decision of Final Grant of planning permission.	Document to be attached to this form.
2	Please attach completed HBFI development cash flow excel document? Alternatively, please provide a copy of Borrower cash flow.	Document to be attached to this form.
B	Other Technical Information Required to support your Loan Application	Required with your Application.
Procurement and Construction Delivery
1	Who will perform the role of main contractor/ key contractor(s) on the development?	Details here
2	What is the proposed construction methodology?	Details here.

Sales / revenue details of the development

Item	Description	Details
1	If units are to be sold on the private market, please provide a Sales Agent Report?	Sales Agent report to be attached to this form.
2	If the units are to be sold to an AHB / Local Authority, or as a PRS pre-sale please provide details.	If applicable, details to be attached to this form.

Borrowing entity details

Item	Description	Details
1	Please provide a copy of the most recent audited accounts. This does not apply to a newly incorporated SPV.	If applicable, copy of the accounts to be attached.
2	If the borrowing entity is part of a wider company group structure, please provide a group structure chart.	If applicable, details to be attached to this form.
3	A Statement of Affairs is required for all directors and the Ultimate Beneficial Owners / Promoters. Please complete the HBFI standard Statement of Affairs template and return with this application form. Note: If there are any current or legacy financial issues these should be disclosed in the Statement of Affairs – please refer to section 3 in the Statement of Affairs for details of information required.)	Completed Statement of Affairs to be attached to this form.

Interested parties (tick as appropriate – Note – if ticking field 2, do not tick field 1)

1.	I hereby declare that there are no other persons and/or entities (as detailed in Section 1) that hold an interest (including an indirect or beneficial interest) in the proposed development.
2.	I hereby declare that the persons and/or entities, as outlined in the below table, have an interest (including an indirect or beneficial interest) in the proposed development

Name	Nature of interest

Central Credit Register Notifications

Notice: Under the Credit Reporting Act 2013 lenders are required to provide personal and credit information for credit applications and credit agreements of €500 and above to the Central Credit Register. This information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements.

The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information, including on how your data is processed, see www.centralcreditregister.ie.

Your Personal Data

We comply with the requirements of the General Data Protection Regulation (EU) 2016/679 (“GDPR”) and the Irish Data Protection Acts 1988 to 2018. Please see section 9 (Personal Data) below.

Information about your Rights and Duties

Amongst other things, you have the following rights under the Credit Reporting Act 2013 (“CRA 2013”):

to make an application to access information held on the Central Credit Register (“CCR”) which relates to you;

to give the Central Bank of Ireland (“Central Bank”) a statement of not more than 200 words relating to any information held on the CCR which relates to you;

to apply to the CCR to amend information held on the CCR;

to provide the Central Bank with notice of any suspected impersonation;

to make an application to access information held on the CCR which relates to a credit information subject, with the consent of the credit information subject;

to require the Central Bank to provide a record of the occasions on which access was given to information held on the CCR which relates to you, the identities of those provided with such access, and the dates on which such access was provided; and

to be made aware of are of your rights and duties under CRA 2013, and be informed of our duty to provide information to the CCR.

Amongst other things, you have a duty under CRA 2013 to provide us with notice of aggregate foreign debt of more than €5,000.

For further information on your rights and duties under CRA 2013 please refer to the factsheet prepared by the Central Bank. The factsheet is available on www.centralcreditregister.ie.

Please note that certain of your information will also be provided by the Central Bank to the Central Statistics Office, who will process such information in accordance with its statutory obligations.

Data Protection

HBFI requires the personal data you provide on, or in conjunction with, this form in order to process your application and in order to enable HBFI fulfil its statutory obligations (including under the Home Building Finance Ireland Act 2018, the Criminal Justice (Money Laundering and Terrorist Financing) Acts 2010-2018 and CRA 2013). Your personal information will be processed, retained and disclosed by HBFI for these purposes. For further information about your data protection rights and for contact details for HBFI’s Data Protection Officer, please see HBFI’s Data Protection Statement at www.hbfi.ie/data-protection-statement

In circumstances where you provide us with the personal data of a third party, it is your responsibility to ensure that you have firstly provided a copy of our Data Protection Statement to any such individuals before providing their personal data to us.

I am happy for HBFI to contact me by email for the purposes of market analysis and surveys related to my application (You can withdraw your consent by emailing: info@hbfi.ie)

Signature of applicant(s)	Date: __________

Signature of applicant(s)	Date: __________

Data Protection Compliance: By signing below, you give your consent to receive communications from HBFI related to your request and for the processing of your personal data by HBFI in accordance with our Data Protection Statement.

Signature of applicant(s)	Date: __________

Signature of applicant(s)	Date: __________

Declaration

I/We hereby confirm that the information which I/we have provided above is true and correct.

I/We also authorise you to make any enquiries you deem necessary for confirmation of the information contained in this application and for the purpose of credit assessment and for anti-money laundering purposes.

I/We understand that you may decline this application:

Signature of first applicant:

Authorised Representative of the business

Capacity (e.g. Director/Shareholder):

Address (Personal):

Address (Business):

Date:

Signature of second applicant:

Authorised Representative of the business

Capacity (e.g. Director/Shareholder):

Address (Personal):

Address (Business):

Date: