Mortgage Product Switch Request Form - Brokers

Mortgage Product Switch Request Form – Brokers

"*" indicates required fields

If you are a mortgage customer, please visit our dedicated product transfer page within the Mortgages section of our website.

Customer details

Mortgage Account Number

Applicant 1

First Name*

Last name*

Email*

Applicant 2

First Name

Last name

Applicant 3

First Name

Last name

Applicant 4

First Name

Last name

Broker details

Broker Firm Name*

FCA Number*

Broker Name*

Contact Email*

Contact Telephone*

This instruction authorises Harpenden Building Society to switch the existing mortgage to a new product. Before we action this request, please confirm that a mortgage illustration document (ESIS) has been provided to the customer(s), and that they have read and understood the key features, fees, risks, and any impact on their monthly payments.

Chosen product details

Please give the details of the product you want us to illustrate in the ESIS.

Chosen Product*

Broker Fee Amount*

When would you like the new product to start?*

Immediately (this can be up to 3 months before your current product ends)

On maturity (when your current mortgage product ends)