Please complete this form to ask us to switch your existing mortgage product. Before you decide, make sure you have read your mortgage illustration document (ESIS) and understand the key features, fees, risks and any impact on your monthly payments. If you are unsure whether this product is right for you, please speak to your mortgage broker or another qualified adviser before returning this form. If you choose to proceed without advice, please read the execution-only declaration carefully before signing.

I / We ask Harpenden Building Society to switch my / our mortgage to the product detailed below. Please complete all sections.

You may be able to move to your new product up to 3 months before your current product ends without paying an early repayment charge. Once the new product has started, the switch cannot usually be cancelled or delayed.

I / We confirm that I / We have chosen to proceed with this mortgage product switch on an execution-only basis. No mortgage advice or recommendation has been provided by the lender or any intermediary in relation to this switch. I / We understand that this means no assessment has been made of whether the product is suitable for my / our needs and circumstances. I / We have read the illustration (ESIS) and wish to proceed on this basis.

Before returning this form, please check you have ticked all the appropriate boxes, completed all the fields in the product section and added your names into the signature(s) fields. We will not be able to action your request if the form is incomplete and does not contain the correct illustration reference number.

If you require an illustration producing, you can call us on 01582765411 (option 3) to request this or alternatively, please complete the ‘Request a Mortgage Illustration’ form.