Please note your property may be repossessed if you do not keep up repayments on your mortgage.

HomeMortgagesExisting Mortgage CustomersMortgage Charter request form

Mortgage Charter request form

  • If you switch to six-month interest only or extend the term of your mortgage you will pay more interest and increase the total overall cost.
  • If you can afford your existing mortgage payments, you should think carefully before making any changes and consider the overall cost of your mortgage.

If you are looking to request support under the Mortgage Charter and you are eligible, please complete and submit this form.

Am I eligible?

To be eligible to extend your mortgage term you must:

  • Be up to date and not have any arrears on your mortgage.
  • Have a residential mortgage.
  • Not be already on an interest only mortgage.
  • Not be looking to extend beyond your expected retirement age.
  • Not have a mortgage deal that will end during the six-month interest-only period (you will need to wait until after you have a new product in place).
Financial Support Request
e.g. Joe
e.g. Smith
e.g. 07123456789
e.g. Upper Bond Street, Hinckley, Leicestershire, LE10 1NZ
e.g. Term extension
Privacy Statement
Privacy: I/we consent to the information I/we have provided being stored securely within Hinckley & Rugby Building Society’s website for the purpose of responding to my/our enquiry and may be used for marketing purposes.
Execution only
I/We confirm that by proceeding with this request for support that we are doing so without receiving advice. This means that Hinckley & Rugby won’t assess whether we’ve chosen a mortgage which best fits my/our needs, and this is called execution only. By proceeding on this basis I/we understand that we will not benefit from the protection of a Hinckley & Rugby mortgage adviser’s recommendation based on an understanding of my/our needs and circumstances, meaning that I/we will not be entitled to redress if the mortgage isn’t right for me/us. I/We understand that I/we may still have the right to complain or redress if anything else goes wrong with my/our mortgage.
Mortgage Charter
I/We confirm that I/we reviewed the information available on The Mortgage Charter and other financial support measures and that I/we understand that any support provided may result in me/us paying increased interest and that the overall costs over the life of my/our mortgage may be higher.