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For Intermediaries only. Not for public use.

Submission Forms

H&R for Intermediaries prefers to receive mortgage applications submitted through our online system.

If you are unable to submit applications online we will also accept paper applications.  The forms required can be accessed below as PDF documents that can be printed and completed by hand.

Please note, all paper applications require a fully completed Intermediary Declaration & Introduction Certificate, which should be submitted at the same time as the mortgage application form to ensure that the application is processed as speedily as possible.

Please click on the relevant PDF form below, print and return to us at:

H&R for Intermediaries
Upper Bond Street
LE10 1NZ

Alternatively, documents can be emailed to and must be sent via a secure email facility.

Packaging documentation

Browse packaging documentation requirements

Covid-19 Declaration Form

Download Covid-19 Declaration Form

Mortgage Declarations and Direct Debit Mandate

Download Mortgage Declarations and Direct Debit Mandate

BTL Supplementary Mortgage Application Form

Download Buy to Let Supplementary Mortgage Application Form

Rio/Later Life Supplementary Mortgage Application Form

Download a Rio/Later Life supplementary Mortgage Application Form

Gifted Deposit Template

Download Gifted Deposit Template

Mortgage Application Form

Download mortgage application form

Intermediary Declaration & Introduction Certificate

Download Intermediary Declaration and Introduction Certificate