Accord Mortgages - selfCertForm

Your details

Please enter your details, or click here to find out how to contact us.

Account number: *

Are all your mortgage payments up to date? *

YesNo

Full Name (of any account holder) *

Title: *

Forename: *

Surname: *

Date of Birth (of the person named above) *

/ /

Are you the account holder? *

Please give us as many contact numbers as possible to help us get in touch if we need to.

Phone Number 1: *

Phone Number 2:

Phone Number 3:

Phone Number 4:

Email address: *

Property postcode: *

Employment Status *

How many months payment holiday is required? *

When would you like your payment holiday to start? *

/ /

Are all parties to the mortgage in agreement that a payment holiday is required? *

I confirm I have the relevant authority to request this payment holiday, on behalf of all account holders.

I confirm I am requesting a payment holiday due to impacts experienced as a result of the COVID 19 pandemic.

Before you submit your application for a payment holiday you should ensure you are fully aware of the impact on your mortgage:

During a payment holiday, interest will continue to accrue which means you will pay back more over the full term of your mortgage;
When your payment holiday ends, it is very likely that your mortgage payments will increase. We will confirm the new payment when your payment holiday comes to an end;
The term of your mortgage will not change;
The payment holiday will not negatively impact your credit rating;

Please tick to confirm that by continuing, you confirm you have read and agree to the above statements, you are acting on behalf of all parties named on the mortgage and are happy to proceed.

Payment Holiday Request

Your details