DECLARATION

Please read and carefully check all information is correct before signing this form

I / we agree that this Fact Find is a true record of my / our discussions with MG Open Ltd and that the information recorded is true to the best of my  / our knowledge.  I / we accept that this Fact Find relates only to a mortgage and / or protection advice and is not a Fact Find for investment advice  regulated under the Financial services Act.

 I / we confirm we have recieved the following documentation:

       Business Card

       Combined IDD

       Mortgage Guide

 DATA PROTECTION ACT 1998

MG Open Ltd (we) will treat all of your personal information as private and confidential, except where disclosure is made at your request or with your consent or where we are required by law to disclose.

We will hold your details for a minimum of 6 years.

We will provide your information to relevant third parties such as mortgage lenders and the providers of other financial products in order to achieve your particular requirements.

By signing this Fact Find you are consenting to MG Open Ltd to contact you in the future for a no obligation review of your mortgage and / or protection arrangements.

If you do not wish to be contacted please circle this statement :  Do not contact

Any Addendums attached to this Fact Find are covered by our / my signature(s) on this declaration.

I / we confirm we have read and understood this Fact Find before signing below.

 Applicant 1

 Signature: _________________________________ Date: ________________

 Applicant 2

 Signature: _________________________________ Date : ________________

 Advisors Signature: __________________________ Date : ________________

  YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE

      MG Open Ltd is authorised and regulated by the Financial Services Authority. Number 469476

                                                                                                                                              FF page 14