Mi12 0413 Form PDF Details

Do you need to fill out an Mi12 0413 form but don't know where to start? It can be intimidating to tackle bureaucratic paperwork without guidance and understanding, but thankfully MDC Inc. is here to help! We have prepared this comprehensive guide on the Mi12 0413 form which outlines exactly what it is, when you need it and how best you can complete it with ease. So keep reading if you want to learn more about this essential documentation for businesses in the process of setting up or changing their legal statuses!

QuestionAnswer
Form NameMi12 0413 Form
Form Length20 pages
Fillable?No
Fillable fields0
Avg. time to fill out5 min
Other namesdwp forms to download, form mi12 no download needed, mi12 form no download needed, dwp form mi12 no download needed

Form Preview Example

PART 1 Notes

Help with housing costs

About this form

If you have a mortgage, remortgage or home loan, you may be able to get some help with the interest payments from Income Support, Jobseeker’s Allowance or Employment and Support Allowance.

We need some information about your mortgage, remortgage or home loan so we can work out how much help you can get.

If we have sent you letters asking for other information, please complete these and return them to us in the envelope provided.

What to do

Please fill in Parts 1 to 6. Do not fill in Parts 7 to 8.

Once you have completed Parts 1 to 6, take or send this form to your lender straight away. They will complete Parts 7 to 8 and send the form back to us.

Use one form for each lender. We can give you separate forms if you have a mortgage or loan with another lender.

Remember, if you delay sending this form to your lender, we may reduce or stop your benefit.

Name of benefit

The office dealing with your claim

MI12 04/13

1

Notes

More information

To find out more about the mortgage interest direct scheme, ask for booklet IS8 Home owners - Help with housing costs from any Social Security or Jobs & Benefits office. Or visit www.nidirect.gov. uk

You must tell us of any changes in your mortgage or home loan that may affect your entitlement to Income Support, Jobseeker’s Allowance or Employment and Support Allowance.

To find the changes you need to tell us about, read the booklet we sent you when we decided that you can get Income Support, Jobseeker’s Allowance or Employment and Support Allowance.

Our service standards

At Social Security Agency we aim to provide a high standard of customer service at all times. Details of the standard of service you can expect from us can be found on our website at www.dsdni. gov.uk

You can access our website from many libraries.

For more information please contact your local Social Security or Jobs & Benefits office.

How we collect and use information

We, the Department for Social Development (DSD), collect information to deal with Social Security, Child Support, employment and training, housing and community development and urban regeneration (redeveloping towns, cities and villages). The information we collect about you depends on the type of your business with us, but we may use the information for any of these purposes.

We may check information about you with other information we may have. We may get information about you from other people and certain organisations.

We may give information to certain other organisations, as allowed by the law, to:

check that the information is accurate

prevent or detect crime

protect public funds in other ways, and

use in research statistics.

These other organisations include other government departments, authorities who deal with Housing Benefit and private-sector organisations (such as banks) that may lend you money. We will not give information about you to anyone outside our department unless the law allows us to.

The Department for Social Development is the data controller for the Data Protection Act.

If you want to know more about what information we have about you, or the way we use your information, please contact us. You can contact any of our offices and ask for the leaflet Data Protection Act 1998 - It affects you. Or you can find a copy of the leaflet on our website at www.dsdni.gov.uk

2

PART 1 About you

Surname or family name

All other names in full

National Insurance (NI) number

Get this from your NI number card, payslips, tax papers or letters about your benefit.

Address where you live now

Date of birth

Daytime phone number

Address of the property you pay the mortgage or home loan on, if different from where you live

Mr / Mrs / Miss / Ms

Letters Numbers

 

 

 

 

 

 

 

Letter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode

/ /

 

Code

Number

Number

Postcode

3

PART 2 Mortgage, remortgage or home loan details

Do you or your partner pay ground rent?

Are there service charges or other charges paid for this property?

What date was the property purchased?

No Yes

No Yes

We will write to you about this.

We will write to you about this.

/ /

Tell us about your mortgage, remortgages or loans below.

Loan 1

Tell us the loan reference number

 

 

 

 

 

 

Tell us the name of your lender

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tell us the amount borrowed on the loan

 

£

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

When was the loan taken out?

 

/

/

 

 

 

 

 

 

 

 

 

Tell us the type of loan this is.

For example, a mortgage, remortgage or home improvement loan

Whose name is the loan in?

Yours

 

Your partner’s

 

Both

Loan 2

£

//

Yours

 

Your partner’s

 

Both

4

PART 2 Mortgage, remortgage or home loan details continued

Is the loan shared with anyone else?

This includes for example, a partner, ex-partner, mother, sister, even if they live separately now

Do they still contribute towards the repayments?

What percentage of the repayments are you responsible for?

For example 50%

Loan 1

No

Yes Please tell us their full name and relationship to you

No

Yes

%

Loan 2

No

Yes Please tell us their full name and relationship to you

No

Yes

%

Is this the original loan that was first used to purchase the property?

If you answered No, what was the amount originally borrowed to purchase your home?

What was the date the original loan was taken out?

Who was the original lender?

How much was still outstanding on the original loan when you first remortgaged?

No

Yes

£

/ /

£

No

Yes

£

/ /

£

5

PART 2 Mortgage, remortgage or home loan details continued

Is there an insurance policy that pays on the loan if you or your partner become sick or unemployed?

Have you made a claim on the insurance policy?

Will the insurance cover your payments to the lender?

Loan 1

No

 

Yes

 

No

You or your partner should make a claim

 

 

on the policy as soon as possible

Yes

 

When do you expect to get the first

 

 

payment?

 

 

/

/

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

Loan 2

No

 

Yes

 

No

You or your partner should make a claim

 

 

on the policy as soon as possible

Yes

 

When do you expect to get the first

 

 

payment?

 

 

/

/

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

We will write out to you later for more information on your mortgage protection policy.

6

PART 2 Mortgage, remortgage or home loan details continued

Is the loan for anything except buying the property?

Loan 1

No

 

 

 

Yes

 

 

Please tell us below what was the

 

 

 

 

 

 

 

money used for?

 

 

 

Home improvements

 

 

 

 

 

 

We will write out to you about this

 

 

 

Repairs

 

 

 

 

 

 

We will write out to you about this

 

 

 

Others

 

 

 

 

 

 

Please tell us below what was done with the

 

 

 

rest of the loan for example buying a piece

 

 

 

of land or buying a car.

 

 

 

 

 

 

 

 

 

 

 

 

Loan 2

No

 

 

 

Yes

 

 

Please tell us below what was the

 

 

 

 

 

 

 

money used for?

 

 

 

Home improvements

 

 

 

 

 

 

We will write out to you about this

 

 

 

Repairs

 

 

 

 

 

 

We will write out to you about this

 

 

 

Others

 

 

 

 

 

 

Please tell us below what was done with the

 

 

 

rest of the loan for example buying a piece

 

 

 

of land or buying a car.

 

 

 

 

 

 

 

 

 

 

 

 

If the loan was used for transfer of equity, please tell us how much for.

For example: to buy out an ex-partner or former owner’s share.

If the loan was used for debt consolidation, please tell us how much for.

Debt consolidation means bringing all your debts together, so you can start making just one monthly payment to just one lender.

Did this amount include any redemption fees?

A redemption fee is a charge made by the lender if you pay off the mortgage or home improvement loan early.

If you have no more loans go to Part 3

 

£

 

 

£

 

£

 

 

£

No

 

 

 

No

Yes

 

 

Please tell us how much this was for

Yes

 

 

£

Please tell us how much this was for

£

7

PART 2 Mortgage, remortgage or home loan details continued

 

Loan 3

 

 

 

 

 

 

 

 

 

 

 

Tell us the loan reference number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tell us the name of your lender

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tell us the amount borrowed on the loan

 

£

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

When was the loan taken out?

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

Tell us the type of loan this is.

For example, a mortgage, remortgage or home improvement loan

Loan 4

£

//

Whose name is the loan in?

Is the loan shared with anyone else?

This includes for example, a partner, ex-partner, mother, sister, even if they live separately now

Do they still contribute towards the repayments?

What percentage of the repayments are you responsible for?

For example 50%

Yours

 

Your partner’s

 

Both

No

Yes Please tell us their full name and relationship to you

No

Yes

%

Yours

 

Your partner’s

 

Both

No

Yes Please tell us their full name and relationship to you

No

Yes

%

8

PART 2 Mortgage, remortgage or home loan details continued

Is this the original loan that was first used to purchase the property?

If you answered No, what was the amount originally borrowed to purchase your home?

What was the date the original loan was taken out?

Who was the original lender?

How much was still outstanding on the original loan when you first remortgaged?

Is there an insurance policy that pays on the loan if you or your partner become sick or unemployed?

Have you made a claim on the insurance policy?

Will the insurance cover your payments to the lender?

Loan 3

No

Yes

£

/ /

£

No

 

Yes

 

No

You or your partner should make a claim

 

 

on the policy as soon as possible

Yes

 

When do you expect to get the first

 

 

payment?

 

 

/

/

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

Loan 4

No

Yes

£

/ /

£

No

 

Yes

 

No

You or your partner should make a claim

 

 

on the policy as soon as possible

Yes

 

When do you expect to get the first

 

 

payment?

 

 

/

/

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

We will write out to you later for more information on your mortgage protection policy.

9

PART 2 Mortgage, remortgage or home loan details continued

Is the loan for anything except buying the property?

Loan 3

No

 

 

 

Yes

 

 

Please tell us below what was the

 

 

 

 

 

 

 

money used for?

 

 

 

Home improvements

 

 

 

 

 

 

We will write out to you about this

 

 

 

Repairs

 

 

 

 

 

 

We will write out to you about this

 

 

 

Others

 

 

 

 

 

 

Please tell us below what was done with the

 

 

 

rest of the loan for example buying a piece

 

 

 

of land or buying a car.

 

 

 

 

 

 

 

 

 

 

 

 

Loan 4

No

 

 

 

Yes

 

 

Please tell us below what was the

 

 

 

 

 

 

 

money used for?

 

 

 

Home improvements

 

 

 

 

 

 

We will write out to you about this

 

 

 

Repairs

 

 

 

 

 

 

We will write out to you about this

 

 

 

Others

 

 

 

 

 

 

Please tell us below what was done with the

 

 

 

rest of the loan for example buying a piece

 

 

 

of land or buying a car.

 

 

 

 

 

 

 

 

 

 

 

 

If the loan was used for transfer of equity, please tell us how much for.

For example: to buy out an ex-partner or former owner’s share.

If the loan was used for debt consolidation, please tell us how much for.

Debt consolidation means bringing all your debts together, so you can start making just one monthly payment to just one lender.

Did this amount include any redemption fees?

A redemption fee is a charge made by the lender if you pay off the mortgage or home improvement loan early.

 

£

 

 

£

 

£

 

 

£

 

 

 

 

 

No

 

 

 

No

Yes

 

 

Please tell us how much this was for

Yes

 

 

£

Please tell us how much this was for

£

10

PART 3 Other information

Please use this space to tell us anything else we may need to know about the mortgage or home loan. If you want more information please read our leaflet IS8 Home owners - Help with housing costs.

PART 4 Authorisation

If you agree to your lender or lenders

Signature

disclosing mortgage and loan information:

 

 

 

 

with the Social Security Agency, and

the Social Security Agency contacting your lender or lenders or mortgage protection insurance company, please sign and date.

This is so we can get all the information we need to make a quick decision on your claim.

PART 5 Declaration

I declare that the information I have given on

Signature

this form is correct and complete as far as I

 

 

 

 

know and believe.

 

 

I understand that if I knowingly give

 

 

information that is incorrect or incomplete, I

 

 

may be liable to prosecution or other action.

 

 

 

 

Date

//

Date

//

PART 6 What to do now

Check that you have answered all the questions on this form that apply to you.

Check that you have signed and dated this form.

Send this form to your mortgage or home loan lender for them to complete

Parts 7 and 8. They will return this form directly to us.

Send us all the documents we have asked to see.

11

PART 7 Details of the mortgage or home loan

To be completed by the lender

Please fill in Parts 7 - 8 and send this form to the Social Security or Jobs & Benefits office shown on the front page of this form.

If there is only one loan, please put a line through the columns for the other loan details.

Loan 1

Lender Code

We need details of the account you want us to send your customer’s payment to.

Fill in the necessary boxes.

Sort code

Account number

Loan reference number (BACS Field 10)

Account name (BACS Field 11)

Name for correspondence

Address for correspondence

 

 

 

Postcode

 

 

 

 

 

 

 

 

Phone number

 

Code

Number

 

 

 

Fax number

 

Code

Number

 

 

 

 

 

 

 

Email address (if applicable)

 

 

 

 

 

 

 

Loan 2

 

 

 

 

 

 

 

 

 

 

 

Postcode

 

 

 

 

 

 

 

Code

Number

 

 

 

 

 

 

 

Code

Number

 

 

 

 

 

 

 

 

 

12

PART 7 Details of the mortgage or home loan continued

Loan 1

Loan 2

Loan reference number

Date loan taken out

Whose name or names is the loan or loans in? Original amount borrowed

How is the loan made up?

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

£

 

 

 

 

 

 

 

 

 

 

House purchase

 

 

 

£

 

 

 

 

 

 

 

 

 

Home improvement loan

 

 

 

£

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

£

 

 

 

 

 

 

 

 

 

 

House purchase

 

 

 

£

 

 

 

 

 

 

 

 

 

Home improvement loan

 

 

 

£

 

 

 

 

 

 

 

 

Other - please explain

£for

Other - please explain

£for

What type of loan is it?

Capital repayment

 

 

 

 

 

 

 

 

 

 

Part and part

 

 

Is it a re-mortgage?

No

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

Give date

 

 

 

 

 

 

 

Interest only

//

Capital repayment Part and part

No

 

Yes

Give date

Interest only

//

Was the original mortgage with you?

No

 

 

Give name of lender

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How much was borrowed?

 

£

 

 

 

 

 

 

Amount of original loan for house purchase

 

 

 

 

 

 

 

 

£

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

Give name of lender

 

 

 

 

 

 

 

 

 

 

Yes

£

£

13

PART 7 Details of the mortgage or home loan continued

Loan 1

Loan 2

What is the current balance outstanding? Do not include any capitalised arrears, current arrears or unpaid insurance premiums.

Are there any current arrears?

What is the currrent gross interest rate charged to the account?

Lender Code

We need details of the account you want us to send your customer’s payment to.

Fill in the necessary boxes.

Sort code

Account number

Loan reference number (BACS Field 10) Account name (BACS Field 11)

Name for correspondence

Address for correspondence

£

No

 

Yes

How much? £

%

Loan 3

£

No

 

Yes

How much? £

%

Loan 4

Postcode

Postcode

14

PART 7 Details of the mortgage or home loan continued

 

Loan 3

 

 

 

 

 

 

 

Phone number

 

Code

Number

 

 

 

 

 

 

 

 

 

 

Fax number

 

Code

Number

 

 

 

 

 

 

 

 

 

 

Email address (if applicable)

 

 

 

 

 

 

 

 

 

Loan reference number

 

 

 

 

 

 

 

 

 

 

 

 

 

Loan 4

 

Code

Number

 

 

 

 

 

 

 

 

 

Code

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date loan taken out

Whose name or names is the loan or loans in? Original amount borrowed

How is the loan made up?

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

£

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

House purchase

 

 

 

£

 

 

 

 

 

 

 

 

 

Home improvement loan

 

 

 

£

 

Other - please explain

 

 

 

 

 

 

 

 

 

 

£for

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

£

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

House purchase

 

 

 

£

 

 

 

 

 

 

 

 

 

Home improvement loan

 

 

 

£

 

Other - please explain

 

 

 

 

 

 

 

 

 

 

£for

What type of loan is it?

Is it a re-mortgage?

Capital repayment Part and part

No

Yes

 

Give date

Interest only

//

Capital repayment Part and part

No

Yes

 

Give date

Interest only

//

15

PART 7 Details of the mortgage or home loan continued

 

Loan 3

 

 

 

 

 

 

 

 

 

 

 

Was the original mortgage with you?

No

 

Give name of lender

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loan 4

No

 

 

Give name of lender

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How much was borrowed?

Amount of original loan for house purchase

What is the current balance outstanding? Do not include any capitalised arrears, current arrears or unpaid insurance premiums.

Are there any current arrears?

What is the currrent gross interest rate charged to the account?

£

£

£

No

 

Yes

How much? £

%

£

£

£

No

 

Yes

How much? £

%

16

PART 8 Additional information

Please use this space to tell us anything else we may need to know about the mortgage or home loan.

If loans have been amalgamated under one account number, please indicate the amount of each loan and the dates each loan was taken out.

I confirm that we have noted our customer’s decision in Part 4, aboutLender’s business stamp disclosing information to the Social Security Agency.

Signature

Date

/ /

17

18

19

Produced for SSA(NI) by 95103 02/13