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Important information about your property questionnaire

Account number: Account name(s):

About your property

How many floors (storeys) does the building your flat is in have? 1-3 floors 4-5 floors 6+ floors What year was your building built? 2000+ 1990-1999 1980-1989 1970-1979 1945-1969 before 1945 Does your building have any cladding? Yes No Do any of the flats within your building have a balcony? Yes No

About the management and maintenance of your building

For the management and maintenance of your building, do you deal with: Property Management Company Building owner (also referred to as the freeholder)

Please provide us with their contact details:

Property Management Company/Building owner name: Address (including postcode): Email address: Telephone number: Are you aware of any fire safety issues in your building? Yes No Have you paid or do you expect to pay a one-off fee in relation to fire safety work on your building? Yes No Have you been issued with a copy of a EWS1 form? Yes No

If yes, please provide us with a copy by either:

• emailing it to mortgageenquiries@westbrom.co.uk

or

• sending it by post to:

FREEPOST THE WEST BROM (Please note: this freepost address must appear in uppercase and no further address or stamp are required.).

Have you seen or do you expect to see any increase in your annual fees (e.g. ground rent etc.)? My annual fees have increased I expect my annual fees to increase My annual fees have not increased and I am not anticipating any increases in the future If you have seen or expect to see any increase in your annual fees, please provide us with the reason(s) why.

Have we got your latest contact information?

We may need to contact you for further information about your questionnaire. Therefore, please provide us with your latest contact information.

Telephone number: For office use only:

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West Bromwich Building Society - Head Office, 2 Providence Place, West Bromwich B70 8AF.

West Bromwich Building Society is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Register No: 104877. 'the West Brom' and ‘West Brom Building Society’ are trading names of West Bromwich Building Society.

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