Finance Enquiry Please complete the form below to the best of your ability. The more information you provide, the better service we will be able to offer and the higher chance we will be able to get you to your goals. YOUR DETAILS Full Name *: Firm Name *: Contact Email *: Contact Tel *: Contact Mobile *: Fax: A. LOAN DETAILS What are the funds used for?: Loan amount: Term of the loan: How will the loan be repaid?: How will Interest be repaid?: Has the borrower company or any related company ever used bridging facility before? If yes, please provide details: B. APPLICANT DETAILS Company Applicant Name: Country of incorporation: Company No.: Address: Postcode: Applicant 1 Title:Mr.Ms.Mrs.Dr.SirLord Full Name: Type:DirectorShareholderSecretary Residential address: Postcode: Time at present address:Years:Months: Home Tel: Work Tel: Mobile: Email: D.O.B.: Marital Status: Country of birth: Citizenship: Annual gross income: Applicant 2 Title:Mr.Ms.Mrs.Dr.SirLord Full Name: Type:DirectorShareholderSecretary Residential address: Postcode: Time at present address:Years:Months: Home Tel: Work Tel: Mobile: Email: D.O.B.: Marital Status: Country of birth: Citizenship: Annual gross income: Applicant 3 Title:Mr.Ms.Mrs.Dr.SirLord Full Name: Type:DirectorShareholderSecretary Residential address: Postcode: Time at present address:Years:Months: Home Tel: Work Tel: Mobile: Email: D.O.B.: Marital Status: Country of birth: Citizenship: Annual gross income: C. COLLATERAL DETAILS Full Address: Postcode: Property hold:---FreeholdLeasehold If Leasehold, how many years remain on the lease?: Purchase Price: Market Value: Outstanding Mortgage: Name of lender: Projected annual income: Does the company applicant own other properties?:---YesNo Type of Charge over the collateral:---First ChargeSecond Charge Property Description:---ResidentialCommercialIndustrialHMOHotelLand No. of rooms: Floor No.: No. of Storeys: Year Purchased: D. Credit History of Borrower Company 1 . Has the borrower company ever refused a mortgage on the property to be mortgaged, or any other property?:---YesNo 2 . Has the borrower company ever had a judgment for debt recorded against it?:---YesNo 3 . Has the borrower company ever failed to keep up with any mortgage payments?:---YesNo E. Credit History of Applicant(s) 1 . Has the Guarantor(s) ever refused a mortgage on the property to be mortgaged, or any other property?:---YesNo 2 . Has the Guarantor(s) ever had a judgment for debt recorded against it?:---YesNo 3 . Has the Guarantor(s) ever failed to keep up with any mortgage payments?:---YesNo 4 . Has the Guarantor(s) ever been convicted or charged with any offence other than driving offence?:---YesNo 5 . Has the Guarantor(s) made a claim to the DSS in the last 12 months?:---YesNo If the Guarantor has answered ‘Yes’ to any of the above please provide details in section F F. Additional information Please provide any additional information you believe will assist your application: Type below the letters/numbers shown above: