Commercial Loan Form

* Indicates required fields

Introducer Details

Title: * Please select Miss Mr Mrs Ms Dr

First Name: *

Last Name: *

Company:

Email: *

Phone: *

Address Line 1: *

Address Line 2:

Address Line 3:

Address Line 4:

Town: *

County:

Postcode: *

Details for Client 1 (Principle Contact)

Title: * Please select Miss Mr Mrs Ms Dr

First Name: *

Surname: *

Job Title:

Client Type: * Please select Individual Sole Trader Limited Company Partnership

Company Name:

Company No:

House Number:

Address Line 1: *

Address Line 2:

Address Line 3:

Address Line 4:

Town: *

County:

Postcode: *

Is this the client's main address? Yes No Unknown

Phone (work):

Phone (home):

Mobile:

Fax:

Email (work):

Email (home):

Is there income evidence available? Yes No Unknown

Income evidence type: Please select P60's Tax Return Accounts (1 year) Accounts (2 years) Accounts (3 years) Payslips

Are there any existing CCJs? Yes No Unknown

Does the client own any existing properties? Yes No Unknown

Loan Details

Amount Required (£): *

Term of Loan (years): * Please select 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years

Select the case type that most closely matches your requirements: Case Type: * Please select Factories Warehouses Offices Farms Agricultural Golf Course Garages Schools, Play Schools Care Homes Professional Practices Residential Homes Nursing Homes Residential Investment Commercial Investment Bridging Finance Development Finance Semi Commercial Land Self Build Pubs Restaurants Leisure Hotels Guest Houses B&B Takeaways Retail, Shops Post Offices

Purpose of Loan:

Details of Property to be Purchased

Estimated Value (£): *

Property Type: * Please select Land Farm Factory Industrial Unit Warehouse Retail Shop Office Residential House Mixed residential/commercial General commercial premises

House Number:

Address Line 1: *

Address Line 2:

Address Line 3:

Address Line 4:

Town: *

County:

Postcode: *

Property Tenure:

Years Unexpired: Please select 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 85+