Amount of loan:

Name of company (if applicable):

Your location (town or city):

Location of property / business / asset (town or city):

Phone number 1:

When is the best time to call you on this number?:
(please tick all that are appropriate)

Phone number 2:

When is the best time to call you on this number?:
(please tick all that are appropriate)

*Please note that we will require at least one telephone number to allow us to deal with your enquiry efficiently. We appreciate that some applicants regard that telephone contact can be intrusive, but we do not tolerate aggressive or pushy sales techniques. You will be only be contacted directly by our professional commercial mortgage broker.

Email:

Type of mortgage required:

Reason for loan (if not buy-to-let):

Expected annual rental income (if investment or buy to let):

New mortgage or remortgage:

Purchase price / Valuation:

Mortgage term required (in years):

Will the mortgage be for an individual or Ltd. Company:

Present bankers:

Have you had a CCJ or bankruptcy declared:

Yes No

Comments or brief details of any credit issues:

Purpose for which advance is required, and method of repayment

If refinance please state amount of any outstanding loan / charge including name, address and account number of lender

If you require more funding than is needed to repay existing loans, please define the amounts and purpose (using continuation sheet if necessary)

If you are purchasing a business, please provide name and address of vendor

Please state purchase price and name and address of vendors accountants

Confirm source of your deposit

Which of the following can you supply?:
(please tick all that are appropriate)