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For a decision in principle within 15 minutes, complete the form below!
If you are unable to provide us with full details, please provide us with what you can.
A. Introducer Details
B. Finance Requirements
Loan Required |
Estimated Value of Security |
Amount Owing (if applicable) |
Repayment term (Years/Months) |
Purchase Price (if applicable) |
Purpose of this loan |
C. Type of Loan Required
Please tick where applicable
Bridging Loan |
Commercial Loan |
Development Loan |
Residential Secured Loan |
Buy to Let Loan |
We are being offered
First Charge |
Second Charge |
Is additional security available (if required)?
Yes |
No |
D. Property Details
Location of Security |
Type of Security |
Tenure of Security
Freehold |
Leesehold |
Any Mortgage Outstanding?
Yes |
No |
Any Loans Secured on Property?
Yes |
No |
Employment/Income Details & Credit History
Number of Applicants
1 |
2 |
1st Applicant Income Details
Gross P.A. |
Age |
Employed |
Self Employed |
1st Applicant Credit History
CCJ's
Total |
Satisfied CCJ's
Yes |
No |
Current IVA
Yes |
No |
Currently or Previously Bankrupt
Yes |
No |
Additional Information
Opportunities
