Loan Enquiry Form

Purpose of Finance

Date Required

Loan Amount

Term of Loan

How will loan be repaid

Registered Office Address

Company Name

Telephone Number

Director 1

Director 1 Shares Ownership percent

Date of Birth

Contact Tel Number

Email Address

Home Address

Current Property Value

Current Mortgage Amount

Name of Lender

Director 2

Director 2 Shares ownership percent

Date of Birth

Email Address

Contact Tel Number

Home Address

Current Property Value

Current Mortgage Amount

Name of Lender

Security Address

Zip/Post Code

Property Type Property TypeHouse - detatchedHouse - attachedFlat/ApartmentCommercial

Property Description no beds/baths/garages

Property Value

Purchase or Refinance Purchase or RefinancePurchaseRefinanceAdditional Loan

Finance Value Required

Tenure TenureFreeholdFlying FreeholdLeaseholdFuedal

Balance Outstanding

Current Lender

Rental Income

No of Years Leasehold Remaing

Who will occupy the property

Do You Own Additonal Property Do You Own Additonal PropertyNoYes

Relationship to applicant

Please add any comments or additonal information or requirements here