Client Details
First Client
Title:
*Full Name:
*Email:
Home Telephone:
Mobile Telephone:
Work Telephone:
Residental Address:
 
Time at Address: years months
Postcode:
Second Client (if applicable)
Title:
Full name:
Email:
Home Telephone:
Mobile Telephone:
Work Telephone:
Residental Address:
Time at Address: years months
Postcode:
Other Details (please indicate)
*Will the client reside in the new property?
Yes No
*Will we secure our lending by way of a first charge on the new property?
Yes No
*Is the loan to an individual?
Yes No
*Is the security a residental property?
Yes No
*Is there any adverse credit?
Yes No
*Are any works required to the property?
Yes No
*Is the property New Build?
Yes No
If you answer "Yes" to all of these then please contact us to discuss the case in more details.  
Loan
*Purpose of Loan
Property Purchase Refinance
 
Property Improvements Other
How will loan be redeemed?
Sale of Property Refinance
Other
*Details of exit:
Financial Details
Amount Required: £
Estimated value of Security: £
Purchase Price(if applicable): £
Outstanding Mortgage £
Loan Term Required: months
Additional Information / Notes: