Business Loan Application Form
How much are you looking to borrow?
*
Has your business been trading for MORE than 6 MONTHS
*
YES
NO
Is your business a UK company
*
YES
NO
On average how much does your business take in debit/credit card payments or online payments each month?
On average each month how much does you business take that is NOT from card or online payments ie cash etc
*
Which card merchant do you use? (Please select from the list below)
*
Please Select
WorldPay
First Data
Elavon
Global Payments
Lloyds Cardnet (PayPoint)
Other
My business does not take debit or credit card payments
Applicants Details
Your Name
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
County
Postal Code
How many years have you lived at this address?
*
If you have lived less than 3 years at your current address please add your previous address
Date of Birth
*
-
Day
-
Month
Year
Date
Your E-mail
*
Your Mobile Number
*
Your Nationality
*
Business Details
Business / Trading Name
*
Trading Since
*
-
Day
-
Month
Year
Date
Company Registration Number
What is the legal status of the company?
*
Please Select
Limited
Limited Partnership
Partnership
Sole Trader
Company Website URL
Company Address
*
Street Address
Street Address Line 2
City
County
Post Code
Annual Turnover - The turnover will need to be verified through the businesses bank account prior to making a loan offer
*
What is the purpose of the loan?
*
Industry Type (select the best option)
*
Agriculture
Construction
Health
Hotel / B&B
IT Services
Manufacturing of Food
Manufacturing of Non-Food
Motor Trade
Online Business
Professional & Business Services
Restaurants / Pubs / Cafe
Retail Food
Retail Non-Food
Telecommunications
Transport & Storage
Wholesale
Other
Please supply any information about outstanding loans (amounts and monthly repayments if any, if none type NONE)
Company Ownership - Directors/Shareholder Details
If less than 51% please include details of other directors / owners
Name of Company Director/Shareholder 1
*
Your position in the company
*
Owner
Director
Managing Director
CEO
Shareholder
What % of the business do you own
Do you own or rent your home?
Own
Rent
Have you ever been subject to a bankruptcy order? Or your businesses been subject to a winding-up petition, compulsory liquidation, or have ever entered into any voluntary arrangement or compromise agreement with one or more creditors?
YES
NO
Are there any existing, pending, threatened or recently filed claims and judgments (including CCJs) against the business, merchants or guarantors? If yes, please give details.
YES
NO
If YES to either of the above please give details
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