Business Finance Form
Finance Amount Required (£)?
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Purpose of Loan
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When would you like the funding to be delivered by?
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-
Month
-
Day
Year
Date
Business Sector
Agriculture
Arts & Entertainment
Automotive
Consumer Services
Education & Training
Finance
Healthcare
I.T and Telecommunications
Leisure & Hospitality
Manufacturing and Engineering
Professional and Business Support
Property and Construction
Retail
Transport and Logistics
Wholesale
Business Legal Name
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No. of Employees
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Trading Name (if different)
Is the Company VAT Registered?
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Yes
No
Trading Start Date
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/
Day
/
Month
Year
Full Trading Address
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Postcode
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Office Telephone Number
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Current Monthly Turnover (£)
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Last Financial Year Turnover(£)
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What percentage of your annual sales are business to business?
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What percentage of your annual sales are received through card transactions?
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Has your business borrowed more than £25,000 in the past 12 months?
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Yes
No
Please state your profit or loss in the last financial year?
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£0 - £50K
£50K - £100K
£100K - £1M
£1M +
£0 - £50K (loss)
£50K - £100K (loss)
£100K + Loss
Do you have any existing bussiness loans (not including Bounce Back Loans)
Please Select
Yes
No
Do you have business overdraft, if so whats the limit (£)
Please provide the name of your accountant and the name of their accountancy firm
*
Accountant's contact details (mobile number, direct line or email)
We occasionally need to contact your accountant in order to process a funding application we can do this directly unless you indicate below you would prefer us not to.
I do not consent, contact me first
Business Owner(s) Information
Please provide information on all individuals with significant shareholding in the business
Director 1 Personal Details
Title
*
Mr
Mrs
Ms
Miss
Dr
Full Name (as appears on your passport)
*
% Business Ownership
*
Date of Birth
*
-
Day
-
Month
Year
Date
Mobile Phone Number
*
Email Address
*
firstname.surname@example.com
Full Home Address
*
Postcode
*
Residential Status
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Home Owner
Private Renter
Council
Living With Parents
If Less Than 3 Years Please Provide Previous Residential Address
Postcode
When Did You Move to This Address?
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Day
-
Month
Year
Date
Is There Another Significant Shareholder In The Business?
Yes
No
Director 2 Personal Details
Title
*
Mr
Mrs
Ms
Miss
Dr
Full Name (as appears on your passport)
*
% Business Ownership
*
Date of Birth
*
-
Day
-
Month
Year
Date
Mobile Phone Number
*
Personal Email Address
*
Full Home Address
*
Postcode
*
Residential Status
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Home Owner
Private Renter
Council
Living With Parents
When Did You Move to This Address?
*
-
Day
-
Month
Year
Date
If Less Than 3 Years Please Provide Your Previous Home Address
Full Address
Postcode
When Did You Move to This Address?
-
Day
-
Month
Year
Date
Consent
The applicants have agreed to the use of their personal data as described. The information supplied may be used to run identity and credit checks on applicants and loan guarantors. We always do our utmost to protect personal information
*
I consent
Get me a company credit card up to 250K - 0% interest rate for up to 42 days with 1% cash-back and no additional fees (no docs required)
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Yes
No
Get me a flexible line of credit up to 250K - Spread working capital spend over 12 months (No Docs Required)
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Yes
No
Please tell us how you heard about us?
*
Document Requirements
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£1000 - £25000 - Just submit no further documents
£25001 - £75000 - email us back 6 months most recent business bank statements
£75,001 + - Banks statements and latest filed accounts
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