Business Finance Form
Finance Amount Required (£)?
*
Purpose of Loan
*
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
*
No. of Employees
*
Trading Name (if different)
Is the Company VAT Registered?
*
Yes
No
Trading Start Date
*
/
Day
/
Month
Year
Full Trading Address
*
Postcode
*
Office Telephone Number
*
Latest 12 months Turnover (£)
*
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 (£)
Name of Your Accountant?
Accountant's Contact details ( mobile & 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
*
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?
-
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
*
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
Also get me a approval for a company credit card up to 250K - 0% intrest rate for up to 42 days with 1% cash-back and no additional fees
*
Yes
No
Please tell us how you heard about us?
*
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