Company Application

Contact First Name

Contact Last Name

Date

Firm

Network / Mortgage Club

Telephone

Mobile

Broker Fee

A. Loan Details

What are the funds going to be used for? (explanation required)

What is the net amount required? (£)

Term of the loan?

how will the Loan be repaid? (explanation required)

B. Application Details

Company application name

Address

Postcode

Telephone

Person 1

Title

Full Name

Telephone

Position

Percentage of shares held in borrower company

Person 2

Title

Full Name

Telephone

Position

Percentage of shares held in borrower company

C. Property being used as security for the loan

Full Address of property

Postcode

Ownership

Purchase price/price paid (£)

Estimated value of the property (£)

Outstanding mortgage(s) on Property, if already owned (£)

Name of lender(s)

Property Description

Yes No

Any other relevant information