Are you a: Please Select...Broker/IntermediaryBorrower
If you are a Broker/Intermediary please fill in this section.
Broker/ Intermediary Name
Broker/ Intermediary Company Name
Contact Telephone Number
If you are a Borrower please fill in this section.
Is the Enquiry for a: Please Select...Corporate BorrowerIndividual Borrower
For a Corporate Borrower please fill in this section.
Is the Company a: Please Select...UK CompanyNon-UK Company
Are the Company Directors: Please Select...UK ResidentsNon-UK Residents (please select if any of the Directors are non-UK)
For an Individual Borrower please fill in this section.
Is the Borrower a: Please Select...UK ResidentNon-UK Resident
Loan Amount Required (£) *
Term of Loan Required (in months) *
Property Address *
Property Postcode *
Property Type Please Select...ResidentialCommercialMixed-UseLand
Tenure Type Please Select...FreeholdLeasehold
If Leasehold - Remaining Unexpired Term (in years)
Purpose of Loan
Purpose of Loan Please Select...PurchaseRefinance /Capital Raise
If you selected Purchase please fill out this section.
Purchase Price (£)
If you selected Refinance /Capital Raise please fill out this section.
Loan Amount Outstanding (£)
Estimated Property Value (£)
What will the Funds be Used for?
Description of Project
How do you Plan to Repay the Loan?
Do you have previous Property Investment Experience? Please Select...YesNo
If YES please provide details
Do you hold any relevant qualifications? Please Select...YesNo