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
If you selected Purchase please fill out this section.
Purchase Price (£)
If you selected Refinance please fill out this section.
Loan Amount Outstanding (£)
Estimated Property Value (£)
Proposed Development Plans
Description of Land/Property as it is:
Description of Proposed Development:
Planning Permission Please Select...YesNo
Details of Planning Permission Granted
Estimated Construction Cost (£)
Expected GDV (£)
Do you have previous Property Development Experience Please Select...YesNo
If YES please provide details
Do you hold any relevant qualifications? Please Select...YesNo