Business / Asset Finance Enquiry

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* Indicates a required field. Where a * is not shown, the field may be left empty. Please try however to provide as much information as possible.
Introducer Details
Name*
First Last
Company Name (if applicable)
Telephone Number*
Email Address
FCA Number
Client Details
Client Name*
Company Name*
Company Address*
Street Address Address Line 2 City / Town County Post Code Country
Company Registration Number*
Business Type*
Business Trade*
Number of Years Trading*
Main Contact's Name*
Main Contact's Telephone Number*
Director / Owner's Name*
Is the Director a Homeowner?*
Mortgage*
Value*
Director / Owner's Current Address (3 Years History Required)*
Street Address Address Line 2 City / Town County Post Code Country
Time At Current Address*
Previous Address*
Street Address Address Line 2 City / Town County Post Code Country
Time At This Address*
Previous Address (*If Applicable)
Street Address Address Line 2 City / Town County Post Code Country
Time At This Address (*If Applicable)
Client Requirements
Type of Finance Required*
Term Remaining*
Amount Required*
Purpose of the Funds*
Further Notes for Consideration
If a new/startup-up business, a Business Plan & Projections will be required. If business is established, last full set of Accounts, last 3 months Bank Statements & Management Accounts will be required.
Terms & Conditions*
- I have read and agree to the T&Cs and in particular to the data protection clause stating that Black Book Finance Ltd (BBF) will become the Data Controller responsible for client data received for the purpose of pursuing a loan application under the terms of this agreement. By ticking and accepting BBF’s T&Cs you are confirming and consenting that you have your clients’ consent to permit BBF to use your clients data. This is no way affects your own responsibilities as an Intermediary under DPA and GDPR.

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Business / Asset Finance Enquiry

Introducer Details

Client Details

Client Requirements