Commercial Loan Enquiry -

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Introducer Details

* 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.

Intermediary Name*

Company Name (*If Applicable)

Position

Telephone Number*

Email Address*

FCA Number

Who should advise the client?*

If Black Book Fiannce are to advise the client, please read the following disclaimer... Text here

Client Details

Type of Borrower?*

Contact Name*

First Name Last Name

Company Name*

Contact Name*

First Last

Date of Birth*

Employment Status*

Current Address*

Street Address Address Line 2 City / Town County Post Code Country

Company Address*

Street Address Address Line 2 City / Town County Post Code Country

Number of Years Trading?*

Requirements

Security Address*

Street Address Address Line 2 City / Town County Post Code Country

Loan Type*

Purchase Price*

Estimated Value (If Different to Purchase Price)

Current Valuation*

Amount Required*

Term Required*

Purpose of the Loan*

If Capital Raising - Purpose of Funds

Date Property Purchased*

Property Type*

Current Lender*

Balance Currently Outstanding*

Current Monthly Payment*

Date Taken Out*

Any Early Repayment Charge?*

Amount Outstanding*

Tenancy Details*

Annual Rental Income*

Current Monthly Mortgage Payment*

Credit History

Any Current Arrears (for Company or Directors)?*

Number of Payments Outstanding*

Date/s Arrears Occurred*

CCJ's (for Company or Directors)?*

CCJ's Amount*

Date/s Registered*

Satisfied?*

Date Satisfied?*

Bankruptcy (for Company or Directors)?*

Discharged?*

Date Discharged?*

Notes

If you would like to include any other notes, please enter them here...

Notes

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 in no way affects your own responsibilities as an Intermediary under DPA and GDPR.