Commercial Mortgage Enquiry Form

APPLICANT INTRODUCTION AGENT (if applicable)
Name Name
Address Company
Telephone Address
Email Address Telephone
    Fax:
 
A
What is the purpose of the mortgage?
     
B
How much does the applicant want to borrow? £ Over Years
 
C
What security is offered for the advance?    
Address: Freehold Leasehold
If leasehold, years expired
Current Market Value £
 
 
D
Is the property or business to be purchased by Applicant? If so, please complete the following :
Purchase price £ applcants contribution £
Source of applicants contribution
Does purchase price include goodwill, fixtures and fittings? Yes No
 
 
E
If answer to A is "refinance", complete the following:
Name of existing lender: Amount outstanding: £
Date property purchased: Purchased Price: £
 
 
F
Is the Applicants ability to service the borrowing to be evidenced by Accounts / Verifiable Income   
  Projections
  Self-Certification
Other :
 
 
G
Is there any further information that may help us?
Additional Securities (Type, Value) Additional Income (Amount, Source)
Value: £
 Amount £
Type: Source:
   
Any Adverse Information?