ENQUIRY FORM – COMPANY APPLICANTS
Broker details (if applicable)
Submission Date:
Contact name:
Firm:
Network/Mortgage Club:
Work telephone number:
Mobile telephone number :
Email address:
Broker fee:
Loan Details
Loan purpose:
Net amount required:
£
Term of the Loan:
How will the Loan be repaid?
Applicant Details:
Company applicant name:
Country of incorporation:
Registered number
Street name:
Town:
Post code:
Guarantor 1
Title & Full name:
Occupation:
Director
Shareholder
Secretary
Director
Shareholder
Secretary
Number of shares held in
borrower company:
Guarantor 2
Title & Full name:
Occupation:
Number of shares held in
borrower company:
Property being used as security for the Loan (if more than one property, please enter the information clearly on an additional sheet)
House name / number:
Street name:
Town:
Post code:
Freehold
Is the property
Leasehold – how many years remain on the lease?
________________
Already owned – date purchased___________________________________
Property details
Being purchased
Owned by another
Purchase price/price paid:
£
Estimated value of the property
£
Total amount currently owed
(if property is already owned) £
1
Name of lender(s)
What is the monthly rental
income?
Does the Applicant(s) own any
other properties?
Is the Applicant offering Century
Capital a 1st charge or 2nd
charge on this property?
(If the property is tenanted)
£
Per month
Yes
No
1st charge
2nd charge
Property Description
Is the property
Property information
Detached house
End of terraced house
Semi-detached house
Flat
Detached bungalow
Maisonette
Semi-detached bungalow
Commercial___________
Terraced house
Other__________________
Floor no.
No. of storeys
No. of bedrooms
Year built
Who will live in the property?
What is their relationship to the
Applicant(s)?
Payment Options
Option 1
Payments made by Standing Order monthly in arrears
Option 2
The Applicant(s) would prefer to have interest payments
deducted for the entire approved term of the loan
Please tick if you have attached Additional Information sheets to this form
Thank you for submitting this enquiry to Century Capital. We will consider the information and endeavour to provide you with an Agreement in
Principle or contact you to discuss the case as soon as possible after receipt.
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