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Individual Application

Contact Details

Contact First Name
Contact Last Name
Date
Firm
Network / Mortgage Club
Telephone
Mobile
Email
Broker Fee

A. Loan Details

What are the funds going to be used for? (explanation required)
What is the net amount required? (£)
Term of the loan?
How will the Loan be repaid? (explanation required)

B. Application Details

Applicant 1

Title
Full Name
Address
Postcode
Telephone
Email
Date of birth
Marital status

Applicant 2 (or Guarantor)

Title
Full Name
Address
Postcode
Telephone
Email
Date of birth
Marital status

Guarantor 2

Title
Full Name
Telephone
Position
Percentage of shares held in borrower company

C. Property being used as security for the loan

Full Address of property
Postcode
Ownership
Purchase Price/price paid (£)
Name of lender(s)
Property Description
Are additional properties being provided as security?

C. Additional Property 1 being used as security for the loan

Full Address of property
Postcode
Ownership
Purchase Price/price paid (£)
Name of lender(s)
Property Description
Are additional properties being provided as security?

C. Additional Property 2 being used as security for the loan

Full Address of property
Postcode
Ownership
Purchase Price/price paid (£)
Name of lender(s)
Property Description
Are additional properties being provided as security?

C. Additional Property 3 being used as security for the loan

Full Address of property
Postcode
Ownership
Purchase Price/price paid (£)
Name of lender(s)
Property Description
Are additional properties being provided as security?
Please provide details of all additional properties
Any other relevant information