Kindly complete the following form.The boxes marked with an * are mandatory.
Business Registration type *
Business
individual
First Name *
Last Name *
Date Of Birth (DD/MM/YYYY)
E-mail *
Address Line 1
Address Line 2
City
Country
Postcode
Contact Telephone Number
Contact Fax Number
Property Information
Property Name
Property Address Line 1
Property Address Line 2
Leasehold/Freehold
Freehold
Type
Commercial
[Please enter the figures in number of thousands of pounds, without commas.
Example:three hundred thousand pounds would be entered as 300000]
Market Value £
Is there a first change
on the property
No
Outstanding Loans/Mortgages
Tenants
No
If yes, how many?
Leases
No
If yes, length of lease
Other Information
Bank Name
Relationship Manager Name
[To ensure that we process your application correctly please add the value in the box below in the following format for example. Three hundred thousand would need to be typed in as 300000]
