Loan Enquiry

I am a          

Introducer Full Name

Introducer Company Name

Full Name

Email Address

Phone number

Borrower address

Borrower type

Type of financing

Asset type

Is this your primary residence?

GBP loan amount (minimum £300,000 for mezzanine and £500,000 for senior)

Currency (if other than GBP)

Required drawdown date

Loan term


Purpose of loan

Description of security package

Value of secured assets (specify basis of valuation e.g. full market valuation, 90-day valuation)

Detail any existing borrowings against the secured assets

Proposition to repay loan

Additional information