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Name
e-mail
address
Fax:
Tel:
Address
Post Code
Amount you wish to borrow
£
Type of Business:
Purchase Price £
Stock Required £
Cost of Improvements Required £
Required Term in years
Date of Birth
Amount of outstanding mortgage
Type of current Mortgage
Do you wish to Refinance:
Is your property Freehold or Leasehold?
Years Unexpired
Additional Security Available
Occupation
Income before tax
£
Please advise brief details of your new venture i.e.
Purchasing a Hotel or Shop, remortgaging to reduce
Credit card commitments etc.
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