Specialist Commercial Finance

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commercial finance made easy

e-DiP
Please fully complete this form and we will get back to you as soon as possible with a decision.

Introducer details


Introducer Name*
Company Name*
Telephone Number*
Mobile Number*
Fax Number
Email
Fee Amount you wish to add to the advance* (this is in addition to the commission we pay you)

Loan requirements

Is the applicant a single applicant / sole trader / partnership / trust?
Is the applicant a resident of the UK / European Union?
Will the occupants of the primary security be the applicant / relative† / individual beneficiary of a trust?
Does the residential area of the property (including land) exceed 40% of the total property area?††
Is the annual turnover of the applicant’s business less than £ 1 million per annum?
Will the finance be secured by a first charge over the property offered as primary security?
Loan Amount required* Term* years
Purchase Re-finance 2nd Charge
Purpose of the loan?*
† Related persons include Spouse, Common law marriage (including same sex, parent, brother, sister, child, grandparent, grandchild) †† Area includes any external land plus the internal floor

Applicants details

1st named Applicant*			DOB*
2nd named Applicant			DOB

Corresp. Address*

..*

Postcode*

Work Tel.*

Other Tel.

Mobile Tel.*

Fax

Company*

Business type*

Date Est.*

Is Self Cert. required?

Evidence of income available:

Accounts:	Payslips:	Rental income:

1 year		p.a.
2 years	Applicant 1 income	Term of lease yrs
3 years	Applicant 1 income	Term of lease yrs

Latest net profit:	Applicant 2 income	Years remaining yrs

Security details Details of property offered as security

Property Address*
..*
..
Postcode*
Description of property

Title

Freehold

Feuhold

Leasehold

if lease, yrs remaining

Where property is already owned

Date purchased
Purchase price
Did the purchase price include any element of goodwill, fixtures & fittings or stock?	yes	no
Est. current value (bricks/mortar value only)
Name of mortgagee
Total amount outstanding
Monthly repayment
Any payments missed in the last yr	yes	no

Where property is to be purchased

Does the purchase price include any element of goodwill, fixtures & fittings or stock?	yes	no
If yes, total amount payable for goodwill, fixtures & fittings or stock
Value of bricks & mortar only
Purchase Price

This website is for professional intermediaries and introducers only and is not intended for use by the general public. Specialist Commercial Finance is a trading style of Specialist Financial Services Limited.
Registered in England and Wales, No. 5309450. Registered office: 119 The Hub, 300 Kensal Road, London, W10 5BE.
A member of the Specialist Finance Group Limited group of companies.