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Introducer Details


Loan Information

What are you going to be using the funds for?
What is the minimum amount required
Term of the Loan
How will the loan be repayed?

Applicant Details

Company Applicant Name
Country of inception
Registered Number
Guarantor 1
Ful Name
Position in Company
Number of shares held in borrower company
Guarantor 2
Full Name
Position in Company
Number of shares held in borrower company
Property being used as security for the loan
Full Address of Property
0 /
Owned Status
Purchase Price / Price Paid
Estimated Value of the Property
If the Property is tenanted, what is the monthly income?
Property Description
Floor No.
No. of Storeys
No. of Bedrooms
Year Built
Who will live in the property
What is their relationship to the applicant(s)
Outstanding Mortgage(s) on Property (if already owned). Total amount currently owe

I am authorised to act on behalf of the applicant(s) named above in this mortgage application. I confirm that I am acting within my authority and that you or any of Funding11 lender partners may:

1. Obtain Credit Reference Searches, which will be recorded and disclosed on any other credit search

2. Take up references to verify the information given 

3. Hold the information on our computer system 

4. Release information relating to this application to me 

I confirm that we are GDPR compliant and have issued a copy of our Privacy Notice to the customer.

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