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1
. Loan Lease Finance Standard Application Form
Name Of Company/Partnership:
Address:
Phone Number:
Mobile Number:
Fax Number:
E-mail Address:
Name Of Contact:
Total Funding Required:
Last Years Turnover & Net Profit (in cases where one year has not yet been acheived state present turnover or if startup):
Reason For Funding:
2
. Leasehold Purchase Loans Questionnaire
Part1
Date:
Broker Details:
Loan Lease Finance Ltd.
Rose Cottage
Chapel Tump
St. Owens Cross
Herefordshire
HR2 8LH
Tel: 01989 730307
Fax: 01989 730607
Full Name Of Applicant(s):
Address Of Applicant(s)(including post code):
2. Leasehold Purchase Loans Questionnaire
Part 2
Name of the business and full address plus postcode:
Additional freehold security:
Address Of Property:
Client Sale Value:
Outstanding Mortgage(s):
Type Of Business:
Lock-Up Or With Accomodation:
If there is accomodation who will live there:
Purchase price excluding stock:
Length of remaining lease:
Current Rent:
Claimed Weekly Takings:
Are there any accounts? if yes for which years:
How much cash can your client contribute towards purchase:
Indicate source of above funds:
Savings/Property/Sale/Private Loan(s)
Amount of Loan Required:
3
. Factoring For Care And Nursing Homes Pharmacies etc.
Fast Flow
Introducing Broker
Loan Lease Finance Ltd.
Rose Cottage
Chapel Tump
St. Owens Cross
Herefordshire
HR2 8LH
Tel: 01989 730307
Fax: 01989 730607
Title:
Name:
Position:
Organisation:
Address including Post Code:
Tel:
Mobile:
Fax:
E-mail:
Nature Of Business:
I currently have:
factoring agreement
overdraft
other
Number of beds (if applicable):
4
. Vehicle Enquiry
Title:
Name:
Company Name :
Tel:
Vehicle required:
Budget Term:
Other Comments:
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