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Online Application Form - Leasehold Finance

First Name
Surname
Partners Name (if applicable)
Loan Required
Contact Details
Address
City
Country
Postcode
Telephone Number
Email
Mobile
Date of Birth
Date of Birth (Partner)
Purchase or Refinance
Name of Business
Type of Business
Purchase price or Current Value
Lock up or with accomodation
Length of lease remaining
Current rent
Weekly Takings
If refinance total debts
No years accounts available
Security Property Information
Address
City
Country
Postcode
Current value
Outstanding mortgage
Data Protection Act
I/We confirm that I accept the terms and conditions
   

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME.
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE OR OTHER LOANS SECURED ON IT.