Application for Finance

Please complete the application form here – any questions just call 01840 212832

Broker Details
Broker address
Please attach a copy of your Consumer Credit Licence
If yes, please provide us with your FCA Registration Number
Do you conduct anti-money laundering checks on your clients?
Data Protection
DATA PROTECTION - Unless (a) this form is signed by the applicant or (b) you hold the applicant’s consent to share their data with us, do not fill in this box
Applicant details
Applicant address
Guarantee Note
Note – if the applicant is a company, Friendly Society, LLP or Registered Society, guarantees will be required. Please set out at the end of the form full names and addresses of at least two guarantors. If the property is owned by trustees give details of all of them, on a separate sheet if necessary
Property offered as security
Property offered as security details
Property offered as security value
* If a valuation has been carried out already, it must be attached.
If you have a valuation of the property, please upload a copy here by browsing and selecting the appropriate file.
Property offered as security price
(maximum 65% of valuation)
to complete purchase/redeem mortgage(s)
The loan will not be a regulated contract within the meaning of the Financial Services Legislation *
Solicitor note
PLEASE NOTE - Solicitors will be required to act very quickly. Any offer will only last for 28 days. It is essential that solicitors are instructed promptly. They will almost certainly require money on account for searches. Please ensure that they are instructed and placed in funds as soon as any offer is accepted.

Solicitors' details

Solicitors' address


GUARANTORS - if applicant is a company, Friendly Society, LLP or Industrial and Provident Society.

Guarantor 1

Guarantor 1 address

Guarantor 2 details

Guarantor 2 address


Data Protection

We are registered with the Office of the Information Commissioner (number Z9845647 ) for the purposes of the Data Protection Act 2018. We will store your data in accordance with that Act.

Please refer to our privacy policy for more details.