Application for Finance - Devon & Cornwall Securities

Broker Details

Name

Phone

Fax

Email

Broker address

Address

Apt, suite, etc.

Country

City

State

Zip code

Regulation

Consumer Credit License

Date Issued

Date of Expiry

Consumer Credit License

Please attach a copy of your Consumer Credit License

Are you regulated by the FCA?

Yes

No

FCA Registration Number

If yes, please provide us with your FCA Registration Number

Money Laundering

Do you conduct anti-money laundering checks on your clients?

Yes

No

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

Name

Phone

Fax

Email

Confirm Email

Applicant address

Address

Apt, suite, etc.

Country

City

State

Zip code

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

Address

Apt, suite, etc.

Country

City

State

Zip code

Property offered as security details

Land Registry Title Number

Type of Property

If 'other', please elaborate

Current Lender

Amount Outstanding

Property offered as security value

Value of Property

This is

* If a valuation has been carried out already, it must be attached.

Valuation Upload

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

If the property is being purchased, the purchase price is

Amount of Loan requested

(maximum 65% of valuation)

Purpose of Loan

Source of balance of funds

to complete purchase/redeem mortgage(s)

Regulation *

The loan will not be a regulated contract within the meaning of the Financial Services Legislation *

No

Yes

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

Company Name

Name of person dealing

Phone

Fax

Email

Confirm Email

Solicitors' address

Address

Apt, suite, etc.

Country

City

State

Zip code

Guarantors

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

Guarantor 1

Name

Phone

Fax

Email

Confirm Email

Guarantor 1 address

Address

Apt, suite, etc.

Country

City

State

Zip code

Guarantor 2 details

Name

Phone

Fax

Email

Confirm Email

Guarantor 2 address

Address

Apt, suite, etc.

Country

City

State

Zip code

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.