Asset Refinance Application Tell us about your business It’s important that we gather as much accurate information as possible ensuring that we match your business finance needs with the most appropriate funders that will support your business sector and circumstances. (Please take the time to complete every question as we will be able to gain you a more accurate quotation)Business name:*Trading name:Address:*Postcode:*Country:*SelectEnglandNorthern IrelandScotlandWalesBusiness phone no:Business mobile no:Business email:* Business contact:*Position:*Years trading:*Select an option:New startPhoenix startEstablished business 0 – 6 Months6 months – 12 months1 year – 2 years2 years – 4 years4 years +Type of business:*Select an optionAdvertisingAerospace & DefenceAgricultural Production – AnimalsAgricultural Production – CropsAgricultural ServicesAir TransportationAmusement & Recreation ServicesApparel & Other Finished Products (Manufacture)Automotive Hire CompaniesAutomotive ManufacturingAutomotive Repair, Services & ParkingChemicals & Allied ProductsCoal MiningCommunicationsComputer Hardware and Related ServicesComputer Software and Related ServicesConstruction – Building CompletionConstruction – Building / MasonryConstruction – Electrical InstallationConstruction – Floor ScreedingConstruction - Groundwork’sConstruction – JoineryConstruction – Plastering / RenderingConstruction – Plumbing & HeatingConstruction – RoofingConstruction – Steel ErectingConsumer Credit InstitutionsDairy Production & Related ServicesEating & Drinking PlacesEducational ServicesElectronic Equipment, Except ComputersEngineering, Research & Management ServicesFabricated Metal ProductsFishing, Hunting, TrappingFood & Kindred ProductsForestryFuel SuppliersFurniture and FixturesGeneral Merchandise StoresGlazing and RoofingHaulageHealth ServicesHeavy Construction – CivilsHome FurnishingHotels & Other Lodging PlacesIndustrial / Commercial Machines &ComputersInstruments / Photo – Med – Optical / ClocksInsurance Agents, Brokers & ServicesInsurance CarriersLeather & Leather ProductsLegal ServicesLogistic Clearing and ForwardingLumber & Wood Products Except FurnitureManufacturingMembership OrganisationsMetal MiningMining of Non – Metals, Except FuelMiscellaneous Repair ServicesMotor Freight Transport & WarehousingMuseums, Gardens, Galleries & ZoosOil & Gas ExtractionPackagingPaper & Allied ProductsPassenger Transportation ServicesPetroleum Refining & Related IndustriesPharmaceuticalsPhotography & FilmPipelines, Except Natural GasPrimary Metal IndustriesPrinting, Publishing & Allied IndustriesRailroad TransportReal EstateRecruitment – ConstructionRecruitment – DiversifiedRecruitment – Haulage and TransportRecruitment – ManufacturingRecruitment – Temporary StaffRecycle CollectionRetail Fashion – SupplyRetail Food – SupplyRetail Miscellaneous – SupplyRetail Textiles – SupplyRubber & Miscellaneous Plastic ProductsSecurity Guards and Related ServicesSheet Metal WorkSteel ManufacturingStone, Clay, Glass & Concrete ProductsTextile Mill ProductsTobacco ProductsTransportation EquipmentUtility Services (Electricity, Gas, Sanitary)Wholesale - Durable GoodsWholesale - Electrical GoodsWholesale – FoodWholesale – Hardware / Garden SupplyWholesale – MiscellaneousWholesale – Office SuppliesWholesale – TextileOther - Not Specified ElsewhereFull business description*Company Directors*How many directors/owners are within the business? Please select:123456Director - owner 1Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Director - owner 2Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Director - owner 3Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Director - owner 4Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Director - owner 5Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Director - owner 6Full name*Date of birth:* Telephone number:*Email address:* Home address:*Post code:*Time at this address:Time at this address:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years20+Months*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsPlease provide previous address if less than three years at the address above:Section BreakAssets to be refinanced*How many assets are you looking to refinance? Please select:12345Asset 1Full detailed asset description:*Make:*Model:*Serial Number:Age years:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10+months:*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMileage / hours run:*Estimated Current Value:*Is there finance outstanding on the equipment*YesNoPlease provide the name of the financier currently funding the Asset:*What is the outstanding finance balance:*Asset 2Full detailed asset description:*Make:*Model:*Serial Number:Age years:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10+months:*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMileage / hours run:*Estimated Current Value:*Is there finance outstanding on the equipment*YesNoPlease provide the name of the financier currently funding the Asset:*What is the outstanding finance balance:*Asset 3Full detailed asset description:*Make:*Model:*Serial Number:Age years:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10+months:*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMileage / hours run:*Estimated Current Value:*Is there finance outstanding on the equipment*YesNoPlease provide the name of the financier currently funding the Asset:*What is the outstanding finance balance:*Asset 4Full detailed asset description:*Make:*Model:*Serial Number:Age years:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10+months:*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMileage / hours run:*Estimated Current Value:*Is there finance outstanding on the equipment*YesNoPlease provide the name of the financier currently funding the Asset:*What is the outstanding finance balance:*Asset 5Full detailed asset description:*Make:*Model:*Serial Number:Age years:*Select years:0 Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years10+months:*Select months:0 Month1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMileage / hours run:*Estimated Current Value:*Is there finance outstanding on the equipment*YesNoPlease provide the name of the financier currently funding the Asset:*What is the outstanding finance balance:*Section BreakLoan Amount And Repayment PeriodHow much would you like to borrow? (Max 70% of the current combined asset value, less outstanding borrowing)*What term would you like the new asset finance over?*Select an option:1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months12 months13 months14 months15 months16 months17 months18 months19 months20 months21 months22 months23 months24 months25 months26 months27 months28 months29 months30 months31 months32 months33 months34 months35 months36 months37 months38 months39 months40 months41 months42 months43 months44 months45 months46 months47 months48 months49 months50 months51 months52 months53 months54 months55 months56 months57 months58 months59 months60 monthsPlease note an Asset Financier may insist on an independent valuation of the asset and this would be complete by one of their approved valuers. There may be a cost to your business if you ask them to proceed after accepting terms.Future Contact From time to time we would like to contact you with details of other relevant products, offers and services. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.Future Contact* Post Email Phone Text If you prefer not to be contacted please tick this box By clicking submit, you are agreeing that you have read, understood and accept our Terms and Privacy Policy and that you are happy for us and one of our approved lenders to contact you in order to progress your application
0330-058-8270