VAT Loan 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:Business address:*Postcode:*Country:*SelectEnglandNorthern IrelandScotlandWalesBusiness phone no:Business mobile no:Business email:* Business contact:*Position:*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 BreakLoan amount and repayment periodHow much would you like to borrow?*What term would you wish to repay the loan?*Select1 month2 months3 monthsFuture 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.
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