Online Enquiry Forms

Intermediary Details
Intermediary:
Contact Name:
Network:
FSA Number:
FSA Type:		A directly authorised firm or individual An appointed representative An authorised network Non-authorised
Telephone:
Mobile:
Fax:
Email:
CMM to contact client direct?:		Yes No

Authority

Has the applicant given authority for the intermediary to supply information requested on this page to CMM and the release of this information to any other third party connected with this introduction or placement of the transaction.

YesNo VerballyIn Writing

We may need to undertake a credit search, record information, disclose information as necessary to negotiate terms with a funding source and disclose information if required to do so by law, please confirm that the applicant has given authority for us to do so.

YesNo VerballyIn Writing

Authority

Do you give authority to CMM to supply and release the information collected in this form to any other third party connected with this introduction or placement of the transaction.

YesNo

We may need to undertake a credit search, record information, disclose information as necessary to negotiate terms with a funding source and disclose information if required to do so by law, please confirm that the you give us authority to do so.

YesNo

Company Details
Company Name:
Nature of Business:
Company Reg #:
VAT Reg #:

Applicant/Partner Details
Title:		MrMrsMsMissDrSirOther
First Name:
Surname:
Telephone:
Mobile:
Email:
Address:
City:
County:
Post Code:
D.O.B (DD/MM/YYYY):

Credit Status
Existing CCJ's:		No Yes

Arrears in the last 12 months:

No Yes

Previous Bankruptcy:

No Yes

IVA:		NoneCompleted Over 2 YearsCompleted Over 1 YearCurrent and Satisfactory
CVA:		NoneCompleted Over 2 YearsCompleted Over 1 YearCurrent and Satisfactory

Mortgage & Property Details
How close to completion are you/the client:		Please Select Contracts exchanged. An offer has been made. An offer has been accepted. Property has been viewed. Due to bid at auction. Property not yet found.
Property to be re-mortgaged?		No Yes

Is the property:		Please Select Leasehold. Feuhold. Freehold.
Outstanding term of the lease:
What is the purchase price (£):
Is the purchase price for Bricks and Motor only?		Yes No

What is the properties current market value (£):
What amount would the mortgage be for (£):
What is the source of the deposit?:		Please Select Savings. Sale of property. Remortgage of property. Other.

What is the preferred term of mortgage (yrs):
What is the preferred interest rate option?:		Please Select Fixed. Variable.
Are you looking for specific mortgage features?:		Please Select Early/Partial Repayment. Interest only term. Interest offset option. Other.

Is the property to be let?

Yes No

Investment Property
How many tenants will there be:
Which option describes your largest tennant:		Please Select Blue chip. Government. Local government. National chain. Small company. Sole trader. Residential tenant. Own company. Property is empty.
Will there be commercial and residential tenants?		Please Select No, just commercial No, just residential Yes, commercial and residential
What is the term left on all rental agreements:
What is the expected total annual rental income (£):
Will the property be let to a 3rd party?		Yes No

Loan/Mortgage Security Information
What is the full address of the security property:
Please provide a breif description of the property:
Has this property been valued recently?		Yes No
What is the current use of the property:
What is the future use of the property (if different):

Financial Information
Are trading accounts available?		Please Select Yes No
if yes, what is the expected annual rental income? (£)
What kind of accounts are available?		Please Select Audited Certified Management Prepared by an accountant
Please provide details of the previous three years financial history:
Year 1: / Turnover (£): Net profit (£): Year 2: / Turnover (£): Net profit (£): Year 3: / Turnover (£): Net profit (£):
How will you evidence your income?		Please Select Self-certification only. Self-cert and accountant's letter. Self-cert and projections. Employed income. Rental income.
Please indicate which of the follow are available:		6 Months business bank statements. 3 Months personal bank statements per director/partner. Asset and liability statement per director/partner. Proof of deposit. Payroll funding.

Further Information

Please use this area to tell us any additional information that you feel is relevant to your application:

Form Complete

Please review your information and ensure that it is correct. Once you have confirmed please press the "Submit to Commercial Money Matters" button below. Commercial Money Matters will handle your data in accordance with the Data Protection Act.