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CMM Team | Contact Us | About CMM

This page: CMM home Enquiry Form

Tel: 0115 981 1173

Enquiry Form

NB denotes required details.

(Printable blank Enquiry Form PDF)

1. Intermediary details

Intermediary
Contact Name
Network
FSA Number (or n/a)
FSA: are you ...	A directly authorised firm or individual An appointed representative An authorised network Non-authorised

Telephone
Fax
Email
Mobile
CMM to contact client direct?	Yes No

2. Authority

Please confirm that the applicant has given authority for the intermediary to supply the information requested below to Commercial Money Matters and the release of this information to any other third party connected with this introduction or placement of the transaction.

Yes
No
Verbally
In 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.

Yes
No
Verbally
In Writing

3. Applicant details

Is the Applicant a Limited Company, Sole Trader or Partnership:
A Limited Company -	Company Name Directors Names if Ltd Company
A Sole Trader -	Trading Name
Trade/Business Type
Does the Applicant or related person (spouse, common law partner, parent, sibling, child, grandchild, grandparent) dwell or intend to dwell at part of the property offered as security? Yes No
If Yes, does this part exceed 40% of the total security area? Yes No

A Partnership	Trading Name
Is this a Limited Liability Partnership ? Yes No
Names of Partners
Correspondence Address
Postcode
Email
Home Phone
Work Phone
Mobile Phone
Fax

Applicant/Director/Partner 1

Mr Mrs Miss Ms

First Name

Surname

Applicant/Director/Partner 2

Mr Mrs Miss Ms

First Name

Surname

Applicant/Director/Partner 3

Mr Mrs Miss Ms

First Name

Surname

Applicant/Director/Partner 4

Mr Mrs Miss Ms

First Name

Surname

4. Financial Information

Income Evidence: Please tick at least one of the boxes and provide corresponding details

1 years audited accounts

If yes
Net profit (£)
Depreciation (£)
Finance Costs (£)
We will require sight of the audit accounts to verify the trading reconstituted profits.

Management accounts

Annual Rental Income (£)

Self declaration

Employed Income (£)

5. Credit status

Any Existing CCJs ?
Yes
No

If Yes, number of unsatisfied CCJs in the past 2 years

Value (£)

Any arrears in the last 12 months?
Yes
No

If Yes, highest arrears in the past 12 months (remortgages only) (£)

Previous Bankruptcy?
Yes
No

If Yes, when was it discharged ?

IVA

None
Completed over 2 years
Completed over 1 year
Current & satisfactory

CVA

None
Completed over 2 yrs
Completed over 1 yrs
Current & satisfactory

6. Mortgage Required

Commercial Mortgage Required (£)
Term	Years or Maximum Term Required
Purpose of loan
Address of Property Offered as Primary Security
Postcode
Brief description of property
Tenure of Security -	Freehold Feuhold Leasehold
Years Remaining on Lease (if applicable)

Where Property Already Owned -
Date Purchased dd/mm/yyyy	//
Purchase Price (£)
Current Value (£)
Amount of Outstanding Mortgage/Charge (£)
Name of Lender
Where Property To Be Purchased -
Purchase Price (£)
Does The Purchase Price Include	Fixtures & Fittings Value(£) Goodwill Value(£) Stock Value(£)
Current Value (£)

7. Investment property

Lease Start Date dd/mm/yyyy	//
Term
Current Annual Rent (£)
Next rent review dd/mm/yyyy	//

Name(s) of tenant(s) if known

8. Further Information

CMM will handle this enquiry in accordance with the Data Protection Act.

CMM is a full member of the National Association of Commercial Finance Brokers
	and the Federation of Small Businesses