Please enable JavaScript in your browser to complete this form.Business Details - Step 1 of 4Business Name *Salutation of Contact at Business *MrMrsMsMissDrContact at Business *FirstLastContacts Telephone Number *Business Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryIs this a limited company? *YesNoDoes the business have any adverse credit registered against them? *YesNoIf yes, what is the adverse credit for? *DefaultsCCJBankruptcy CVAIVAWinding up petitionHas it been satisfied? *YesNoNextIntroducer Name *FirstLastNot ? Click here to log out.Introducer Email Address *Introducer Telephone Number *Which Fiducia Office are you based at? *NewarkMansfieldSleafordLondonThis client has been referred as we need to gather some more information. Please call our office on 01482 635400 so we can discuss the requirements further. This client has been declined. Unfortunately, given the client's current financial standing it is unlikely that we will be able to assist. PreviousNextWhat assistance is required? *Equipment PurchaseProperty DepositBusiness LoanWorking CapitalIs the equipment new? *YesNoIs the equipment supplied by a dealer or is it a private purchase? *DealerPrivate PurchasePlease briefly describe the equipment they would like to purchase. *How much does the equipment cost? *What value of loan is required? *What term do they require the loan over in months? *243648607284Congratulations, this client appears to be suitable for finance. Please complete the remainder of the form.This client has been referred as we need to gather some more information. Please call our office on 01482 635400 so we can discuss the requirements further. Is the equipment supplied by a dealer or is it a private purchase? *DealerPrivate PurchaseIs the equipment less than 5 years old? *YesNoCongratulations, this client appears to be suitable for finance. Please complete the remainder of the form.This client has been referred as we need to gather some more information. Please call our office on 01482 635400 so we can discuss the requirements further. Is the property freehold or leasehold? *FreeholdLeaseholdWhat is the current value of the property? *What is the current outstanding mortgage on the property? *What is the loan to value you expect to get approved for the client? *How much additional deposit does the client require? *How long has the business been trading? *Less than 2 yearsBetween 2 and 5 yearsMore than 5 yearsHow many years are left on the leasehold for the property? *Congratulations, this client appears to be suitable for finance. Please complete the remainder of the form.Congratulations, this client appears to be suitable for finance. Please complete the remainder of the form.This client has been referred as we need to gather some more information. Please call our office on 01482 635400 so we can discuss the requirements further. How long has the business been trading? *Less than 2 yearsBetween 2 and 5 yearsMore than 5 yearsWhat was the turnover in the company's latest accounts? *Is the company profitable? *YesNoWhat was the profit in the company's latest accounts? *What value of loan is required? *What term do they require the loan over? *6 months12 months18 months24 months30 months36 months42 months48 months54 months60 monthsWhat is the reason for the loan? *This client has been referred to the underwriter as it is unlikely to be approved for a business loan. However other options may be available. Please call our office on 01482 635400 so we can discuss the requirements further. Congratulations, this client appears to be suitable for finance. Please complete the remainder of the form.How long has the business been trading? *Less than 2 yearsBetween 2 and 5 yearsMore than 5 yearsAre the Company's customers consumers or other businesses? *B2CB2BWhat was the turnover in the company's latest accounts? *Is the company profitable? *YesNoWhat was the profit in the company's latest accounts? *How many days credit do the company offer to their customers? *Is the company involved in any of the following industries? *ConstructionRetailGamblingNone of the aboveThis client has been referred as we need to gather some more information. Please call our office on 01482 635400 so we can discuss the requirements further. Congratulations, this client appears to be suitable for finance. Please complete the remainder of the form.I understand that the client *is suitable for finance. has been referred. has been declined. PreviousNextFile Upload Click or drag files to this area to upload. You can upload up to 6 files. Please upload any relevant documents you have collected from the client. To select multiple documents, press control and click each file.Additional NotesCaptcha * = WebsiteRefer Case Share this:PrintTwitterLinkedInFacebookLike this:Like Loading...