PRINCIPAL NAME: 

Title:                      

Company Name:    

Street Name:         

Town:      County:       Postal Code:   

Telephone:         Mobile Phone: 

Fax:                     E-mail: 

Start-up           Existing Business          Years in Business 

Sole Proprietorship          Partnership          Corporation 

Industry: 

Amount of Financing Requested:  £

Purpose of Financing:

            Franchise Purchase          Equipment Financing         Start-up Financing 

            Working Capital          Receivable Financing          Factoring         Property Finance 

            Other:

Briefly Describe purpose of Financing:  

Personal Guarantees Available:    Yes          No 

Credit History of Owner:    Excellent          Satisfactory         Poor

Credit History of Company:    Excellent     Satisfactory          Poor

If a Business Purchase:    Purchase Price  £

Cash Invested by Buyer  £

Total Business Assets £

Total Business Liabilities  £

Total Business Net Worth  £

Company's Annual Revenue  £

Company's Annual Net Profit  £

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