Secured Business Loan Enquiry Form

Funding Details

Loan Amount - Term Desired

First

Last

Last 12 months turnover?

Purpose of the loan (please provide as much info as possible) *

As much information as you can provide really helps us get a positive decision.

Applicant Details

Applicant Name *

First

Last

Contact Number - Email Address *

First

Last

Company Details

What does the business do?

Please describe your business activity in a few sentences.

Company Name - Company Number

First

Last

Date or Incorporation - VAT Number

First

Last

Monthly Sales - Website

First

Last

Registered Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Trading Address (leave blank if same as above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Directors/Partners Details

Number of Directors/Partners *

Director/Partner 1 (required)

Title *

Full Name *

First

Last

3 Years Address History

Homeowner Status - Homeowner/Mortgage/Tenant/Living With Parents/Other *

Property Value - Outstanding Mortgage

First

Last

D.O.B. *

Phone *

Email *

Director/Partner 2 (if applicable)

Title

Director/Partner 2

First

Last

3 Years Address History

Homeowner Status

Property Value - Outstanding Mortgage

First

Last

D.O.B.

Phone

Email

Director/Partner 3 (if applicable)

Title

Director/Partner 3

First

Last

3 Years Address History

Homeowner Status

Property Value - Outstanding Mortgage

First

Last

D.O.B.

Phone

Email

Director/Partner 4 (if applicable)

Title

Director/Partner 4

First

Last

3 Years Address History

Homeowner Status

Property Value - Outstanding Mortgage

First

Last

D.O.B.

Phone

Email

Additional Information - Please give as much information as possible.

Coronavirus impact statement (if affected) - Is the business still receiving revenue, furloughing staff? How much revenue are you expecting to receive? What are you putting in place to keep going? etc.

Please provide a paragraph on how the Coronavirus has or will affect your business in the coming months. This will help if placing your application through the CBIL Scheme.

Late with HMRC? *

Is the business late with any HMRC or other payments? If so, please detail...

Involved in any liquidation *

Have any directors or shareholders been involved in any business that has been in liquidation or administration? (Lenders do NOT make a lending decision purely based on this, please let us know company name(s) or company number)

Any other info? *

If there is any other information that you feel would help us make the right decision, feel free to let us know.

Any directors guaranteed any loans? *

Have any directors guaranteed any other loans for any other business, family or friends. If so, the total amount per director?

Current Business Debt? (Please include lender, loan amount, balance and repayments of each) *

Does the business have any of the following outstanding: business loans, leases, hire purchases, asset finance, credit cards, invoice discount or overdrafts? If so, please provide the following information above.

Please upload the following docs, to allow us to process your enquiry as efficiently as possible, Thank You.

You can also email the documents to your agent if too many to upload here.

Please Upload the last 6 Months Bank Statement

Click or drag files to this area to upload. You can upload up to 6 files.

Please upload the most recent 6 months worth of business bank statements in PDF format

Last Years Filed Accounts (if available)

Click or drag a file to this area to upload.

If 1st years accounts have not been submitted, please upload up to management accounts

Last 4 Quarters VAT returns

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload the last 4 quarters VAT returns or as many as you have submitted since starting.

Last 12 Months Management Accounts (if available)

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload an up to date balance sheet, P&L and running total if available.

Aged Debtor & Creditor Report

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload an up to date balance sheet, P&L and running total if available.

Client Consent to Search, Success Fee & Marketing Preference

Contact Approval

I consent that Danzak Finance will send me from time to time, offers or information with regards to my historical purchasing behaviours and products and services they believe may be of benefit to me and my business. I am aware that I may withdraw my consent at any time by contacting customer service on info@danzakfinance.co.uk. For more information on the processing of my personal data in this respect, please contact the email above. Please note that Danzak Finance does not share your information with 3rd party sources other than with respect to commercial finance procurement.

Success Fee *

By ticking this box – You agree that you are one of the directors above or have the authority to agree on behalf of the director(s). You agree to pay Danzak Finance, a success fee equal to 3% for funding secured between £1,000 - £256,000, 2% for funding secured between £257,000 - £506,000, 1.5% for funding secured between £507,000 - £756,000 and 1% for funding secured of £757,000 plus, secured by Danzak Finance for which Danzak Finance or partners was the procuring cause of the financing for a period of 12 months from the execution of this Agreement. The success fee does not include any point(s) to be paid to the lending institution, closing costs or any point(s) or fees paid to other consultants for their services. The success fee is fully earned by Danzak Finance when the finance has been approved in writing by us with terms and conditions acknowledged in writing to be acceptable to you, the client. This fee will be collected on the day of draw-down of the financing. If we cannot procure your financing, there is no fee to pay.

Authorisation *

by ticking this box and submitting this application, you authorise us to approach our panel of lenders with your proposal in order to issue you with terms. Please note we do not carry out credit searches and this application does not affect your credit rating. Our lenders may run soft searches to determine their appetite to lend, however this will not affect your credit rating.