Loan Application Form

Full Name:

Title:

Company Name:

Company Address:

Address 2:

Town:

County:

Postcode:

Telephone Number:

Mobile Number:

Fax Number:

Email address:

Business Category:

Start-up Existing

Years in Business:

Business Ownership:

Sole Proprietorship Partnership Corporation

Industry:

Loan Request Information:

Amount of Finance Requested (£):

Purpose of Finance:

Franchise Purchase
Equipment Finance
Start-up Finance
Working Capital

Invoice Discounting
Factoring
Property Finance
Other

Briefly describe purpose of Finance:

Further Information:

Personal Guarantees Available:

Yes No

Credit Histories:

Owner:

Excellent Satisfactory Poor

Company:

Excellent Satisfactory Poor

If a Business or Property Purchase:
Purchase Price (£):

Cash Contribution by Buyer (£):

Total Business Assets (£):

Total Business Liabilities (£):

Total Business Net Worth (£):

Company Annual Turnover (£):

Company Annual Net Profit (£):

How did you hear about this website:

Your net worth

Enter your assets in pounds:

Enter your liabilities:

Personal items

Loan balances

Home (£):

Mortgage loan (£):

Vehicles (£):

Other secured loans / mortgages (£):

Valuables (e.g. jewellery, antiques) (£):

Car loans (£):

Electronics (£):

Other loans (£):

Other (£):

Cash or cash equivalent

Other outstanding debt

Current account (£):

Credit card debt (£):

Savings and deposit accounts (£):

Bank overdraft (£):

Other (£):

Other debt (£):

Investments

Retirement account (£):

ISAs (£):

Individual stocks and shares (£):

Property (other than home) (£):

Estimated net worth (£):

A Spiral Finance Consultant will use this information to identify potential lenders. The information you provide will be subject to verification prior to loan funding. All information provided by you will be kept strictly confidential and be delivered in a secure method to a lender.

Make this page my homepage