APPLICATION FORM PLEASE COMPLETE IN BLOCK CAPITALS

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1 APPLICATION FORM PLEASE COMPLETE IN BLOCK CAPITALS LOAN DETAILS Net Loan Amount Loan term (months) Required by Loan Purpose / Transaction overview What percentage of the loan will be for your own use: Greater / Less than 50% Loan repayment strategy Borrowing Entity: Sole Trader / Partnership / Limited Co / LLP / Trust / Other (please delete as appropriate) Introducing Agent (if applicable) Have you approached and/or been refused by any other lender for this loan? Is so, please provide details Property Type: PROPERTY / SECURITY DETAILS Land / Residential / Commercial / Split use / Other (please specify) Current value Purchase date Purchase price Details of current mortgage/charges: Mortgage 1 Mortgage 2 Name Amount Tenure: Freehold / Leasehold : If leasehold, lease length remaining Property Address Ground rent p.a. Brief description of property / asset: 1

2 Full Name: Address Full Name: Address Do you own this property: YES / NO, If yes, for how long? Contact details: Phone Date of birth Nationality National Insurance Number Marital status Do you own this property: YES / NO, If yes, for how long? Contact details: Phone Date of birth Nationality National Insurance Number Marital status Do any other people reside at the property? Yes / No If yes, please provide details including ages. DISCLOSURE YES NO HAVE YOU EVER YES NO Been bankrupt? Made a composition with creditors (to accept a proportion of debt in full settlement) including an IVA (Individual Voluntary Arrangement)? Had a property repossessed? Had a court order or debt registered against you? Failed to keep up repayments on a mortgage, credit card or other financial arrangement? Broken any credit agreements? Been associated with any business that has failed to keep up repayments on a mortgage, credit card or other financial arrangement, been insolvent or had a court order for debt registered against it? IF YES TO ANY OF THE ABOVE, PLEASE PROVIDE DETAILS BELOW 2

3 EMPLOYMENT DETAILS Employment status: Employed / Self-employed / Director Employment status: Employed / Self-employed / Director Shareholding: Business name Business address Shareholding: Business name Business address Company Number Company number Time in employment Time in employment Net Income Net Income Any other income Any other income OTHER ASSETS AND LIABILITIES ASSETS ASSETS Land / Property Land / Property Other investments Cash at bank Other assets (art/jewellery) Please specify: Other investments Cash at bank Other assets (art/jewellery) Please specify: LIABILITIES LIABILITIES 1 st charge mortgages 1 st charge mortgages Bank / other loans Credit / Store cards Bank / other loans Credit / Store cards Other unsecured loans Outstanding tax Other liabilities (please specify) Other unsecured loans Outstanding tax Other liabilities (please specify) 3

4 Solicitors details Accountants details DATA PROTECTION ACT 1998 You are applying to enter into a Credit Agreement with us and in considering and administering any agreement you enter into with us, we will be using personal data about you. YOU HAVE THE RIGHT TO KNOW HOW WE WILL BE USING YOUR PERSONAL INFORMATION AND IT IS IMPORTANT YOU READ THE FOLLOWING AS BY SIGNING YOU ARE AGREEING TO THIS USE AND DISCLOSURE OF YOUR INFORMATION; We may send you useful information about our and other businesses products and services, pass your details to other selective businesses and to anyone who introduced you to us. 1. We may use your information to consider your application to enter an Agreement with us and we will search your records at Credit Reference Agencies. 2. The record of our search will be recorded by the agency and will be seen on any future searches made. 3. The credit Reference Information may be linked to any person to whom you are linked financially (see associated records below before you sign) 4. We may use a credit scoring or automated marking system. We may also add to your records with the credit reference agencies details of any agreement with us, the payments you make under it and any default or failure to keep to its terms. These records will be shared with other organizations and may be used and searched by us and them to consider a) applications for credit and credit related services, such as insurance, for you and any associated person; b) trade debtors, recover debts, prevent or detect money laundering and fraud, to manage your account/s. IT IS IMPORTANT THAT YOU PROVIDE US WITH ACCURATE INFORMATION. WE MAY CHECK YOUR DETAILS WITH FRAUD PREVENTION AGENCIES AND IF YOU PROVIDE FALSE OR INACCURATE INFORMATION OR WE SUSPECT FRAUD THIS INFORMATION MAY BE RECORDED AND SHARED WITH OTHER ORGANISATIONS. PLEASE TELEPHONE OR WRITE TO US AT THE TELEPHONE NUMBER/ADDRESS STATED IF YOU WANT TO HAVE DETAILS OF THE CREDIT REFERENCE AGENCIES AND WHOM WE OBTAIN AND PASS INFORMATION ON TO ABOUT YOU. YOU HAVE A LEGAL RIGHT TO THESE DETAILS AND A RIGHT TO A COPY OF THE INFORMATION, PLEASE NOTE A FEE MAY BE PAYABLE. USE OF ASSOCIATED RECORDS Before entering into any agreement with you we may search your records and credit reference agencies which may be linked to records relating to your spouse/partner or other persons of whom you are linked and other members of your household. For the purpose of this application you may be treated as financially linked and will be assessed with reference to associated records. Before any search or application is completed or any agreement is entered into involving joint parties you both consent to us recording details of credit reference agencies. As a result an association will be created which will link your financial record and your associates information may be taken into account when a future search is made by us or another company unless you file a disassociation at the credit reference agencies. Your details will be held on a computer and we may advice you by letter, telephone, recorded message or otherwise of other finance services offered by our corporate group for a 12 months period from the postage date of this letter. We may do not so if you are presently registered, or register within a 12 months period with the Telephone Preference Service or Mail Preference Service, unless indicated by you or by you informing us in writing to Bespoke Bridging Finance Ltd., 44 Templemead Close, Stanmore, Middlesex HA7 3RG. Please tick the box if you do not wish your information to be used for marketing purposes. 4

5 IMPORTANT THIS MUST BE COMPLETED I/ we authorize you to make such enquiries and obtain such confirmations and references as you may deem appreciate from any person or company, including credit reference agencies, credit bureaux, mortgage or lending companies now or at any time in the future with reference to my/our mortgage/loan application. Reference: Name(s) Address: Post Code Mortgage Company Name & address: Mortgage Account number: DECLARATION I/WE THE UNDERSIGNED, DECLARE THAT THE INFORMATION AND REPLIES TO THE QUESTIONS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE IN EVERY RESPECT TO THE BEST OF MY/OUR KNOWLEDGE AND UNDERSTAND THAT THEY MAY FORM THE BASIS OF ANY CONTRACT BETWEEN THE COMPANY AND I/OURSELVES TO RELEASE THE ADVANCE. I/WE HAVE READ AND AGREE WITH THE DATA PROTECTION ACT AND PROPERTY VALUATION STATEMENTS ABOVE AND CONSENT TO BESPOKE BRIDGING FINANCE LIMITED AND/OR ITS AGENTS, NOMINEES TO CONDUCT ANY CREDIT SEARCH IF REQUIRED TO DO SO. SIGNATURE OF APPLICANT 1 SIGNATURE OF APPLICANT 2 PRINTED NAME PRINTED NAME DATE DATE Please send the full completed form to; Bespoke Bridging Finance Ltd 44 Temple Mead Close Stanmore Middx, HA7 3RG. Phone Mobile

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