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BROKER DETAILS:

Company Name

Name

Email

Phone number

BORROWER’S DETAILS

Company Name

Address

Director(s) Name(s)

PROPERTY DETAILS:

Property Address

Type of Property

Estimated Valuation

Purchase Price

Planning Information

Loan DETAILS:

Amount Required

Term of Loan Required

Use of Funds

Purpose of Loan

Exit Strategy

ADDITIONAL INFORMATION - Business Plan; Do You Plan Any Improvements To The Property?; Planning Status; Additional Security; Construction Company Details; Experience Of The Borrower