Main Contact Name
*
E-mail:
*
Phone:
*
Are You The
*
Supplier
End User
Please Enter The End User Details Below
Name Of Company Leasing The Asset
*
Trading Address 1
*
Trading Address 2
Town / City
*
Postcode
*
Phone:
*
Fax:
Web Address
Contact Name
*
Contact Email
Contact Number
Company Type
*
Sole Trader
Limited
Limited Partnership
Partnership
PLC
Company Reg No.
Number of Directors
Nature Of Business
*
Years In Business
*
Not Sure
0-1 year
1
2
3
4
5
6
7
8
9
10 +
If Business under 3 years, are you happy to provide Directors Guarantees If Required
*
Over 3 Years
Yes
No
Does the Company Have Any CCJ's
*
No
Yes
Not Sure
Cleared Ref. No (s)
______________________________________________________
Value Of The Assets To Be Leased £
*
Minimum Lease Period (months)
*
Please Select
12
24
36
48
60
72
84
Asset Type
*
Bus/Coach
Car
Catering Equipment
CCTV
Commercial Vehicles
Commercial Equipment
HGV
IT/Communications Hardware
Construction Equipment
Factory Equipment
Farm Equipment
Fitness Equipment
Marine Equipment
Office Equipment
Restaurant Equipment
Software
Warehouse Equipment
Other
Funding Type
Lease
Hire Purchase
Equipment / Product Numbers, Details and Costs
What Will The Equipment Be Used For, and why do you need it ?
Company Background information, i.e What does the company do, and how long has it been doing it ? Also any details of CCJ's
_______________________________________________________
Up-Load Copy Of Suppliers Invoice (If you have a copy)
Up-Load Copy Of Last Accounts (If you have them)
Up-Load Copy Of the Last 3 Months Bank Statements (If you have them)
_______________________________________________________
Directors / Sole Traders Extra Details
Director 1 Name
Home Address
Time At This Address
1 Year
2 Years
3 Years
4 Years
5 Years Or More
Property Value £
Free Equity £
Date Of Birth dd/mm/yyyy
-
Day
-
Month
Year
at
/
Hour
Minutes
AM
PM
______________________________________________________
Director 2 Name
Home Address
Time At This Address
1 Year
2 Years
3 Years
4 Years
5 Years Or More
Property Value £
Free Equity £
Date Of Birth dd/mm/yyyy
-
Day
-
Month
Year
at
/
Hour
Minutes
AM
PM
_______________________________________________________
Please Enter The Equipment Suppliers Details Below
Equipment Suppliers Company Name
Trading Address 1
Trading Address 2
Town / City
Postcode
Phone Number
Company Website
Company Number
Contact Name
Contact Email
______________________________________________________
Please tick this box if you agree
*
By submitting this information you agree to our terms of underwriting.
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