Business Finance Form

As part of your application for any finance agreement you are required to pass a credit check.

This application form is a standard form used by our financial partners to determine your suitability for a finance agreement. The decision on whether you are approved for credit or not will be made by the lender and not by us.

We would like to tell you how the information you provide will be used in connection with your application. Information means the information you have given us, which we pass on to our finance partners, or which they receive from their own enquiries and searches at the credit reference and fraud prevention agencies. This applies to all applicants, including directors and partners if the application is made by a limited company, partnership or an incorporated association.

Our finance partner will check your details with credit reference and fraud prevention agencies and these agencies will record the check. They will provide the agencies with your current and previous names, address and dates of birth of all parties, so if you are providing information about others, on a joint application, you must be sure that you have their agreement. The agencies will provide them with public information about you and any third party financially linked to you. Information such as county court judgements (CCJs) and bankruptcies, electoral register and fraud prevention information on you and your financial associates, current and previous names, addresses and dates of birth. If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information.

You should not commit to a finance agreement unless you are confident that you can afford the payments for the whole of the term of the agreement.

After completing the appropriate application form, please ensure that you read and agree to the Customer Declaration and Data Protection Act notice before submitting the application. It is important that you complete all questions to enable us to process your application quickly. If you have any questions or need assistance in completing this form then please contact us.

Business Finance Application Form

Business Finance Application

Company Details

Company Name

Trading Name (if applicable)

Telephone Number

Fax Number

Business Website

Director Details

Title

First Name

Middle Name

Surname

Date of Birth

Marital Status

Home Telephone

Number of Dependants

Address Details

House Number/ Name

Address 2

Address 3

Address 4

Postcode

Address 1

Building Number/Name

Address 2

Address 3

Address 4

Postcode

Months at this address

Living Status

Address 2

Buliding Number/Name

Address 1

Address 2

Address 3

Address 4

Postcode

Months at address

Living Status

Bank Details

Sort Code

Account Number

Account Type

Months with bank

Bank Name

Address 1

Address 2

Address 3

Address 4

Postcode

Credit Status

Previously refused credit?

Yes

How I rate my credit

Additional Information

Textarea

Data Protection

This notice applies to all applicants and (if the application is made by a limited company or partnership / unincorporated association) directors and partners.

We'll check your details with credit reference and fraud prevention agencies ("the agencies") and they'll record our check and provide us with information about you. We'll tell the agencies if we think you've given false information or suspect fraud. We'll also give credit reference agencies information about how you manage your account. We and other companies will use this information to assess you and your household for: credit and credit related services; motor, household, credit, life and other insurance proposals and claims; debt tracing and recovery; prevention of fraud and money laundering; statistical analysis about credit, insurance and fraud; and market research.

Declaration

I hereby warrant that the information contained in this application is true and accurate and authorise all enquiries to verify the information to enable you to consider this application. I understand that the lender reserves the right to decline this application.

Signed

Date Form Completed

Business Finance Form