Application Form - Excellion Capital

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Fields marked with an * are required

First Name *

Last Name *

Company Name *

Email Address *

Telephone Number *

Occupation of borrower *

Address *

Postcode *

Any Impaired Credit history? *

If yes, Please provide information

Estimated value of personal assets *

Estimated value of personal liabilities *

Estimated net assets value *

What are the funds going to be used for? *

Address of property to be taken as security *

Detailed description of property *

Purchase price of the property *

Value of the property *

Do you or a family member intend to live or have ever lived in the property? *

Net loan amount required *

Loan to value *

Term of loan *

How will the loan be repaid? *