Mezzanine Investment Property Finance Application

SOURCE: Name + e-mail of Mess. Direct / Registered Introducer / Broker *
Is borrower a Ltd Co/Partnership? If yes, Company name/trading name? *
Full Name of Applicant/Company Director *
Date of Birth *
Occupation *
Full Name of Joint Applicant/Co Director (if any)
Date of Birth
Occupation
e-mail address *
Telephone number(s) *
Address for Correspondence (with postcode) *
Address & postcode of property for development *
Property type - industrial/leisure/land/office/retail/mixed/other *
Will you or a family member live at this property? *	Yes No
If yes, will you/they occupy more than 40% of the property's total area?	Yes No
Annual rental income - £ *
Purchase price / open market value - £ *
Senior Debt agreed to purchase/refinance property - £ *
Mezzanine/Equity amount required to purchase/refinance property - £ *
Senior Debt agreed (if any) for refurbishment - £ *
Mezzanine/Equity amount (if any) required for refurbishment £ *
If refurbishment finance required, rental value will increase to £ *
Name of Senior Debt Lender (we will not contact them at this stage) *
When do you expect to drawdown this finance (completion date)? *
Details of experience as a property investor *
Do you have other capital/security available? Full details required *
Do you have adverse credit/CCJs/arrears/bankruptcy? Full details required *
Additional notes *
May we add you to our private mailing list for property finance updates and newsletters? *	Yes No