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Brokers Contact details...

Brokers Contact Name:

Brokers Company name:

Brokers Contact Tel:

Brokers Contact Fax:

Brokers Contact E-mail:

Type of property:

Choose... Residential Buy to let Commercial Semi Commercial Development property Property investor/Purchase Refinance to raise capital Retail property Land with planning Land without planning Farm land Leisure property Other Please state below:

Other: 

Loan amount requires:
In Euros

Term of bridging loan:

In months

Estimated value of property:
In Euros

Date purchased if applicable:

Purchase price of property:
In Euros if applicable

Brief description of  property:

Location of property:

Clients Contact details...

Contact name:

Contact Tel:

Contact Fax:

Contact E-mail:

Contacts Address:

State applicant:

Choose... Individual Partnership Limited company Off Shore Limited company PLC

Please state the way

your loan will be repaid:

Clients Solicitors Name:

Solicitors Company name:

Solicitors Contact Tel:

Solicitors Contact Fax:

Solicitors Address: