Asset Refinance

Intermediary Enquiry Form

1Asset Funding Required

2Company details

3Machinery & equipment details

4Financial details

5Part exchange details

6Customer bank details

7Partner(s) / Director(s) details 1

8Partner(s) / Director(s) details 2

9Partner(s) / Director(s) details 3

10Digital Signature

Amount Funding Required? *

Value of Asset being Refinanced? *

Date of purchase of Asset? *

Business Annual Turnover? *

Industry Sector? *

What is finance to be used for? *

How long will you need the funding for? *