^{NEW WORLD FINANCE}

Address: 37 Great Queen Street ,London WC2B 5AA

Tel: 02074054690 Fax: 01279835129; Mobile: 07754734924

Email:nwf268@newworldfinance.com

Personal details
Mr/Mrs/Miss/Ms
First names
Surname
Home address including postcode
Owner or Tenant
Home telephone number
Work/daytime telephone number
Mobile telephone number
Nationality
Married/Single/Divorced	Age
Number of dependents	Ages

If property owner
Full address including postcode
Date of purchase		Cost ₤
Current sale value	₤
Outstanding mortgage	₤
Other debts on property	₤
Will you continue to reside in this property, sell it or let it.

employment

Type of occupation

Employer

Address

Annual income ₤

Duration of service

if self-employed

Name and Address of business

Type of occupation

Date established

Annual income ₤

status

(a) Have any Court Orders been made against you? (Answer Yes or No).

If yes, give amounts, dates and full explanation in an additional page.

(b) Have you ever been adjudged bankrupt or made any composition with creditors?

(Answer Yes or No).

details of business to be purchased

Name of the business and address including postcode

Type of business

Is there any living accommodation

If yes, who lives or will live there

Un-expired term of lease

Years

Current rent ₤

Per annum

Current weekly takings ₤

How long established

Are there any Accounts

If yes, for which years

Purchase price ₤

Cost of stock ₤

How much can you provide towards the purchase of this business?

₤

Which Source(s)? Please tick

Sale of Family Home	Personal Savings
Re-mortgage of Family Home	Family Funds
Sale of Investment Property	Vendor’s Loan
Re-mortgage of Investment Property	Relative’s Loan

Amount of loan required ₤

Please fill in the form and send to us by mailto:info@newworldfinance.com