Please complete the form below, ensuring that all fields are completed.

Section A Your Details
Principle Name:
Title:
Company Name:
Street Name:
Town:
County:
Postal Code:
Telephone:
Mobile Phone:
Fax:
Email:
   
Section B Company Information
Is your company... Start up      Existing Business
Years in Business
Is your company... Sole Proprietorship Partnership Corporation
Industry
   
Section C Finance Information
Amount of financing requested
Purpose of financing
Franchise Purchase
Equipment Financing
Start-up Financing
Working Capital
Recievable Financing
Factoring
Property Finance
Other
Describe purpose of financing
Personal Guarantees Available Yes      No
Credit History of Owner Excellent      Satisfactory      Poor
Credit History of Company Excellent      Satisfactory      Poor
   
Section D If a business purchase
Purchase Price
Cash Invested by Buyer
Total Business Assets
Total Business Liabilities
Total Business Net Worth
Company's Annual Revenue
Company's Annual Net Profit
   
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The BFS group will use this information to identify potential lenders.  The information you provide will be subject to verification prior to loan funding.  All information provided by you will be kept strictly confidential and be delivered in a secure method to a lender.