Information Request

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INFORMATION REQUEST

If you prefer us to fill in this form for you, please do not hesitate to call us or to ask any questions about it.

You also have the option to print this Form and complete it by hand	click here to download Form as a Word Doc
	click here to download Form as a PDF

LOAN AND SECURITY

Net loan required :

Purpose of your loan :

Address and post code of the property :

Description of the property :

Estimated Value or purchase price :

FIRST APPLICANT - DETAILS

Full name :

Current address including post code :

Any other addresses in the last three years :

Date of birth :

Marital status :

National Insurance number (if known) :

Land line telephone number :

Mobile telephone number :

Best email address for contact :

Your employer’s or business name :

Your employer’s or business address and post code :

Work telephone number :

Your work email :

Your job or business :

Length of time employed or in the business :

Your income before tax in a year :

Any other income in a year :

Details of where your other income comes from :

SECOND APPLICANT - DETAILS

Full name :

Current address including post code :

Any other addresses in the last three years :

Date of birth :

Marital status :

National Insurance number (if known) :

Land line telephone number :

Mobile telephone number :

Best email address for contact :

Your employer’s or business name :

Your employer’s or business address and post code :

Work telephone number :

Your work email :

Your job or business :

Length of time employed or in the business :

Your income before tax in a year :

Any other income in a year :

Details of where your other income comes from :

YOUR EXISTING BORROWINGS - secured on your properties (If any secured amount is an overdraft please state payment as nil or insert the word overdraft in the payment box)

Name of first lender :

Address :

Amount you owe :

Monthly payment :

Account number if known :

Name of second lender :

Address :

Amount you owe :

Monthly payment :

Account number if known :

PROFESSIONAL ADVISERS - we do not contact any of these without your consent

YOUR ACCOUNTANT - if you do not have an accountant please ignore this.

Name of who looks after you :

Name of his or her firm :

Its address :

Telephone number :

YOUR SOLICITORS

Name of who looks after you :

Name of his or her firm :

Its address :

Telephone number :

DIRECT DEBIT DETAILS TO PAY YOUR NEW LOAN

Name of bank :

Address :

The name of the account :

Account number :

Sort code :

FURTHER INFORMATION - please tell us anything else that you want us to know. For example, if you own any other property tell us about this and whether or not there is a mortgage on it, or if you believe you might have an impaired credt history please tell us here. The more information, the better.

Please note that by submitting this form you are agreeing to the use of your personal information as set out in
the Data Protection Act 1998. Click here to read details.

I have read and understand the terms of the Data protection Act, as above.

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We offer Farm Finance, Finance for land & Rural Finance, Mortgages & Loans in the following areas | England, Northern Ireland, Scotland, Wales,

Berkshire. Buckinghamshire. Cambridgeshire. Cheshire. Cornwall. Cumberland. Derbyshire. Devon. Essex. Gloucestershire Hampshire Herefordshire Hertfordshire Leicestershire. Lincolnshire. Norfolk. Northamptonshire. Nottinghamshire. Oxfordshire. Rutland. Shropshire. Somerset. Staffordshire. Surrey Sussex. Warwickshire Westmoreland.Worcestershire.Yorkshire.
Anglesey/Sir Fon. Brecknockshire/Sir Frycheiniog. Caernarfonshire/Sir Gaernarfon. Carmarthenshire/Sir Gaerfyrddin. Cardiganshire/Ceredigion. Denbighshire/Sir Ddinbych. Flintshire/Sir Fflint. Glamorgan/Morgannwg. Merioneth/Meirionnydd. Monmouthshire/Sir Fynwy. Montgomeryshire/Sir Drefaldwyn. Pembrokeshire/Sir Benfro. Radnorshire/Sir Faesyfed
Dunbartonshire/Dumbartonshire. East Lothian/Haddingtonshire. Fife. Inverness-shire. Kincardineshire. Kinross-shire. Kirkcudbrightshire. Lanarkshire. Midlothian/Edinburghshire. Morayshire. Nairnshire. Orkney. Peeblesshire. Perthshire. Renfrewshire. Ross-shire. Roxburghshire. Selkirkshire. Shetland. Stirlingshire. Sutherland. West Lothian/Linlithgowshire. Wigtownshire. Aberdeenshire. Angus/Forfarshire. Argyllshire. Ayrshire. Banffshire.Berwickshire. Buteshire. Cromartyshire. Caithness. Clackmannanshire. Dumfriesshire.

County Londonderry. County Antrim, County Armagh. County Down. County Fermanagh. County Tyrone.

Our full list of financial services covers all the following key areas; Farm Finance, Farm remortgage, Farm Loan, Farming Loan, Farming remortgage, Rural Mortgage, Rural remortgage, Rural Loan, Agricultural Mortgage, Agricultural remortgage, Agricultural Loan, Equestrian Mortgage,Agricultural Tie Mortgage, Equestrian remortgage, Equestrian Loan, Finance for Equestrian Premises, Diversification loan or Finance, Low Rate Farming Loan, Compare Farming remortgage Rates, Horticultural Mortgage, Finance for Farms, Farm Shops, Nurseries & Small Holdings. Rural Finance for England, Northern Ireland, Scotland & Wales.

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About Farm & Country Finance

Partners personal profiles

View our full range of finance options

Farm Finance | Rural Finance

Farm Mortgage | Farm Re-Mortgages

Equestrian | Horticultural finance

Bridging Finance | Bridging Loans

Diversification | Finance to diversify