Residential Development Enquiry - Short Term Lending
Date of Issue: July 2019 | Version: 2
1. Introducer’s Details
Name and address of company:
Telephone no:
Name of introducer: Broker FCA number:
Is any additional broker fee being charged?
Yes No
(If yes give details below)
Is this loan FCA regulated?
Yes No
Fee details: Has the broker given advice?
Yes No
Consumer Credit Permissions Number:
2. Applicant’s Details
Borrowers name and address:
Credit history:
3. Loan Details
Security Address:
Description of property:
Purpose of loan:
Full Planning Permission Granted?:?
Yes No
Overall Sq/Ft of Properties to be built:
Land Value (£): Build costs (£):
Residential Development
Enquiry Form
Residential Development Enquiry - Short Term Lending
Date of Issue: July 2019 | Version: 2
Details of clients development experience (including how
long they have been developing and type of projects they
have completed):
GDV (£): Other costs (£):
Loan required (£): Term of loan:
Is the Client Entering in to a JCT Fixed Price Contract?
Yes No
Repayment method:
Date purchased: Current value of property (£):
Purchase price: What stage is the work at currently?:
Is the property listed:? Yes
Details of Building Warranty / Guarantee to be used:
4. Any additional details
The “Masthaven” name and logos and all other brands, names, logos, marks and slogans on this document are the trademarks or service
marks of us or our licensor’s.
Masthaven Bank Limited is a company registered in England & Wales with registration number 09660012 and whose registered office is
at: 90 Long Acre, London WC2E 9RA. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct
Authority and the Prudential Regulation Authority (Firm reference number 719354).
Tel: 020 7036 2000 Email: Website:
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