Regentsmead Loan Application Form

If you have any queries when filling out the application form, please don’t hesitate to call a member of our team on 020 8952 1414

If you would prefer to download the application form, please click here

(Please note that each guarantor is required to fill out a separate loan application form)

(A copy of the completed application form will be sent to this email address)

Personal Background (Also for Directors of Limited Companies to complete)

£

Assets & Liabilities

£
Month
Year
£
£
£

Asset 1

£
£

Asset 2

£
£

Asset 3

£
£

Asset 4

£
£
£

In the case of a business, what audited accounts are available

If possible please supply copies of these accounts with the completed applications

Loan Details

£
Over
months

What liquid resources do you have to cover contingencies -

£

I confirm that the above is entirely accurate and where appropriate professional advice has been sought.

I am fully aware that you are relying on this information to form part of your loan offer and that if it is in any way inaccurate or false, this will affect our ability to advance funds. I am further aware that I will be liable for any costs you may incur as a result of a false or misleading statement.


This information will not be passed on to other companies and is only used for the purpose detailed on this form.