Complete the form below to submit your business finance application.

• Business Loans
• Merchant Cash Advance
• Invoice Finance
• Stock/Trade Finance

Don’t worry you are not committing to lending anything at this stage. We will initially check your eligibility before proceed to apply with lenders.

If you have any issues completing the form, call 0161 5469128 for assistance.

Minimum Lending Amount: £5,000

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Business Finance Type *Business LoanMerchant Cash AdvanceInvoice FinanceStock & Trade FinanceAsset FinanceRevolving Credit FacilityOther

Loan Purpose *Growth & InvestmentPay Suppliers/BillsDebt ConsolidationLarge PurchaseOther

Funding Amount Required *

Preferred Repayment Term

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Contact Name *

First

Last

Contact Number *

Contact Email *

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Business Details

Business Name *

Business Type *

• Limited Company or LLP
• Sole Trader
• Partnership
• Charity, Club or None Profit

Date Started Trading *

Main Business Activities: *

Website/Online Store/Amazon Store Link

Does Your Business Take Card Payments? *

• Yes
• No

Average Monthly Visa/Mastercard/Debit Card Sales£0 – £3000£3000 – £10,000£10,000 – £25,000£25,000 – £50,000£50,000 +

If yes list all merchant payment providers: (e.g. Elavon, Just Eat, SumUp, iZettle, Barclaycard etc.)

Merchant ID Number (MID) If Known

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Number of Employees *

Trading Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Trading Address – Owned or Leased *LeasedOwned With MortgageOwned Without MortgageTrade From Home

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Last 12m Turnover *

Approx. Value of Hard Assets (Vehicles, Equipment, Machinery)

Who Do You Hold Your Business Bank Account With? *

Which Accounting software do you use?

Are you VAT registered? *

Overdraft Limit *

Put £0 If you don’t have one

Confirmation Statements

• The business does not owe any arrears of VAT / PAYE / N.I. . Tax?
• The directors/owners don’t have any adverse credit registered against them? (IE: Mortgage arrears, defaults, missed payments)
• The business or the owners/directors have not been the subject of formal insolvency proceedings? (Bankruptcy, Liquidations, IVAs, CCJs)
• The business, directors, owners are not involved in any claims or lawsuits?

If you did not tick one the above statements, please give details here:

Do you have any existing Business Loans, Merchant Cash Advances or Invoice Finance? *

• Yes
• No

If yes please list here the lender, monthly payment and approx. balance.

Visual Code

Number of Directors / Partners / Owners (25%+)

Selected Value: 1

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Main Applicant/Director 1: Personal Details

Title *

Mr, Mrs, Miss, Dr, etc

Name *

First

Middle

Last

Date of Birth *

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Email *

Phone *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date Moved In

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Residential Status *Tenant/RentalOwner With MortgageOwner Without MortgageLiving with Parents/Family

Home Value (If Applicable)

Mortgage Outstanding (If Applicable)

Relationship To Business

Additional Directors/Owners 2: Personal Details

Please Press Next If Not Applicable

Title

Mr, Mrs, Miss, Dr, etc

Full Name

Date of Birth

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Email

Phone

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date Moved In

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Residential StatusTenant/RentalOwner With MortgageOwner Without MortgageLiving with Parents/Family

Home Value (If Applicable)

Mortgage Outstanding (If Applicable)

Relationship To Business

Additional Directors/Owners 3: Personal Details

Please Press Next If Not Applicable

Name

Date of Birth

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Email

Phone

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date Moved In

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Residential StatusTenant/RentalOwner With MortgageOwner Without MortgageLiving with Parents/Family

Home Value (If Applicable)

Mortgage Outstanding (If Applicable)

Relationship To Business

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Attach 6 x Months Business Bank Account Statements (PDF)

Click or drag files to this area to upload. You can upload up to 20 files.

Documents can be sent via email if preferred.

Please use this section to give any further information you wish to add to support your application:

GDPR Agreement *

• I agree to the Privacy Policy and Terms of Service. I allow Bolton Business Finance Ltd to store and process my personal data.

Bolton Business Finance is committed to protecting your privacy, we’ll only use your personal information to administer your account and to provide the products and services you requested from us.

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