Want a Business Loan?

Company Legal Business Name

Select Time: 11:38 AM Select

Gross Monthly Sales Including Cash Sales (previous 12 months average)

Monthly Visa/Mastercard/Debit Card Sales (previous 12 months average)

Current Card Processing Company Select Barclaycard Elavon EVO Payments First Data Global Payments Lloyds Bank Cardnet Worldpay Others

Desired funding amount

No. of Terminals:

No. of Locations:

Registered Address Line 1:

Registered Address Line 2:

Postcode:

Business Start Date :

Company Reg. Number:

Business Classification:

Company Legal Business Name:

Trading as (if different):

Trading Address Same as registered address

Trading Address Line 2:

Postcode:

Home Address:

Home Address Line 2:

Postcode:

Length of Residence (Years): Year 0 Year 1 Year 2 Years 3 Years 4 Years 5 Years

Length of Residence (Months): month 0 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months

Residential status: Select Tenant Owner occupier (with mortgage) Owner occupier (no mortgage) Living rent free (e.g. with parents)

Business Property Information

Trading Address:

Property Ownership

Lease/Rent Own

Landlord Name / Mortgage Company Name:

Monthly Rent/Mortgage:

Lease End Date:

1) Have you ever been subject to a bankruptcy order? Have any of your businesses been subject to a winding-up petition, compulsory liquidation, or have you or any of your businesses ever entered into any voluntary arrangement or compromise agreement with one or more of your creditors? If so, please give details Select No Yes

2) Are there any existing, pending, threatened or recently filed claims and judgments (including CCJs) against the business, merchants or guarantors? If yes, please give details. Select No Yes

3) Are you up-to-date with your rent or mortgage payments for your business? If not, please explain your current status. Select Yes No

4) (a) Which days of the week are you open? Select 5 days of the week (Monday to Friday) 6 days of the week (Monday to Saturday) 7 days of the week (Monday to Sunday)

4.(b) What are your usual opening and closing times?

Does any of your revenue come from online sales? Please Select.. No Less than 25% 25 - 50% 50 - 75% 75 - 100%

5) (a) Is the business seasonal?
No Yes (please list peak months)

5) (b) Do you usually close the business for part of the year?
No Yes (please provide dates)

Is your business VAT registered? Select Yes No

6) Are there any plans to close the business, temporarily or otherwise, during the next 12 months (for example, for a refurbishment/refitting)? Select Yes No

7) What will the proposed funds be used for? Select Buy Stock Working Capital Cash flow Refurbishment Business Expansion Other

8) Do you have a cash advance outstanding? If so, what is the current balance? Select Yes No

Terms & Conditions

1. I/We the Applicant(s) confirm that we are authorised by our company/trust/partnership or other forms of organisation to share our information and apply for business finance, Merchant cash advance or other forms of commercial funding offer.
2. I/We the Applicant(s) authorise Pay2day Ltd to act as an introducer/broker on our behalf to approach other brokers or lenders to get business finance, Merchant cash advance or other forms of commercial funding offer.
3. I/We the Applicant(s) also authorises Lenders, its assigns and agents to, obtain trade, landlord, credit, card transaction processing and bank information relating to us, our directors and officers, members and any of the undersigned guarantors, and financial associates and other individuals, from vendors, suppliers, landlords /mortgagees, credit reference agencies, card transaction processors, banks and creditors.
4. This information will be used exclusively for the purposes of (i)considering the entry into of a credit and debit card receivables acquisition agreement with a funding lender, obtaining business finance, commercial funding and (ii) monitoring our or lenders performance during the life of such acquisition agreement, and (iii) collection activities by authorised agents in case of default.
5. The personal information we have collected from you will be shared with fraud prevention agencies who will use it to prevent fraud and money-laundering and to verify your identity.
6. If fraud is detected, you could be refused certain services, funding, or employment. Further details of how your information will be used by us and these fraud prevention agencies, and your data protection rights, can be obtained directly from us or lender.
7. By submitting below, the Applicant(s) certify that all documents and information submitted now or provided in the future, in connection with this application are true, correct and complete.
8. By submitting below, you give us, our employees, our associates consent to communicate with you via email, post, telephone or other suitable modes of communication and authorise us to approach different lenders to get best possible commercial loan offer for more details, you can visit our Privacy Policy.
9. Lenders require all applicants, directors, shareholders to sign a personal guarantee.
10. I/We the Applicant(s) agree the above terms and conditions by signing & validating this application by entering Ontime password code which is sent on my cellphone.