Tax Bill Funding Enquiry - for Self-Assessment Tax

* Indicates a required field. Where a * is not shown, the field may be left empty. Please try however to provide as much information as possible.

If you need to come back and complete the form at another time, you can do so without losing any information you have already entered. To do this, scroll to the bottom of the form and click the ‘Save your progress and continue later’ link. Just enter your email address and we’ll send you a special link, so that you can come back at a later date using any computer to complete the form. Please note that partially completed forms will only be held for 30 days.

Please review our Terms of Business letter. Before submitting the following enquiry form, you will be required to confirm your acceptance to these Terms.

Your Name*

First Last

Date of Birth*

Day

Month

Year

Home Address*

Street Address Address Line 2 City County Post Code Country

Email*

Phone*

Personal Identification*

Please enter Driving Licence or Passport number…

Nature of Your Business?*

Total Personal Monthly Income*

Total Personal Monthly Expenditure*

Do you have funds available to meet this tax bill without the need to spread the cost?*

Please state your reason for choosing to spread the cost instead*

Tax Bill Details

Amount to be Funded*

Term Required*

HMRC Reference Number*

HMRC Sort Code*

HMRC Account Number*

Tax Due Date*

Day

Month

Year

Files Upload

In order to underwrite your funding requirement, please upload a PDF copy of:
1. Your most recent published Accounts (including P&L and Balance Sheet)
2. Your Tax Bill from HMRC

Drop files here or

Terms of Business & Credit Search Permission

Terms of Business*

By ticking this box, you are confirming that you have read and agree to Black Book Finance’s Terms of Business, and in particular to the data protection clause that states Black Book Finance Ltd will become the Data Controller responsible for your data received, for the purpose of pursuing this application. By accepting our Terms of Business, you are also providing consent to Black Book Finance Ltd to use your data specifically for this purpose.

I confirm I have read and understood

Credit Search Permission*

By ticking this box, you are also confirming that you give permission for a credit search to be conducted for this purpose and understand that a record of this search will then remain on your credit file.

I give my permission for a credit search to be conducted

Private Individuals – Tax Bill Funding