Tax Bill Funding Enquiry - VAT or Corporation 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.

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Beneficial Owner Details

Notes: The lender will require details of all the company’s Directors and Beneficial Owners (Partners or Shareholders). A ‘beneficial owner’ is classified as any individual or legal entity (such as a Company) who holds more than 25% of the share capital.

Type of Legal Entity*

Primary Contact Name*

First Last

Primary Contact Email Address*

Legal Entity Name*

Company Registration Number*

Date of Registration*

Day

Month

Year

Nature of Business*

Registered Address*

Street Address Address Line 2 City / Town County Post Code Country

Trading Address*

Street Address Address Line 2 City / Town County Post Code Country

Primary Director/Beneficial Owner

Name*

First Last

Date of Birth*

Day

Month

Year

Residential Address*

Street Address Address Line 2 City / Town County Post Code Country

Email Address*

Telephone Number*

Personal Identification*

Please enter either Driving Licence or Passport number below...

Second Director/Beneficial Owner

Name

First Last

Date of Birth

Day

Month

Year

Residential Address

Street Address Address Line 2 City / Town County Post Code Country

Email Address

Telephone Number

Add a further Director/Benefial Owner?

Select...*

Other Director/Beneficial Owner Name*

First Last

Date of Birth

Day

Month

Year

Residential Address*

Street Address Address Line 2 City / Town County Post Code Country

Personal Identification*

Please enter either Driving Licence or Passport number below...

Email Address*

Telephone Number*

Tax Bill Details

Amount to be Funded*

Type of Tax Bill*

HMRC Reference Number*

HMRC Sort Code*

HMRC Account Number*

Tax Due Date*

Day

Month

Year

File Uploads

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

Drop files here or

Terms of Business & Credit Search Permission

Terms of Business*

By ticking the following 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 agree

Credit Search Permission*

By ticking the box below, 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.

Companies/Partnerships – Tax Bill Funding

Companies/Partnerships – Tax Bill Funding

Beneficial Owner Details

Primary Director/Beneficial Owner

Second Director/Beneficial Owner

Add a further Director/Benefial Owner?

Tax Bill Details

File Uploads

Terms of Business & Credit Search Permission