About the applicant (Please click “Sign Form” to complete the form electronically) 1 Start 2 Application Preview 3 Complete Name of Guarantor: * Email * Applicant Name * Business Name: * Phone * Is the business domiciled within the UK? * Yes No Current Year Assets * Business Assets Current Year Net Assets Value * Previous Year Assets * Previous Year Net Assets Value * Years in Operation * Guarantee Amount * Period of loan remaining * Date of Guarantee * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2009201020112012201320142015201620172018201920202021 Type of collateral* for the underlying loan *Type of Collateral* Debenture Fixed Charge / Mortgage Asset Re-finance HP / Leasing Invoice Finance Type of Guarantee** which has been provided *Type of Guarantee** Single Joint / Several Limited Does the company have insurance cover in place to provide for replacement of its physical assets? * Yes No Renewal Date: * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2018201920202021202220232024In the last six months has: The Limited Company received a demand for repayment from a Banking Creditor, Asset Based Lending Creditor of Invoice Financing Creditor whether secured or unsecured? * Yes No In the last six months has: A High Court of County Court judgement been served on the Limited Company? * Yes No In the last six months has: A statutory demand been served on the Limited Company? * Yes No In the last six months has: A winding-up petition been served on the Limited Company? * Yes No In the last six months has: Any of the property of the Limited Company become the subject of distraint? * Yes No In the past three months has: The Limited Company received notice of a materially adverse change in banking facilities from a banking creditor or an Invoice Financier creditor. * Yes No In the past three months has: Any corporation tax, national insurance or VAT liability of the Limited Company not been paid in full on or within 7 days of the due date and is still unpaid in whole or in part 35 days after the due date. * Yes No In the past three months has: A demand been received by the Limited Company for any tax or VAT which was not expected by the Company and has not been provided for and which the Company is unable to pay within 7 days after the due date and which is still unpaid in whole or in part 35 days after the due date. * Yes No In the past three months has: The Limited Company become aware of a liability (whether or not arising from an award of judgement ) relating to employment, health & safety, litigation, environmental and pension issues which cannot be met on the due date from the Limited Company’s available cash resources. * Yes No In the past three months has: The Limited Company become aware or ought reasonably to have know, ascertained or concluded that it was unable to pay debts as and when they fall due or that the value of its assets were less than the amount of its liabilities, taking into account its contingent and prospective liabilities. * Yes No In the past three months has: The Limited Company become aware or ought reasonably to have known, ascertained or concluded that one or more debts is / are / has / have become bad or doubtful and that this has had a materially adverse affect on the ability of the Insured to meet its debts as and when they fall due or on the value of its net assets. * Yes No
