Application - IQ FinTech

Loan information

Repayment schedule*

Bullet repayment schedule

Annuity schedule

Loan amount (EUR)*

Loan period (months)*

Type of the loan*

Purpose of the loan*

Applicant’s details

Business name*

Registry code*

Principal activity*

Bank account number (IBAN)

Representative’s first name*

Representative’s last name*

Representative’s phone number*

Representative’s e-mail address*

Applicant’s financial information

Estimated annual turnover (EUR)

Estimated annual profit (EUR)

Does the applicant have liabilities outside IQ FinTech? *

Yes

No

Type of liability*

Lender’s name*

Balance*

Monthly payment*

Term*

Collateral offered

Type of collateral*

Address*

Owner’s name / business name

Owner’s personal id code/registry code

Market value (EUR)

Additional information

Documents

For example, annual report, valuation report, photos of the collateral, statements from the land register and other documents.

I confirm that all the information provided in this loan application is complete and correct. I confirm that I have read the principles of processing customer data. I am aware that for submitting false information in the application, IQ FinTech may reject my loan application without providing further reasons.*