This application is to be completed by solicitors wishing to use the Novitas cost advance service; please return to:

Transcription

1 Cost Advance Funding Solicitor Application Form Important note for solicitors This application is to be completed by solicitors wishing to use the Novitas cost advance service; please return to: The application will then be reviewed and a bank reference applied for. Assuming all is in order, the solicitor will then approved in principle and sent the legal agreement that governs the operation of the loan service. Once signed and returned the solicitor is approved to join the panel of solicitors that have access to the service and able to make their first draw. Novitas is one of the leading providers of litigation loans for legal disputes; this is just one of the lending products that we make available to solicitors and their clients. Please go to to learn more about the other loans products that are available.

2 Cost Advance Funding Solicitor Application Form What classes of cases will you wish to fund using this facility the Work Type(s) (If all types of litigation please state all litigation ): FIRM DETAILS Name of firm: Date established: Companies House Reference Number: SRA Number LEXCEL Accredited Other Accreditations Registered address (and Correspondence address if different): Location of other office(s) (Please indicate in each case whether Freehold or Leasehold): Status of the firm: Partnership LLP Other If LLP or Limited Company confirm registration number: If Other please provide details:

3 CONTACT DETAILS Name and position of day to day general contact Name and position of day to day contact Finance / Accounts Dept: Name and position of day to day contact IT: * Throughout this form Partner includes Member of LLP or Director of Limited Company PRACTICE DETAILS Please insert the number of equity partners, other partners solicitors, support staff etc: Staff Practice Total Total APPLYING OFFICE Work Type(s) Equity Partners Other Partners Solicitors Other Fee Earners How much of the total income derives from each of the Work Type(s)? %

4 FINANCIAL & OTHER INFORMATION Office Account details Name of Bank: Your Firm Sort Code: Account Name: Account Number: Address: Contact Name: Consent for Reference: Please complete, sign and return the attached Reference Authority to us Please provide details of any practice borrowing, or client borrowing for which the practice is liable, whether utilised or not: If the Firm is a Partnership please provide details of any partner holding 25% or more of the voting rights and/or beneficial interest in the partnership: If the Firm is an LLP or Limited Company please provide details of any individual or entity holding 25% or more of the voting rights and/or beneficial interest in the business: ACCOUNTS Please provide a copy of the firm s last three years Audited Financial Statements together with latest Management Accounts (Balance Sheet and Profit & Loss A/C). Please explain briefly the basis upon which WIP is calculated (including whether at cost or charge out rate):

5 REFERENCE AUTHORITY To: The Manager Date Name and Full Address of Bank I/We hereby authorise you to provide such information as requested by Novitas Loans Ltd in connection with my/our accounts with you. I/We further authorise you to debit to our account the amount of any charge you may make for providing such reference. (PLEASE SIGN IN ACCORDANCE WITH THE BANK S MANDATE) Full names and address of account holders Account number/s