Business Support Application Form

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1 Business Support Application Form Reference number: For official use only ECONOMIC DEVELOPMENT

2 1 Your and your company s details Your company s name: Address: Postcode: Phone number: Fax number: Website: Your name: Your position in the company: Type of company: Sole Trader / Partnership / Limited Company Is your company in a manufacturing sector or support a manufacturing sector? Yes No What percentage of your turnover comes from outwith Renfrewshire? % How many years has your company been trading? years When does your financial year end? What is your main business activity? Is your company part of a larger group? No Yes Give details below. Name of parent company: Address: Total employees in the group:

3 2 Financial information Fill in the following section for your company only (not including any parent company). You will find the relevant information in your company s accounts. This year Last year Estimate for next year next year Total turnover: Breakdown of turnover from: Scotland % % % the rest of the UK % % % Europe (not including Scotland and the rest of the UK) % % % North America % % % the Far East % % % Gross profit: Profit before tax: Net assets (after taking off all liabilities) Total number of employees: 3 Explain the project you want business support funding for.

4 4 Funding requirement Please detail what the funds are required for and how they will be provided Funds are required for: Capital expenditure Working capital Other (please specify) Total Funds will be provided by: Company resources Management (shares/loans) Personal funds New equity investors Bank loan Additional overdraft Business Growth Fund Renfrewshire Investment Fund West of Scotland Loan Fund Other (please specify) Total Supporting information Please provide the following to support your application for loan funding. Up to date Business Plan and 2 full years financial projections. Last audited or certified accounts Latest management accounts For other forms of support please provide the following. Last audited or certified accounts Latest management accounts, if not available, cash flow projection covering the period of the project Letter from accountant showing percentage of turnover generated outwith Renfrewshire area Estimates of work to be undertaken where available If you do not provide the information above, this will delay your application.

5 Declaration and signature Read the statements below before signing this form. The information I have provided in this application and any supporting document is, as far as I know, accurate and complete. I accept that any offer of loan funding or financial support will be based on the information I have provided. I accept that we, the company, will have to immediately pay back all or part of any loan funding or financial support we receive if any information in this application or any supporting document is found to be incorrect, or if we do not meet the conditions under which the financial support is offered. We agree to keep to all UK and European laws on equal opportunities, including the Sex Discrimination Act 1975, the Equal Pay Act 1970, the Race Relations Act 1976 and the Disability Act We keep to the National Minimum Wage Act We agree that you may consult any other person, bank or company named in this application. We understand that any loan funding or financial support will only be released when we provide documents or other satisfactory evidence of eligible spending towards this project. We will tell you immediately if we receive any extra support from the public sector for the project, other than any support mentioned in this application. We understand that you may reduce the loan funding or financial support you offer if we receive support from elsewhere. We understand that we cannot start spending on this project until you offer us loan funding or financial support. We will give you any financial or other information you need to assess the progress of our project and to monitor the effectiveness of your support. We will give you up-to-date financial information including management accounts (if they are available) and audited or certified annual accounts. We accept that your decision on whether or not to offer loan funding or financial support is final and we cannot appeal against it. The Data Protection Act 1998 We will use the information you have given in this form to help develop businesses and to monitor and evaluate our programmes to support businesses. We may share your details (for the purposes we just explained) with Scottish Enterprise Renfrewshire and their approved contractors, the West of Scotland Loan Fund, the Scottish ESF Objective 3 Partnership and Strathclyde European Partnership. We may also share it with other Renfrewshire Council departments to check the accuracy of the information, to prevent or detect fraud or crime, or to protect public funds. Your signature (on behalf of the company): Date: Name: Position in company:

6 Please send this filled-in application and all supporting information to: ECONOMIC DEVELOPMENT Renfrewshire Council Business Development 27 Causeyside Street Paisley PA1 1UL. Europe and Scotland Making it work together Phone: Fax: Website: A partner in Business Gateway Renfrewshire

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