FCU BUSINESS LOANS APPLICATION FORM

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1 FCU BUSINESS LOANS APPLICATION FORM FAIRshare Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (FRN Number: ) (Please complete all sections in block capitals using black ink: failure to complete any sections may result in your application being returned and thus delayed. If you need any help completing your application please contact the Credit Union). Section 1: Applicant(s) Details Mr./Mrs./Miss/Other Surname Forename(s) 1 st Applicant/Director/Partner 2 nd Applicant/Director/Partner Are you a member of FAIRshare Credit Union? Have you ever been convicted of fraud or any other offence involving dishonesty? Have you ever been a director or substantial shareholder in a company which ceased trading or has gone into liquidation or receivership or for which an administrator has been appointed? Date of Birth Of Dependents Marital Status Home Address Residential Status: Time At Address If less than 3 years please give previous address Residential Status at Previous Address: Time at Previous Address Home Phone Work Phone Mobile 1

2 Section 2: Details of the Business Registered Name of Business: Type of Business: Registered Address of Business (including postcode): Has or does the business trade under any other name(s)? How long has the business been trading? How many staff do you employ? Business Legal status/ Organisation structure (e.g. Ltd, Partnership, Sole trader, Charity etc): How many Partners, Directors, Trustees etc does the business have? Please complete Appendix A Attached Details of all Directors/Partners/Trustees/Other Is the company/ charity registered with Companies House / Charities Commission? Please provide the Company/Charity Registration number: Please provide the Company VAT number: Are all your company returns/taxes/paye/ni etc up to date with HMRC/Companies House: If, please explain why: Are the business premises rented? How much is the rent:. pm / pw When does the lease expire? How long have you been there? Tel no: Fax no: Website: Contact name: Job Title/Position in the Business: Is the business owner or any of the Partners/Directors/Trustees involved in any claims/lawsuits etc: If YES please give details: 2

3 Has the business owner or any of the Directors/Partners/Trustees ever been subject of formal insolvency proceedings e.g. bankruptcy, trust deed, liquidation, IVA etc: If YES please give details: Does the business owner or any of the Directors/Partners/Trustees have any other business interests? If YES please give details: Section 3: What does your business do? Please describe in detail. 3

4 Section 4: The Loan Amount & Purpose: How much are you applying for: How much can you afford to repay? Repayment Period: (Max 5 years) Have you applied anywhere else? If YES please explain where & what the outcome was If NO why not? Have you applied for and been refused a loan elsewhere? If YES please explain where & why you were refused When would you want the loan? How much of your own money have, or will, you put into the project? Section 5: Why do you need a loan from us and what difference will it make to your business? Section 6: How did you hear about us? 4

5 Section 7: Your Business Bank Details Sort Code: Account : Which Bank/Building Society: Branch: Account Name: Section 8: Your Accountants Details: Company Name: Address: : Phone : Contact Name: Section 9: Declaration & Signature: I / We confirm that I / We, the undersigned are authorised to make this loan application on behalf of the company/charity listed in the application. I / We confirm that the information supplied within this form is correct to the best of my/our knowledge and I / We confirm that if the company/charity of which I / We are a representative is awarded the loan, all money will be used solely for the purpose specified in this application. I / We confirm I / We have read and agree to the enclosed Terms & Conditions I / We authorise FAIRshare Credit Union to make any enquiries it deems necessary to third parties including Credit checks for individuals involved in the company and a Company Credit Check in connection with this application and I / We understand that if there is any change in my/our or our Company circumstances that I / We must advise you immediately. I / We agree that FAIRshare Credit Union can share details of how the loan has helped improve my/our business with third parties for publicity purposes. The giving of false information may result in action by FAIRshare Credit Union against the Individuals/Directors/Trustees/Partners for recovery of any loan made by FAIRshare Credit Union to the business plus interest, costs, charges and expenses relating thereto. FAIRshare Credit Union will undertake a personal credit search on the individual. 1 st Signature. Date. Print Name 2 nd Signature.... Date. Print Name 5

6 APPENDIX A Section 1: Applicant(s) Details Mr./Mrs./Miss/Other 3 RD Applicant/Director/Partner 4 TH Applicant/Director/Partner Surname Forename(s) Are you a member of FAIRshare Credit Union? Have you ever been convicted of fraud or any other offence involving dishonesty? Have you ever been a director or substantial shareholder in a company which ceased trading or has gone into liquidation or receivership or for which an administrator has been appointed? Date of Birth Of Dependents Marital Status Home Address Residential Status: Time At Address If less than 3 years please give previous address Residential Status at Previous Address: Time at Previous Address Home Phone Work Phone Mobile A-1 The giving of false information may result in action by FAIRshare Credit Union against the Individuals/Directors/Trustees/Partners for recovery of any loan made by FAIRshare Credit Union to the business plus interest, costs, charges and expenses relating thereto. FAIRshare Credit Union will undertake a personal credit search on the individual.

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