Application for Franchise Business Finance

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1 Application for Franchise Business Finance Applying for finance with National Australia Bank Limited (nab) To assess your application for finance fully and quickly, we need to understand your business. That is why it is important that we collect all of the necessary information right at the start. Complete this Application for Business Finance as fully as possible, and return it to your Franchise Business Banker along with the documents requested below. Applicant Details Full legal name of applicant (eg Company, Trust, Sole Trader, Individual) Contact Name Contact telephone number Contact facsimile number Contact Address Address Franchise Business Details Franchise Name Contact at the Franchisor Phone number Are you: Buying an existing franchise business Buying a new Franchise Business Franchise term remaining, plus options Franchise premises lease term remaining, plus options Legal entity requiring a Bank Guarantee for lease / rental bond Franchise Commencement Lease Commencement A.C.N./A.R.B.N./ABN/Business Registration no. Business operating details company/business established How long has the Franchise Business been operating? Total number of employees Who are the key people other than owners/directors of the company/business? Name Title/Role Time in role years Main professional contacts complete where applicable Accountant s name Name of firm Telephone no. Solicitor s name Name of firm Telephone no. Insurance Agent s name Name of firm Telephone no. Other financial adviser s name Name of firm Telephone no National Australia Bank Limited ABN (06/03) Page 1 of 6

2 Franchise Funding Table Franchise Fees Amounts (inc GST)... $ Plant & Equipment Amounts (inc GST).. $ Fixtures & Fittings Amounts (inc GST)... $ Opening Stock Amounts (inc GST)... $ Training Costs Amounts (inc GST)... $ Legal Fees Amounts (inc GST)... $ Accounting Fees Amounts (inc GST)... $ Total... $ Other... $ Total Franchise Amount... $ Cash / Equity Being Invested... $ Total Franchise Loan Required... $ Other Loans Required Overdraft... $ Visa, MasterCard, ANT Card... $ Bank Guarantee (rental Bond)... $ Refinance Personal Debts... $ Home Loan... $ Margin Lending... $ Other (please give details) $ Owners/Partners/Directors/Guarantors details. 1: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth. 2: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth. 3: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth. 4: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth Have owners/partners/directors/guarantor provided guarantees or security to support any other borrowings at other financial institutions? Page 2 of 6

3 Statement of Position as at Applicant Assets Cash on hand... $ Accounts (Bank, Credit Union etc)... $ Debtors (Stock in trade/work in progress).. $ Share portfolio... $ Real Estate... $ Motor vehicles... $ Plant & Machinery... $ Life policies (Value)... $ Superannuation... $ Other assets... $ Total Assets... $ Guarantor Liabilities Overdraft / Line of Credit... $ Mortgages/Secured Home Loans... $ Car Loans... Lease/Hire purchase... $ Taxation due GST... $ Wages/Salaries owing to employees. $ Rates/Crown Rents... $ Trade creditors... $ Contingent liabilities... $ Other liabilities... $ Total Liabilities... $ Net Asset Position... $ Other Income (ie partners salary/wages that are not related to the Franchise Business)... $ Expenditure (Monthly) Credit/Store cards... $ Mortgages/Secured Home Loans... $ Lease commitments... $ Other expenditure... $ Total Expenditure... $ Security (Please detail any asset/s owned by the company/business or its principals that may be offered to nab to secure lending) Asset 1... Asset 2... Asset 3... Asset 4... Asset 5... Other Security give details... Page 3 of 6

4 Check List Ensure as many of the following documents as possible are provided to enable a full assessment of your Application. Some additional information may be required. Your Franchise Business Banker will advise what information is required from the check list below. Business Information For Business Business name registration For Company Certificate of Incorporation Constitution (Certified and signed as correct and up to date by the directors) For Trusts Copy of Trust Deed and all amending deeds (Certified and signed by the Trustee as a true copy) Proof of identity required to achieve AUSTRAC 100 Points (required only for non-nab customers. Ask your business banker for details) Existing Franchise Business Business Plan for the franchise business Copies of full financial statements for the franchise being purchased for the past three years and any interim figures certified and signed as correct by the owners/directors (include director s reports, balance sheet, profit and loss statement and depreciation schedule) Cash flow budget for at least the next 12 months (if one not already held, complete cash flow worksheet enclosed with this Application) Plant and equipment register Stock break-up Raw materials, work in progress, finished goods (where applicable) List of debtors by age (eg current/30/60/90 days) and amount owing List of creditors by age (eg current/30/60/90 days) and amount owing Copies of last 12 months bank statements for all non-nab transaction accounts and loan accounts Copies of valuation reports for any property offfered as security (if held) Copies of valuation reports for any property offered as security List of associated entities, including family tree of companies in group (if applicable) Completed and signed Customer Statement of Position form for all partners/owners/directors. (use form enclosed with this Application) Completed and signed Guarantor Particulars form for guarantors (use form enclosed with this Application) New Franchise Business Business Plan for the franchise business Cash flow budget for at least the next 12 months (if one not already held, complete cash flow worksheet enclosed with this Application) Copies of valuation reports for any property offfered as security (if held) Copies of valuation reports for any property offered as security List of associated entities, including family tree of companies in group (if applicable) Completed and signed Customer Statement of Position form for all partners/owners/directors. (use form enclosed with this Application) Completed and signed Guarantor Particulars form for guarantors (use form enclosed with this Application) Help us to help you While the right finance is an essential part of running a business, there are many other issues that can be just as important. To help us to provide the best possible service for you and your business, please take some time to answer the following questions. Does your company/business currently use any of the following services for day-to-day activity? (Tick where applicable) Payroll software for creating payroll files? PC banking software to generate account statements, transfer funds, pay staff and suppliers etc? Telephone banking service to check account balances, transfer funds etc? Credit cards for paying business expenses or purchasing business supplies? EFTPOS terminal/s for accepting payments from customers? Are the owners, directors or other key people in your company/ business covered by keyperson insurance? Do the owners, directors or other key people in your company/ business have income protection insurance? Do the owners, directors or other key people in your company/ business have superannuation plans in place? Is a superannuation plan in place for other staff/employees? Would you like to receive business and financial information on a regular basis? Page 4 of 6

5 Declaration, Acknowledgement and Consent The following declarations, acknowledgements and consents are given by me/us: (a) personally as either an applicant or guarantor; and/or (b) for and on behalf of any corporate applicant or guarantor of which I/we hold the position of director and/or secretary. Financial declarations and acknowledgements I/We declare to nab that: (a) all information provided in, or with, this application is true, correct and complete; (b) all of the assets detailed in the Application are held in my/ our own right and are not held on trust; (c) the credit to be provided to me/us by nab is to be applied wholly or predominantly for business or investment purposes; (d) I/we have never been insolvent nor committed any act of bankruptcy or entered into any assignment, composition or arrangement for the benefit of creditors, and that there is no unsatisfied judgment in any court against me/us. I/We acknowledge that the representations made in this Application have been made to nab to induce it to grant, and to enable nab to determine whether or not to grant, the finance; Privacy, confidentiality and Protection of Information I/we acknowledge that I/we have read and understand the nab s Privacy tification brochure. I/We declare to nab that where I/we have provided personal information about an individual (such as an employer, relative, solicitor or contact person), I/we have made or will immediately make the individual aware of that fact and that: (a) their personal information has been collected by nab for the purposes of assessing the Application, providing, managing and administering the products or services the subject of this Application ( the finance ) and protecting against fraud; (b) their personal information may be disclosed to other organisations involved in the provision, management or administration of the finance; (c) I/we may not be able to obtain the finance if that individual s personal information is not provided; (d) the individual can gain access to their personal information by contacting nab. I/we will also give the individual nab s contact details and a copy of nab s Privacy tification brochure which contains additional information about the use and disclosure of their personal information (copies available on request). I/We acknowledge that nab may give personal information about me/us to a credit reporting agency. This information is set out in Section 18E of the Privacy Act 1988 and includes: (a) identity information; (b) that I/we have applied for credit, and the amount; (c) that nab is a credit provider to me/us, and when this is no longer the case; (d) that I/we have offered to act as guarantor in relation a loan or a loan application; (e) information about payment defaults under any credit facility or guarantee, where payment is more than 60 days overdue and nab has taken steps to recover all or part of the amount due, details of that credit, including if such amounts are no longer overdue (or that I/we contend that they are not overdue); (f) cheques drawn by me/us for at least $100 which nab has dishonoured more than once; (g) details of any serious credit infringement that nab believes I/we have committed. I/We authorise and agree to the following: (a) nab may obtain from a credit reporting agency, a credit report containing personal information about me/us for the purpose of nab assessing: my/our application for commercial credit; or whether to accept me/us as guarantors of the applicant; and/or (b) nab may obtain from a credit reporting agency information about my/our commercial activities and/or commercial credit worthiness; (c) nab may obtain from, and give to, other credit providers that are named in this Application or in a credit report issued by a credit reporting agency, information about my/our personal and/or commercial credit arrangements, including any information about my/our creditworthiness, credit standing, credit history or credit capacity. This information may be used to: assess an application by me/us for credit or otherwise assess my/our creditworthiness; assist me/us avoid defaulting on my/our credit obligations; and notify other credit providers of a default by me/us. (d) nab may seek or verify any information it may require to assess my/our Application from my/our Accountant, Solicitor, Adviser, or financial institution ( third party ) and for that third party to provide that information to nab; (e) a Trade Insurer may obtain from a credit reporting agency a credit report containing personal information about me/us; and nab may give information about me/us to a lender s mortgage insurer or a trade insurer; in each case to enable that insurer to assess whether to insure, or the risk of insuring, nab in relation to commercial credit sought by me/us, or to assess the risk of default by me/us on that credit; (f) nab may give to a guarantor, or a potential guarantor: any credit report containing personal information about me/us and any personal information that has any bearing on my/our creditworthiness, credit standing, credit history or credit capacity. In the case of a potential guarantor, this information will be given to enable the potential guarantor to consider whether to offer to act as guarantor or offer property as security. any information about me/us or the credit that is, or is to be, guaranteed, that the guarantor asks nab to provide. any other information about me/us or the credit that is, or is to be, guaranteed that nab considers appropriate to give in order to ensure that the guarantor, or potential guarantor, is fully informed of its actual and potential liabilities and risks. The information that may be given may include facility documents, information about securities, copies of credit related insurance contracts, statements of account, statements of financial position and demands). Applicant 1 - Name Applicant 2 - Name Applicant 3 - Name Applicant 4 - Name Page of 6

6 Franchise Privacy Consent To: the National Australia Bank Limited ABN (NAB) and to [insert (full name of franchisor including ABN/ACN)] (Franchisor) I/We irrevocably and unconditionally consent to: (a) nab providing at any time to the Franchisor or it s agents, information or opinions concerning me/us or connected in any way with my/our franchise business affairs (information) which nab may from time to time have, which the Franchisor may use for the purpose of managing its relationship with me/us, and related purposes, and for any other purpose permitted by law; and (b) the Franchisor providing at any time to nab or it s agent, information which the Franchisor may from time to time have which NAB may use for the purpose of managing its relationship with me/us, and related purposes, and for any other purpose permitted by law. I/We acknowledge that: (a) this consent is without prejudice to any other consents in similar or different terms regarding my/our information which I/we may at any time give to nab or to the Franchisor; and (b) a photocopy or facsimile of this consent is as valid as the original. Applicant 1 - Name and address of person/s giving consent of person/s giving consent Applicant 2 - Name and address of person/s giving consent of person/s giving consent Applicant 3 - Name and address of person/s giving consent of person/s giving consent Applicant 4 - Name and address of person/s giving consent of person/s giving consent For and on behalf of: [company name] Page 6 of 6

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