First Start Loan Application

Transcription

1 QRAA - GPO Box 211 BRISBANE Q 4001 Telephone: (07) Freecall: Facsimile: (07) contact_us@qraa.qld.gov.au Website: ABN: Section 1 - Enterprise details Please tick: Sole Trader Partners Individual Trustees Company Directors Title Surname First Start Loan Application Given Names OFFICE USE ONLY Client ID No: Application No: Date of Birth QRAA V3 02/04/14 Company Trust Company name Trust name Please list the company directors details above. If the Trustee is a Company, please provide the Company name in the company box above and the Company directors names in the boxes above the company name. Trading Name ABN Industry Type (e.g. beef, sheep, grain) Nominated contact person (from above) Business Phone No. Fax No. Mobile No. GST Registered? No QRAA Client ID (if known) Telephone No. Address Road Address of Enterprise Postal Address Postal Name Please tick if same as Road Address Address Town State Postcode Postal Address City/Shire/Regional Council Town State Post code Please provide the number of employees (excluding owners, partners, directors, etc): *Calculating Full Time Equivalent Staff Full Time employees Full time work is 35 hours per week or more. If your business s casual or part time workers, calculate the number of hours Full Time equivalent* worked by these employees and divide tt total by 35 to determine full time equivalents. (For example, 3 casual employees working 12 hours per week totalling 36 hours per week, equates to one full time employee. employees Section 2 - Business contact details Accountant Contact Person Firm Telephone Fax Bank or Financier Contact Person Firm Telephone Fax

2 Section 3 - Proposal summary Please provide a brief summary of your proposal and wt you would like to achieve in terms of sustainable management. Section 4 - Activity summary Please briefly summarise the stages of development and any activities shown in your management plan. Activity Completion Date (Note: It is a condition of the loan (mutual obligation condition) tt the outcomes agreed to in any approval must be reported on at each annual review.) Section 5 - Detailed proposal requirements and funding details Requirements (Please detail below. Include these costs in your cashflow projections) Cost * Funding - How do you plan to fund the above requirements? (Detail below) Cash contribution Other loans (please detail) Amount Vendor finance Other (please detail) QRAA loan * Section 6 - Preferred terms and conditions Please outline your preferred repayment terms including length of the loan, interest only periods, repayment frequency and fixed interest rate period. Loan Term: Years Repayment Frequency Interest Only for: Monthly One Year Half Yearly (months of / ) Two Years Quarterly (months of / / / ) Interest Rate Period One Year Fixed Three Years Fixed Five Years Fixed Security Offered All loan recipients are required to provide adequate security in the form of a mortgage over land or other assets acceptable to QRAA. Please outline the security available to QRAA (e.g. first or second mortgage over property, stock mortgage, ships mortgage) should your loan be successful. Yearly * s should be the same. First Start Loan Application Form - pg 2 of 10

3 Section 7 - Primary Production Property Details Please show all properties owned in which you ve an interest, and all properties to be purcsed. Please copy and attach separate pages for each property. Property Name Owned Year Purcsed Current Market Value $ To be purcsed Contract Purcse Date Settlement Date Finance Date Purcse Price $ Leased Lease Payment (pa.) $ Expiry Options Registered Owners Title Ref No or Lease No County Parish Area () Lot/Plan No Property Address This property is kms in a direction from the town of in the Local Government area of City/Shire/Regional Council. Soil types: Type of standing timber: Dryland cultivation Irrigated cultivation Improved grazing Open downs Unimproved grazing Unimproved/ timbered Other (detail) Area Irrigation potential Water licence no. Water Allocation no. (Water Act 2000) Has allocation been assigned? Unregulated source or storage details & megalitres Dairy Licence Number Sugar Farm No. For agistment/srefarming properties, please provide details and costs of any agreements in place: No Expiry Date No. of allocated Megalitres Dairy Processor Sugar Mill Supplied - Detail to whom Other relevant property details: Section 8 - Fishing Vessel/Other Vessel and Licence Details Please show all vessels owned in which you ve an interest, and all vessels to be purcsed. Please copy and attach separate pages for each vessel. Owned Current Market Value $ Vessel Name To be Purcsed Purcse Price $ Registered Owner Construction Boat Mark Boat Make Australian Ships Number Insured Value Current Survey Report Attached Copy of Insurance Certificate Attached No No Draft Length Beam Age Other relevant vessel Licence No. Issuing Authority Endorsements Please provide a copy of any fishing licences with all endorsements including quota/effort units/tac etc. If your licence is leased, please provide details of the owner. Owner Address First Start Loan Application Form - pg 3 of 10

4 Livestock - Current Numbers & Carrying Capacity Section 9 - Production information Beef/Dairy Sheep Pigs Herd Breed: Herd Breed: Current Target Cows Heifers Steers Calves Bulls Current Breeders Milkers Carrying Capacity Beef (AE) Calving (%) Ewes Wethers Hoggets Lambs Rams Current Ewes Carrying Capacity sheep (DSE) Lambing (%) Sows Gilts Boars Growers Licensed for: No. litters/ sow/year Av no. live piglets/litter Av sale Av sale Farrowing (%) SPU s weeks kgs Other livestock Herd Breed: Current Carrying Capacity Please ensure the following sales and purcse amounts correspond to your financial statements or cash book figures. Stock schedules are available on the QRAA website for your use if preferred. Sales Production details Livestock Sold (e.g. Wethers, Steers, Porkers) Last Financial Year (20 Actuals) This Financial Year Actuals/Estimates Next Financial Year Estimates Year In - Year Out Estimates* Number ($) Number ($) Number ($) Number ($) Purcses Livestock Purcsed (e.g. Wethers, Steers, Porkers) Number ($) Number ($) Number ($) Number ($) Fishing/Other Wool Crop Information Dairy Average no. of milkers in daily production Head Head Head Head Litres produced Ltrs/annum Ltrs/annum Ltrs/annum Ltrs/annum Gross Milk Proceeds $ $ $ $ Crop Types Area () Yield ($) Area () Yield Sugar Tonnes Tonnes Tonnes Tonnes CCS CCS CCS CCS Area () Area () Area () Area () ($) ($) ($) ($) Months Wool Sold ( ) Number Shorn Kgs Yield % Micron $ Product Quantity ($) Quantity ($) Quantity ($) Quantity ($) ($) Area () Yield ($) Area () Yield ($) *Given normal seasons and commodity prices First Start Loan Application Form - pg 4 of 10

5 Section 10 - Statement of Assets and Liabilities Complete one Statement of your business and personal Assets and Liabilities including those held individually or jointly with partners, other persons or associated entities. The Statement must include all assets you own and all debts you owe. ASSETS (Show present fair market value) Cash at Bank Term Deposits $ $ LIABILITIES (Current amount owing) Overdraft (Limit:$ ) Term loans Farm Properties 1. $ Buildings ( 2. $ Buildings ( 3. $ Buildings ( / = $ ) $ / = $ ) $ / = $ ) $ Other Loans (eg. Private Loans) Livestock/stock (show type) Fishing Vessel(s) Stock Loans/Pastoral House Fishing License(s) Plant & machinery Vehicles Crops (rvested, stored and unsold) Hire Purcse, Leasing & Cttel Mortgage (transfer total from table below) Entitlements Owing to Employees Taxation Debt Accounts Receivable Accounts Payable Debentures/Sres/Investments Other Real Estate (show details) Margin Loans Real Estate Loans (show details) Superannuation (current estimated value) Life Insurance (estimated surrender value) Other Assets (detail) Personal Loans Credit Cards Other Liabilities (detail) ASSETS LIABILITIES Hire Purcse and Lease Repayment Schedule (if preferable you can attach a list seperately to this form) Item Lender (a) Instalment Amount INSTALMENTS Frequency eg. Monthly/ Yearly (b) No. of payments remaining Date of final payment (c) Overdue payments (Arrears) LEASE RESIDUAL (d) Amount Due Date Owing (a x b + c + d) Owing (transfer total to Statement of Assets and Liabilities above) First Start Application Form - pg 5 of 10

6 Section 11 - Supporting documents checklist The following information must also be provided to QRAA with this application. Past 3 (three) Years' Financial Statements - Applicant and all associated entities - including Profit and Loss Statement, Balance Sheet and depreciation schedules - Cashbook figures are acceptable if financial statements ve not been prepared Past 3 (three) Years' Personal Taxation Returns - Applicant and all associated entities. Monthly Cash Flows for the Current Financial Year Monthly Cash Flows for the Next Financial Year Schedule of Account Details - A copy of the form is to be completed by each of your lenders (including banks, credit unions, lease/finance companies etc) and attached to this application. Please arrange for your lenders to return this form to you prior to submission of the completed application to QRAA. Management Plan Property Map (if applicable) Copy of Fishing Licence and Unit Certificates (fishing only) Copy of Purcse Agreement / Contract (purcse only) Company Constitution - Also know as a Memorandum and Articles of Association Trust Deed Please provide any additional information or documentation tt you feel may support your application. Authorisation I/We declare tt I /we ve resided in Queensland for at least 6 months and do not own, or ve disposed of, a viable primary production enterprise. I/We hereby confirm tt the above financial and other required documentation is included with this application. I/We hereby authorise QRAA to also notify the following person/firm/company of the decision of the application (optional): Contact Person Address Firm I/We hereby authorise the QRAA to obtain and disclose such information as considered necessary in relation to this application from my/our Accountants, Solicitors, Business Consultants, Commercial lenders (e.g. Banks and other Financiers), other Government Departments, Regional and Shire Councils, Suppliers, Processors or other agents. I/We certify tt all of the information provided in the whole of this application is true and accurate and discloses our correct financial position. I/We also agree to participate in a follow-up survey if requested. All business owners, directors or trustees must sign below. Applicant (1) Applicant (2) Please tick Signature Print Name: Position: Signature Print Name: Position: Date: Date: Applicant (3) Applicant (4) Signature Print Name: Signature Print Name: Position: QRAA - Client Liaison Officer QRAA - Head Office Privacy information Date: How did you learn about this assistance (please select)? Financial Counsellor Bank Accountant Position: Farm Consultant Government Department Industry Organisation Media (radio/ newspapers) We understand and appreciate tt our customers are concerned about their privacy and the confidentiality and security of any information tt may be provided to us. QRAA s always prided itself on its standards of confidentiality, and will continue those standards, in line with new privacy legislation. The personal information collected and maintained by QRAA comprises your name, address, contact details and information specific to the support program. QRAA may use your personal information in order to provide the services you require, administer and manage those services, and research and develop our services. Your personal information is also collected to advise or offer information on other support programs tt may be relevant and of interest to you. If you do not wish to receive these offers or information, please call and ask for the Privacy Contact Officer. It should be noted tt financial information received by QRAA for the purposes of assessing eligibility and level of assistance under specific schemes of support, tt may enable an individual to be identified, at no stage is divulged to any third party or government department. Date: First Start Loan Application Form - pg 6 of 10

7 Application & cashflow guidance General guidance QRAA s Client Liaison Officers based in Bundaberg, Innisfail, Kingaroy, Emerald, Mackay, Rockmpton, Roma and Toowoomba who can assist you with any questions. To speak to your local Client Liaison Officer, please contact QRAA on Freecall Please complete each section in the application form and forward it to QRAA with the required attachments (listed on page 7). Incomplete applications or missing attachments are likely to cause delays in assessing your application and may result in the application being declined. Cashflow guidance The cashflow forms should be completed by those who understand the business best. This is usually the owners and operators of the business. Your Accountant or Financial Advisor may be able to assist, if needed. A projected cashflow, in which you estimate as accurately as you can the income and expenses for a current/future period, is probably the most important tool your business can ve. You should base your projections on your historical results (past financials) and your knowledge of wt might be different this year and the following year. The ability to check your actual results with wt you expected will assist you to make critical decisions about your business. QRAA requires a monthly cashflow for the current year, plus the next full financial year. Microsoft Excel versions of the cashflow form are available to download from the QRAA website, If you utilise the Excel cashflow, the totals will automatically calculate and you may find it is easier to complete. If you ve your own computer prepared cashflows, please feel free to send them instead. Completing a cashflow The steps below outline how to complete a QRAA application cashflow: 1. Fill in your name and QRAA Client Identification Number (if known) at the top of the form and complete the relevant year. 2. Complete the Income section. Refer to your past financials for suitable headings or use those shown as a guide. Please note tt livestock/stock sales are shown (not the profit), with purcses shown in the purcses section of the form. These monthly figures should agree with the total sales shown in Section 6 (page 4) of your application form. All income should be shown, including personal wages, interest and dividends from investments, rents from properties, any other personal income, government assistance and all business income. Use your historical records to estimate when income will be received, but adjust for your knowledge of any cnges to sales patterns or income receipts. 3. Complete the Expenses section. Again you should refer to your past financials for suitable headings for your business. Please use the headings shown as a basic guide. These will also assist you with the timing of payments. Do not include non-cash items such as Depreciation or Bad Debts in your cashflow. 4. Complete the Purcses section. Here you should include all your livestock/stock purcses in the months when you expect to pay for them. These figures should agree with the total purcses shown in Section 8 (page 4) of your application form. Capital purcses would include major items such as vehicles or equipment (the cash amount paid excluding lease/hp etc), major renovations or improvements, new fences, irrigation equipment etc. Please make a note of the type of capital purcse. Include in this section the costs of your activity requirements shown in Section 5 (page 2). 5. Complete the Other Expenses section. Here you would list all your: - lease, hire purcse or cttel mortgage payments - interest on overdraft or similar type of non reducing facility, and - total repayments on term loans, personal loans, private loans, housing loans and credit cards. You also need to record your personal drawings, medical contributions and payments, education expenses for yourselves or dependants and life insurance payments. 6. Complete the Surplus or (Deficit) section. This total will be automatically calculated if you are using the Microsoft Excel version of this form from the QRAA website. If you are completing the form manually, please calculate the difference between Income and Expenses. If income is greater, you ve made a surplus or profit. If Expenses are greater, you ve made a (deficit) or loss. 7. Note your Opening and Closing Bank Balances. If completing the cash flow for the current year, the opening bank balance of your overdraft or operating account for July should be taken from your bank statement and adjusted if necessary for outstanding cheques. If completing the cash flow for the following or subsequent years, the opening bank balance will be the closing bank balance from the previous year s cash flow which you ve completed. The purpose of this calculation is to provide an estimate of your bank balance (the closing balance) at the end of each month, and indicate your peak debt or credit. The closing balance is calculated by adding the opening balance to the monthly surplus or (deficit), which then becomes the opening balance for the next month. First Start Loan Application Form - pg 7 of 10

8 Monthly Cashflow for CURRENT Financial Year (Period 1 July... to 30 June... ) Name QRAA Client ID (if known) INCOME Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun TOTAL Livestock sales Crop sales Fuel rebate Agistment Wages/Salary Contracting GST & Tax Refunds Asset sales (detail) TOTAL INCOME EXPENSES - FIXED & VARIABLE (amend, add or delete headings as necessary to suit your business - refer to your past financials) Account/Admin fees Bank crges Electricity & Gas Insurance Licences Phone & Internet Postage & Stationery Rates & Rent Subscriptions Crop - rvesting Fertiliser & Chemicals Planting & Seed Livestock - dips/sprays Fodder & Supplements Freight & Selling costs Shearing Vet costs Advertising Freight & Cartage Fuel & Oil Motor Vehicle Expenses Plant & Equip Hire Repairs & Maintenance Salaries & Wages Sundry Superannuation Travel & Accomm Workers Compensation GST Remitted/Paid PURCHASES Capital Livestock/Stock OTHER EXPENSES Lease/HP/Cttel Mort Interest Loan Repayments Personal Living Medical/Educ/Life Ins. TOTAL EXPENSES SURPLUS (DEFICIT) Opening Bank Balance Closing Bank Balance First Start Loan Application Form - pg 8 of 10

9 Monthly Cashflow for NEXT Financial Year (Period 1 July... to 30 June... ) Name QRAA Client ID (if known) INCOME Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun TOTAL Livestock sales Crop sales Fuel rebate Agistment Wages/Salary Contracting GST & Tax Refunds Asset sales (detail) TOTAL INCOME EXPENSES - FIXED & VARIABLE (amend, add or delete headings as necessary to suit your business - refer to your past financials) Account/Admin fees Bank crges Electricity & Gas Insurance Licences Phone & Internet Postage & Stationery Rates & Rent Subscriptions Crop - rvesting Fertiliser & Chemicals Planting & Seed Livestock - dips/sprays Fodder & Supplements Freight & Selling costs Shearing Vet costs Advertising Freight & Cartage Fuel & Oil Motor Vehicle Expenses Plant & Equip Hire Repairs & Maintenance Salaries & Wages Sundry Superannuation Travel & Accomm Workers Compensation GST Remitted/Paid PURCHASES Capital Livestock/Stock OTHER EXPENSES Lease/HP/Cttel Mort Interest Loan Repayments Personal Living Medical/Educ/Life Ins. TOTAL EXPENSES SURPLUS (DEFICIT) Opening Bank Balance Closing Bank Balance First Start Loan Application Form - pg 9 of 10

10 QRAA - GPO Box 211 BRISBANE Q 4001 OFFICE USE ONLY Telephone: (07) Client ID No: Freecall: Schedule of Account Details Facsimile: (07) contact_us@qraa.qld.gov.au A separate copy of this form is to be completed by each of your lenders. Application No: Website: Please arrange for your lenders to return this form to you before submitting your completed application form to QRAA. ABN: (Includes banks, finance companies, building societies, credit unions and private lenders. For applicants and all related entities) V3 2/04/2014 Consent and Authorisation Return Instructions To: (Bank/Financier Name) Please return this form to me/us by: Please list below details of all my/our accounts held with your company and return this form to me/us according to the Return Instructions Fax ( ) (shown to the right of this form). You are also authorised to discuss my/our accounts with QRAA and provide any information QRAA may request regarding my/our accounts. Name/Company/Firm Applicants Signature Post QRAA Name/Director/Partner Applicants Signature Loan Accounts, Equipment Finance & other Borrowings (Debit Accounts) Account Name Account BSB & Facility Type Balance Limit Interest Number Rate Expiry Date Repayment Amount Repayment Frequency Balloon or Residual Arrears Contingent Liabilities: Savings Accounts, Term Deposits, Investment Accounts & other Asset Accounts (Credit Accounts) Account Name Accounts BSB & Number Account Type Balance I/we confirm the above information is correct and confirm the account holder currently s Certification the lender s support. Requests for additional funding and/or continued support will be considered in line with conditions prevailing at the time of any such request and the lender s usual credit requirements. Branch Address/Stamp Manager Name Address First Start Loan Application Form - pg 10 of 10 Manager Signature Phone Number An additional Schedule of Account Details form is available on QRAA s website. Date Fax Number