Finance required: Trade Finance: R Security: Are there any other Cession of Book Debts holders? Are there any other General or Special Notarial Bond holders? Yes Yes No No Applicant and contact information: Full name of legal entity: ( Applicant ) Trading name: Website address: Company registration no.: VAT registration no.: Paye no.: Business trading address: Income tax no.: BEE level: Postal address of the applicant: Telephone: Code: Number: Fax: Code: Number: Contact person 1: Cell number: Designation: Contact person 2: Cell number: Designation: Branches/warehouses: Region 1 Physical address: Landlord: Region 2 Physical address: Landlord: Auditors/accounting officer/ insurers/clearing agent/landlord Auditors/accounting officer: Finance Application Form PAGE 1
Insurers: Policy number: Copy of policy doc attached: Yes No Landlord: Clearing agent 1: Clearing agent 2: Transport and distribution co 1: Transport and distribution co 2: History of business Date company started operations: Number of employees: Office staff: Labourers: Unionised: Yes No History of company or attach company profile: Finance Application Form PAGE 2
Nature of business: (Product details, manufacturing process, distribution methods, etc.) Nature of business: Major competitors: Major industry risks: Competitive advantage: Internal weaknesses: Management: Financial manager: Date joined: ID number: Commercial banking information: (Please provide a copy of the latest signed Bank Facility letter) Bank 1: Account number: Manager/contact: Facility: Branch code: Tel number: Limits: Other borrowings: Institution/company/ Type of Facility Security Rate Period Instalment Outstanding individual facility limit balance Particulars of owners/members/partners/shareholders/directors Full name ID/passport number Capacity % Held Personal reference: (Please provide the contact details for the person who Sunlyn can contact in order to obtain a personal reference on the individuals involved) If any of the above individuals are married COP, please provide details of spouse: Full name: ID/passport number: Full name: ID/passport number: Dependency on key staff NOT being directors: Full name ID/passport number Capacity Personal reference (Please provide the contact details for the person who Sunlyn can contact in order to obtain a personal reference on the individuals involved) Finance Application Form PAGE 3
Suppliers: (List the company s three major trade suppliers) Local supplier Trade credit Payment terms name limit Days Please indicate with an X Invoice: Statement: Invoice: Statement: Invoice: Statement: Avg monthly purchase Security held Yes No Name: Tel number: Email: Name: Tel number: Email: Name: Tel number: Email: Contact person Debtor terms allowed: 30 60 90 120 Days from: Invoice Statement Credit sales amount for the past 12 months: R (To determine value of product returns) Credit note amount for the past 12 months: R Foreign supplier name Payment terms (Please indicate with an X) Avg monthly purchase Lead-time between payment and shipment Period dealing with supplier Sight/usance LC Cash against documents (CAD) Open account Prepayment ( %) Sight/usance LC Cash against documents (CAD) Open account Prepayment ( %) Sight/usance LC Cash against documents (CAD) Open account Prepayment ( %) days from days from days from Do any creditors hold reservation of ownership? What percentage is purchased from foreign suppliers? Finance Application Form PAGE 4
What is the current Foreign Exchange exposure? Do you use a third party Forex provider? Who is the provider? If not, what is the need for FEC s? Has there been any loss of senior management in the last year? What is the main reason credit notes were passed? What is the peak requirement and timing: Discuss the expected fluctuation of the company utilisation of the facility and when growth and peaks are expected. Description of paper/transaction flows. Describe the whole paper flow from placing an order to collecting the debtor or please attach a detailed description. Are the products branded or licensed? Are there any patents or trade names? Supplier distribution agreements: Discuss salient terms of agreements, sole distributor, expiry, right to sell after expiry/ cancellation of distribution agreement, etc. Is there a manufacturing process involved for products imported? If yes please elaborate. Warranties and claims: Discuss the warranties given and the history of claims received/paid/repaired. Location of stock and % per location. Finance Application Form PAGE 5
Trade reference and credit bureau consent: I/we hereby consent to you or your cessionary/ies making enquiries to my/our credit records and trade references with any credit reference agency or any third party to confirm the details provided and obtain relevant credit information. I/we confirm that permission has been granted and that you may conduct credit investigations on every director, shareholder, member, spouses, senior management and/or associate of the applicant (the relevant parties ). As signatory to this application I/we hereby indemnify you or your cessionary/ ies against any claim that may be made against you or your cessionary/ies by any of the relevant parties by virtue of this consent. Marketing consent: We hereby *consent to you: Providing present or future group companies/associates with our details, to give them the opportunity to contact us with information on products and services they offer, which is believed will be to our benefit. Or your appointed research companies contacting us to enable you to conduct market research. Financial Intelligence Centre Act (FICA): All accountable institutions are required to identify their clients as required by the Financial Intelligence Centre Act No 38 of 2001. We therefore undertake to provide Client Identification and Verification information and documentation as well as information regarding source of funds and authorise you to verify and share information with any regulator verification agency. Certificate: We certify that to the best of our knowledge and belief the information we have given you in connection with this application is true, complete and correct in all aspects. We are not aware of any matters, facts or circumstances which we have not disclosed to you in writing which might influence your decision. We certify that there are no writs, summonses, judgments, petitions, winding up orders or pending applications for liquidation or business rescue proceedings against the Applicant or its relevant parties. Duly authorised hereto Name: Capacity: For and on behalf of: Date Finance Application Form PAGE 6
To be completed by all directors/members/senior management and key individuals: Please complete the Statement of Assets and Liabilities (Excel) or alternatively include the clause below on the existing Statement of Assets and Liabilities date and sign. Statement of assets and liabilities of: Liabilities Assets Bond holder 1: Fixed property 1: Property details: Owned: Bond holder 2: Fixed property 2: Property details: Owned: Bond holder 3: Fixed property 3: Property details: Owned: Amounts owing on ISA/leases: Personal effects: (Furniture, etc...) Loans: Vehicles owned: (Market value) Bank overdraft: Investments: (Private co loans shares etc) Other liabilities: JSE shares: Total liabilities: Suretyship: Yes No Cash on hand: Surrender value of life policies: To whom: Amount: R Total assets: Net asset value: Signature: Date: I hereby declare that this statement provided by me is a true, correct and full record of my financial position on the abovementioned date. Finance Application Form PAGE 7
Annexure 1: Documentation required General The following documentation is required together with this application: Signed Audited Financial Statements for the last three years Up to date management accounts Budget and cashflow projections for the ensuing 12 months Debtors month-end aged analysis for three consecutive months Creditors month-end aged analysis for three consecutive months Latest stock schedule Specimen or sample of invoice, proof of delivery, statement, etc Signed personal statement of assets and liabilities of shareholders/members Company profile/business plan/sales literature or brochures Business CV s of all shareholders/directors/members/senior management and key individuals Copy of all latest signed finance and/or bank facility letters Copy of VAT Statement of Account (VATSA), EMP Statement of Account (EMPSA) and Income Tax Statement of Account (ITSA) Copies of any contracts/distributions agreements with debtors/suppliers Company letterhead Auditors confirmation, stating who the shareholders/directors/members are and what the percentage shareholding is Copy of latest insurance policy BEE certificate Debtor finance In the case of annexure 2 being called for, the following is also required: Specimen or sample of invoice, proof of delivery, credit note, statement, conditions and terms of sale, trade application form for debtors, letterhead, contracts with debtors (where applicable) and copy of credit insurance policy Debtors A-Z listing containing contact, banking details, credit limits and latest debtor limit sheet (where applicable) On approval of the facility all relevant FICA documentation must be provided. www.sunlyn.co.za Insurance Premium offered by Sasfin Insurance Brokers, a division of Sasfin Financial Advisory Services, FSP 5711 Directors: N Fakir L Frohlich Z Khuzwayo Sunlyn (Pty) Limited Reg No 1988/000147/07 Finance Application Form PAGE 8