Application for 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 finance with nab as fully as possible, and return it to your Business Banker along with the documents requested on page 5. Applicant details Full legal name of applicant (eg Company, Business, Sole Trader, Individual) Contact Name Contact telephone number Contact facsimile number Contact Address Email Address Website Address http:// Loan purpose and amount Loan purpose (eg purchase premises, purchase plant, vehicles or equipment, buying out business partner etc. If more than one purpose, use sections 2 and 3 as needed) 1. required 2. required 3. required Total loan amount Business details Business Structure: Company Proprietorship (including sole traders) Partnership Is there a trust involved? Yes No Type of Company Normal Company Trustee of Unit Trustee of Family Discretionary Trust Trust Trustee of another type of Trust give details A.C.N./A.R.B.N./ABN/Business Registration no. of Incorporation (if applicable) Business Name registered (if applicable) Name of Trust (if applicable) of Trust Deed /s of any variations Main business activity Other business activity (if any) Business address State Postal address (if different from above) State 2007 National Australia Bank Limited ABN 12 004 044 937 101-987 (06/03) Page 1 of 6
Business operating details company/business established Total number of staff/employees How long has the company/business been under current ownership/management? 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. Facilities currently held with other banks (include all types of credit eg overdrafts, lease facilities, debtor finance/factoring, international tradefacilities, guarantees given by company/business etc) Business financial summary of last Balance Sheet... Shareholders Funds/Surplus... Total Liabilities.............. Total Assets............... Total Sales/Income........... Earnings Before Income Tax... Net Profit After tax.......... Current year Last year Page 2 of 6
Owners/Partners/Directors/Guarantors details No. 1: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth No. 2: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth No. 3: Full name of owner/partner/director/guarantor Position/Title (eg Managing Director) of birth No. 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? No Yes give details 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... Other Information Page 3 of 6
Statement of Position Applicant Name as at Applicant Guarantor 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... Net Asset Position... Other Income (monthly) (ie partners salary/wages that are not related to the businesss.payg income)... Liabilities Overdraft / Line of Credit... Car Loans... Lease/Hire purchase... Taxation due GST... Wages/Salaries owing to employees. Rates/Crown Rents... Trade creditors... Contingent liabilities... Other liabilities... Total Liabilities... Expenditure (Monthly) Credit/Store cards... Lease commitments... Other expenditure... Total Expenditure... Statement of Position Applicant Name as at Applicant Guarantor 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... Net Asset Position... Other Income (monthly) (ie partners salary/wages that are not related to the businesss.payg income)... Liabilities Overdraft / Line of Credit... Car Loans... Lease/Hire purchase... Taxation due GST... Wages/Salaries owing to employees. Rates/Crown Rents... Trade creditors... Contingent liabilities... Other liabilities... Total Liabilities... Expenditure (Monthly) Credit/Store cards... Lease commitments... Other expenditure... Total Expenditure... Page 4 of 6
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 Nab business banker will advise what information is required from the check list below. Financial Information Copies of full financial statements 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) Copies of last 12 months bank statements for all non-nab transaction accounts and loan accounts Copies of Taxation Returns for the past three years 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) 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) List of debtors by age (eg current/30/60/90 days) and amount owing Completed and signed Guarantor Particulars form for guarantors (use form enclosed with this Application) List of creditors by age (eg current/30/60/90 days) and amount owing Other 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) Page of 6
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 Notification 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 Notification 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 6 of 6