Business Credit Review Borrower Application Please print this form and complete in BLOCK CAPITALS and in black ink. Please mark option boxes with an X Who are we We are a member of the Royal Bank of Scotland Group (the Group). For information about our group of companies please visit www.rbs.com and click on About Us, or for similar enquiries please telephone +44 131 556 8555. The information you provide will be used for the purposes of this Credit Review process only. Please read the following notes before completing this application form. All applicants must complete Sections 1, 2, & 3. Farmers much complete Sections 1 to 3 and Appendix A Please ensure you have filled in all sections and crossed one box in each section. Incomplete applications cannot be processed and will be returned. Please ensure you have signed and dated the form Please gather and include any relevant supporting documentation The signed and dated application form should be returned with the supporting documentation by registered post to: The Credit Appeals Manager, UBIL, 19 O`Connell Street, Clonmel, Co Tipperary. 1. Eligibility To assess whether you meet the eligibility criteria, please respond to the questions below by reviewing the options and placing a cross in the appropriate box on the right hand side of the table provided. For the Credit Review to proceed, you must meet all eligibility criteria. Your Business is: Small to Medium Enterprise* Sole Trader Farm Enterprise You require a review of a decision by Ulster Bank to decline an application for new or increased credit facilities between 1,000 and 3,000,000, or to reduce the amount agreed? Your application is for facilities to invest in a business with the intention of generating a return from that business, and is not for investment in stocks, shares and/or residential investment properties Are you an existing customer of Ulster Bank or new to Ulster Bank? Existing New Is your application for Ulster Bank Credit Card facilities? Has Ulster Bank sought repayment of existing facilities? *SME s are businesses having < 250 employees, turnover < 50,000,000 and/or balance sheet value < 43,000,000 2. Borrower Information - please respond to all questions 2.1 Business name, address and contact details Name of Business applying for the facility Trading name (if different) Type of business Sole Trader Partnership Limited Company Farm Enterprise* Page 1 of 9
Business address Address line 1 Address line 2 Address line 3 Address line 4 OR overseas country Postcode Website Contact name Job title Contact number Fax number Email * Please complete Appendix A 2.2 Business profile Year established (YYYY) Ownership details employees Do you trade internationally? Are you working with any State Development Agencies If Yes please detail Agency name and advisor name Agency name Advisor name 2.3 Business s key principal management Number 1 principal Name Position in business Years with business Number 2 principal Name Position in business Years with business Page 2 of 9
Number 3 principal Name Position in business Years with business 2.4 Account information If Ulster Bank is you main banker, please complete the following: Account name Account number Sort code Business Centre name Relationship Manager relationship established If Ulster Bank is not your main banker, please state name of principal banker 2.5 Current lending commitments of the business (to any Bank/Leasing Company) this should include personal borrowing for Sole Traders and Farmers Number 1 lending Number 2 lending Number 3 lending Number 4 lending Page 3 of 9
Number 5 lending Number 6 lending Number 7 lending Number 8 lending 2.6 Guarantee obligations of the business Number 1 obligation Person/Entity guaranteed Relationship to guarantor of guarantee liability Have you been called upon by the lender to fulfil this obligation? Number 2 obligation Person/Entity guaranteed Relationship to guarantor of guarantee liability Have you been called upon by the lender to fulfil this obligation? Number 3 obligation Person/Entity guaranteed Relationship to guarantor of guarantee liability Have you been called upon by the lender to fulfil this obligation? Page 4 of 9
2.7 Preferential creditors (tax ) VAT due Months Outstanding Revenue Scheme of Arrangement in place? Details PAYE/PRSI due Months Outstanding Revenue Scheme of Arrangement in place? Details Rates due Months Outstanding Revenue Scheme of Arrangement in place? Details Other preferential creditors due Months Outstanding Revenue Scheme of Arrangement in place? Details 2.8 Declined loan details (ie the loan application that is subject of this Credit Review) Capital purchase Length of term (months) Working capital Length of term (months) If lesser amount offered, please detail amount and term Length of term (months) Types of credit declined (more than one may be selected) Overdraft Term Loan Debtor finance Other (please specify) 2.9 Reason for Request for Credit (cross one box only) Working capital/cash flow cyclical request Decline in business revenues Slow down on debtor collections Bad debt increasing Increase in supplier costs Revenue Commissioner payment pressure Expansion Property related loan New business venture Adverse change in supplier terms Other (please specify) 2.10 Reason for decline (cross one box only) Lack of identifiable repayment capacity Inadequate Security Past performance of borrower Level of Gearing Other (please specify) Page 5 of 9
3. Declaration I declare that: I wish to proceed with an appeal to the Ulster Bank Business Credit Review Office on Ulster Bank s decision to refuse or reduce credit I have read the eligibility criteria and confirm that my lending appeal falls within these criteria I have to the best of my knowledge and belief answered all questions on this form honestly and correctly Customer signature(s) Next Steps Once your application is received and checked you will receive a notification acknowledging your request for an Appeal and providing you with a case number. If your application is not eligible for appeal you will be advised in writing within 72 hours of receipt by the Business Credit Review Office of your Appeal, stating the reasons why your application has been rejected. Your Relationship Manager and the Bank s Credit Department are made aware of your Appeal Application and the Business Credit Review Office Team ( BCRO ) collates original customer documentation from these sources. When all documentation is collated, the BCRO will contact you and validate the information received. The case is reviewed by an independent Appeals Panel and the decision post review is advised to the Appellant within 28 days of receipt of the initial appeal application. Page 6 of 9 Ulster Bank Ireland Limited. A private company ed by shares, trading as Ulster Bank, Ulster Bank Group and Banc Uladh. Registered in Republic of Ireland. Registered No 25766. Registered Office: Ulster Bank Group Centre, George s Quay, Dublin 2. Member of The Royal Bank of Scotland Group. Ulster Bank Ireland Limited is regulated by the Financial Regulator. Calls may be recorded.
Complete only if you run a farm business and have indicated this is Section 1.1 Appendix A Farm Business Additional Questions 1. Land Farm enterprise(s) Total acres farmed Owned Owned Owned Owned Rented Rented Rented Rented Acres rented Acres Rental costs Due date (DD/MM/YYYY) 2. Stock Livestock on farm Type Number Value Livestock saleable in next 3-6 months Type Number Value (expected proceeds) Milk quota Litres owned Litres supplied in quota year Expected monthly income Page 7 of 9
Tillage on farm Acres Crop Feedstuffs Types (tonnes) Value 3. Non trading income Frequency Next due date (DD/MM/YYYY) Single farm payment REPS/AEOS Other direct payments (eg, Disadvantage Area Payment, Forestry Premium, Suckler Cow Subsidy, State Aid etc Off-farm income Page 8 of 9
Other assets shares, property etc Frequency Next due date (DD/MM/YYYY) Is a Farm Waste Management grant due? If Yes please complete 4. Liabilities Payment due date (DD/MM/YYYY) Merchant Credit/ Co-op/Suppliers Annual repayment Merchant Credit/ family dependents 5. Nature of problem What year did the financial problem emerge? (YYYY) Estimate of annual farm income Full debit repayment cost per year Interest only cost per year Page 9 of 9