Application

Application for a Business Finance Terms Loan Facility

Step 1 of 10 - Loan Purpose and Amount

10%

Applying for finance with Pretium Lending

To assess your application for finance, we need to understand your business. That is why it is important that we collect all of the necessary information right at the start.

SECTION A

1.0 Loan Purpose and Amount

1.1 Loan Purpose(Required)

1.2 Loan Amount(Required)

1.3 Loan Term (Months)(Required)

2.0 Borrowing Entity

2.1 Company Name

2.2 A.C.N / A.B.N

2.3 Registered Business / Trading Name

2.4 Main Business Activity

2.5 Registered Address

2.6 Principal place of Business Address (if different to Registered Address)

2.7 Director Details

Director 1 Contact Details

Name

First Last

Title / Position

Date of Birth

MM slash DD slash YYYY

Contact Number (Mobile)

Email Address

Driver Licence Number

State

Expiry Date

MM slash DD slash YYYY

Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Director 2 Contact Details

Name

First Last

Title / Position

Date of Birth

MM slash DD slash YYYY

Contact Number (Mobile)

Email Address

Driver Licence Number

State

Expiry Date

MM slash DD slash YYYY

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please note: All company directors will be required to provide a personal guarantee and complete this application form.

3.0 Trust Details (If Applicable)

3.1 Name of Trust

3.2 Type of Trust

3.3 Trust A.B.N

Certified Copies of Trust Deeds and any Variations will be required.

4.0 Guarantor(s) – Guarantee & Indemnity given by

Guarantor 1

Guarantor 2

5.0 Guarantor Contact Details

Guarantor 1 Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Guarantor 2 Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Guarantor Contact Details

Guarantor 1

Work Phone

Mobile

Guarantor 2

Work Phone

Mobile

Please note – separate loan guarantor documentation will be required to be executed if the facility is approved.

6.0 Guarantee security property

Full Address of Property to be mortgaged as security for the loan

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

6.2 Estimated value ($)

Is Property mortgaged?

Yes

Name of Mortgagee

Balance Owing

Is Property tenanted?

Yes

Name of Property Manager

Contact Number

Any more properties to be mortgaged for the loan?

Yes

Full Address of Property to be mortgaged as security for the loan (2nd Property)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Estimated value ($) (2nd Property)

Is Property mortgaged? (2nd Property)

Yes

Name of Mortgagee (2nd Property)

Balance Owing (2nd Property)

Is Property tenanted? (2nd Property)

Yes

Name of Property Manager (2nd Property)

Contact Number (2nd Property)

Section B

7.0 Facilities currently held with financial institutions

(include all types of credit eg. overdrafts, lease facilities, debtor finance/factoring, international trade facilities, guarantees given by company/ business etc.)

7.1 Do you have any facilities/borrowings with other banks/financial institutions?

Yes

Name of lender

Facility type

Amount limit

Monthly Repayment

Amount currently outstanding

Security held by lender

8.0 Statement of Position – Company/Business

Assets

Cash on hand

Accounts

Debtors

Share portfolio

Real Estate

Motor vehicles

Plant & Machinery

Superannuation

Life policies

Other assets

Total Assets

Liabilities

Overdraft/Line of Credit

Mortgages

Car Loans

Lease/Hire purchase

Taxation due GST

Wages/Salaries owing

Rates / Rents

Trade creditors

Contingent liabilities

Other liabilities

Total Liabilities

Net Asset Position

9.0 Trading entity budget

Average monthly revenue last 12 months

Average monthly expenses last 12 months

Average monthly surplus Last 12 months

Forecast monthly revenue next 12 Months

Forecast monthly expenses next 12 months

Forcast Monthly Surplus Next 12 months

Section C

10.0 Further information

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.

Are the owners, directors or other key people in your company/business covered by keyperson insurance?

Yes

Provide Details

Do the owners, directors or other key people in your company/business have superannuation plans in place?

Yes

Provide Details

Do the owners, directors or other key people in your company/business have income protection insurance?

Yes

Provide Details

Is a superannuation plan in place for other staff/employees?

Yes

Provide Details

Section D

11.0 Checklist

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.

11.1 Financial Information

Financial Statements

Copies of full financial statements for the past two years and any interim figures certified (include director’s reports, balance sheet, profit and loss statement, and depreciation schedule)

Upload Financial Statement

Drop files here or

Max. file size: 5 MB.

Cash Flow

Cash flow budget, projections, and assumptions for the next 12 months (Cash flow worksheets to be available upon request)

Upload Cash Flow

Drop files here or

Max. file size: 5 MB.

Tax Retun

Copies of Taxation Returns for the past two years for all individuals – (Where possible please provide them without Tax File Numbers)

Upload Tax Return

Drop files here or

Max. file size: 5 MB.

Bank Statements

Copies of last 6 months’ bank statements for all transaction accounts and loan accounts

Upload Bank Statement

Drop files here or

Max. file size: 5 MB.

Plant and Equipment

Plant and equipment register

Upload Plant and equipment register

Drop files here or

Max. file size: 5 MB.

Stock Break-up

Stock break-up – raw materials, work in progress, finished goods (where applicable)

Upload Stock Break-up

Drop files here or

Max. file size: 5 MB.

List of Debtors

List of debtors by age (e.g. current/30/60/90 days) and amount owing

Upload List of Debtors

Drop files here or

Max. file size: 5 MB.

List of Creditors

List of creditors by age (e.g. current/30/60/90 days) and amount owing

Upload List of Creditors

Drop files here or

Max. file size: 5 MB.

List of Associated Entities

List of associated entities, including a family tree of companies in the group (if applicable)

Upload List of Associated Entities

Drop files here or

Max. file size: 5 MB.

ATO Portal

ATO Portal (Statement of Account)

Upload ATO Portal

Drop files here or

Max. file size: 5 MB.

11.2 Other information

Certificate of Incorporation

Upload Certificate of Incorporation

Drop files here or

Max. file size: 5 MB.

Certified Copies

Please supply the original or a certified copy of the signed trust deed and any supplemental deeds/variation deeds

Upload certified copies

Drop files here or

Max. file size: 5 MB.

Identity

Proof of identity

Upload Proof of Identity

Drop files here or

Max. file size: 5 MB.

Rates Notice

Rates Notice of Property that you own

Upload Rates Notice

Drop files here or

Max. file size: 5 MB.

Insurance

Details of Insurance

Upload Details of Insurance

Drop files here or

Max. file size: 5 MB.

Registration

Registration papers of vehicles that you own

Upload Registration papers of vehicles that you own

Drop files here or

Max. file size: 5 MB.

Valuation Reports

Copies of valuation reports for all property offered as security

Upload Valuation reports

Drop files here or

Max. file size: 5 MB.

12.0 Privacy Notification

Privacy Notification Sharing and handling personal information if you are an individual (including any individual who is a director or secretary of a company and who signs this application on behalf of that company), Pretium can give some of your personal information to credit reporting bodies and others and get information about you from them to help us assess your creditworthiness. There is more information about how Pretium collects, uses, shares and handles your personal information in its Privacy Policy and Privacy Notification.

This includes how you can:

Access and correct your information
Make a complaint about how we manage your information
Contact the credit reporting bodies we deal with if you have queries about the information they hold
Opt out of marketing

There is more information about how Pretium collects, uses, shares and handles your personal information in its Privacy Policy

13.0 Acknowledgement

Please read the following acknowledgement, complete your details and sign. You acknowledge that:

You have read this form and authorize us to collect, use, disclose, and provide your information in the way indicated in this form and in the standard terms and conditions of Pretium.
If you give us your electronic or telephone details, we or our associates may use these to communicate with you, including the provision of all documentation in electronic format.
You will inform us as soon as possible if your personal details or any other information in this document change.
When you provide personal information about another person (such as a guarantor), you confirm that you are authorized by that person to do so and agree to inform that person of the contents of this document.
You verify that the details provided in this form are true and correct.

Important You should only sign this declaration if this loan is wholly or predominantly for business purposes. By signing this declaration you may lose your protection under the National Credit Code.

Date

DD slash MM slash YYYY

Name of Director 1

Signature

Name of Director 2

Signature

Call For More Info 03 9670 3259

Application

Application for a Business Finance Terms Loan Facility

Applying for finance with Pretium Lending

SECTION A

1.0 Loan Purpose and Amount

2.0 Borrowing Entity

2.7 Director Details

Director 1 Contact Details

Director 2 Contact Details

3.0 Trust Details (If Applicable)

4.0 Guarantor(s) – Guarantee & Indemnity given by

5.0 Guarantor Contact Details

6.0 Guarantee security property

Section B

7.0 Facilities currently held with financial institutions

8.0 Statement of Position – Company/Business

Assets

Liabilities

9.0 Trading entity budget

Section C

10.0 Further information

Section D

11.0 Checklist

Contact Us for more information