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Commercial Loan Co-Broker Agreements - PDF

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Commercial Loan Co-Broker Agreements - PDF Powered By Docstoc
					                                                                                                                 Captivate Finance
                                                                                                                 Ph: 1300 233 313
                                                                                                                Fax: 03 9596 6823
                                                                                                         sales@captiv8finance.com
                                                                                                          www.captiv8finance.com



                                                     COMMERCIAL APPLICATION
Business Details

Legal Name                                                                                 ABN

Trading Name                                                                               Contact

Street Address                                                                             Email

Suburb                                                                                     State           Postcode

Phone                                        Mobile                                        Fax

Nature of Business                                                                         No of staff     Years est.

Bank & Branch

Accountants Name                                                       Contact Person                      Phone

Address                                                                                                    Fax

Insurance Co/Broker                                                    Contact Person                      Phone

Address                                                                                                    Fax

Premises       Owned /   Leased     Term to Run               Option                      Landlord

Personal Details
1st Director                                                                                               DOB

Address                                                                                    D/L:            Time

Suburb                                                                                     State            Postcode



2nd Director                                                                                               DOB

Address                                                                                    D/L:            Time

Suburb                                                                                     State            Postcode

Advance Details
Additional / Replacement    Equipment Description:




Cost Price $                                                                   Finance Type

Deposit    $                                                                   Term (months)

Total Price $                                                                  Residual           $


                                                                                                                  1|Page
                                                                                                                                      Captivate Finance
                                                                                                                                      Ph: 1300 233 313
                                                                                                                                     Fax: 03 9596 6823
                                                                                                                              sales@captiv8finance.com
                                                                                                                               www.captiv8finance.com




Reference Details

Trade References (where account is held)
 Name of Business                                              Phone                                   Contact Person




Finance References (or attach commitment schedule)
 Name of Lender                         Equipment financed                       Start Date     Term        Monthly Payment    Outstanding




Business Background
History of Business (When & how it commenced; purpose of business; strengths of business in industry; future direction)




Background of Directors (Previous business experience; recent work history; qualifications; industry accreditations; etc)




                                                                                                                                      2|Page
                                                                                                                                         Captivate Finance
                                                                                                                                         Ph: 1300 233 313
                                                                                                                                        Fax: 03 9596 6823
                                                                                                                                 sales@captiv8finance.com
                                                                                                                                  www.captiv8finance.com




Work Details (Details of business ie, products supplied,transport routes, etc; major clients; work contracts held; staff split; income rates;etc)




Loan Purpose
Purpose     (Why are goods being purchased or working capital required? How will it impact on the liquidity of the business?)




Credit Notes (Explanation of any credit issues)




Checklist

                         1.   Up to date Management figures

                         2.   Last 3 years financials (Accountant prepared)

                         3.   Directors last tax returns

                         4.   6 months bank statements

                         5.   List of commitments

                         6.   Aged debtors & creditors

                         7.   Statement of Position for all directors

                         8.   Cashflow with explanations (for new venture)

                         9.   Invoice or quote
                                                                                                                                           3|Page
                                                                                                                                                                   Captivate Finance
                                                                                                                                                                   Ph: 1300 233 313
                                                                                                                                                                  Fax: 03 9596 6823
                                                                                                                                                           sales@captiv8finance.com
                                                                                                                                                            www.captiv8finance.com




                                                                    ASSET & LIABILITY STATEMENT OF DIRECTOR 1

NAME :

ADDRESS:


  LIABILITIES                                      Cost           $Value                   ASSETS                                                 Inc.            $Value
  BANK OVERDRAFT                                                                           BANK




                                                                                           BANK
  CREDITORS                                                                                DEBTORS
  REAL ESTATE                                                                              REAL ESTATE




  VEHICLE & PLANT                                                                          VEHICLE & PLANT




  LOANS FROM                                                                               LOANS TO




                                                                                           STOCK
                                                                                           FURNITURE
  BANKCARD/VISA                                                                            SHARES


  TOTAL LIABILITIES                                                                        TOTAL ASSETS
  SURPLUS                                                                                  DEFICIENCY

  TOTAL                                                                                    TOTAL



I/We hereby certify that the above is a full and true statement of my/our assets and liabilities as at the .....................

day of .............................................20…….., and that I/We am/are not (an) undischarged bankrupt(s) and that there are no outstanding judgments or claims against me/us.
I/We further certify that none of the assets stated above are held in any trust or by any entity other than me/us except where stated.



SIGNED _______________________________________ SIGNED _______________________________________




                                                                                                                                                                      4|Page
                                                                                                                                                                   Captivate Finance
                                                                                                                                                                   Ph: 1300 233 313
                                                                                                                                                                  Fax: 03 9596 6823
                                                                                                                                                           sales@captiv8finance.com
                                                                                                                                                            www.captiv8finance.com



                                                                    ASSET & LIABILITY STATEMENT OF DIRECTOR 2

NAME :

ADDRESS:


  LIABILITIES                                      Cost           $Value                   ASSETS                                                 Inc.            $Value
  BANK OVERDRAFT                                                                           BANK




                                                                                           BANK
  CREDITORS                                                                                DEBTORS
  REAL ESTATE                                                                              REAL ESTATE




  VEHICLE & PLANT                                                                          VEHICLE & PLANT




  LOANS FROM                                                                               LOANS TO




                                                                                           STOCK
                                                                                           FURNITURE
  BANKCARD/VISA                                                                            SHARES



  TOTAL LIABILITIES                                                                        TOTAL ASSETS
  SURPLUS                                                                                  DEFICIENCY

  TOTAL                                                                                    TOTAL



I/We hereby certify that the above is a full and true statement of my/our assets and liabilities as at the .....................

day of .............................................20…….., and that I/We am/are not (an) undischarged bankrupt(s) and that there are no outstanding judgments or claims against me/us.
I/We further certify that none of the assets stated above are held in any trust or by any entity other than me/us except where stated.



SIGNED _______________________________________ SIGNED _______________________________________




                                                                                                                                                                      5|Page
                                                                                                                                       Captivate Finance
                                                                                                                                       Ph: 1300 233 313
                                                                                                                                      Fax: 03 9596 6823
                                                                                                                               sales@captiv8finance.com
                                                                                                                                www.captiv8finance.com




                                                        PRIVACY AND CREDIT INFORMATION
                                                    PRIVACY ACT AUTHORISATIONS/AGREEMENTS

Authorisation to Act on Behalf of Individuals

1. Acknowledgement of Disclosure of Credit Information to a Credit Reporting Agency
I/We acknowledge that Section 18E(8)(c) of the Privacy Act allows for a credit provider which Captivate Finance may approach in arranging my/our
finance (hereinafter the Approached Credit Provider), to give a credit reporting agency certain personal information about my/our application for
finance.
The information which may be given to an agency is covered by Section 18E(1) of the Act and includes:
.         Such permitted particulars about me/us which allow me/us to be identified;
.         The fact that I/we have applied for finance and the amount;
.         The fact that the abovenamed credit provider is a current credit provider to me/us;
.         Payments which become overdue more than 60 days, and for which collection action has commenced;
.         Advice that payments are no longer overdue;
.         Cheques drawn by me/us which have been dishonoured more than once;
.         In specified circumstances, that in the opinion of the approached credit provider, I/we have committed a serious credit infringement;
.         That finance provided to me/us by the approached credit provider has been paid or otherwise discharged.
By virtue of this declaration I/we understand that Captivate Finance or their agents has informed me/us of the disclosure policy to a credit
reporting agency of information about me/us by Approached Credit Providers and I/we so authorise such disclosures.

2.   Agreement/Authority for Credit Provider to Perform Certain Permitted Actions Concerning a Finance Application or Transaction
a)   I/We agree that, if it is considered relevant in assessing my/our application for personal credit, the Approached Credit Provider may obtain a
     report about my/our commercial activities or commercial credit worthiness from a business which provides information about the commercial
     credit worthiness of persons (Section 18L(4)).
b)   I/We agree that, if it is considered relevant in assessing my/our application for commercial credit, the Approached Credit Provider may obtain
     from a credit reporting agency a credit report containing personal credit information about me/us (Section 18K(1)(b)).
c)   I/We agree that the Approached Credit Provider may give to and seek from any credit providers named in the accompanying finance
     application and any credit providers that may be named in a personal or commercial credit report issued by a credit reporting agency or a
     commercial credit reporting agency respectively, information about my/our personal or commercial credit arrangements for the purpose of
     assessing my/our finance application or collecting any overdues; I/we understand that this information can include any information about
     my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other
     under the Privacy Act (Section 18N(1)(b)).
3.        Authorisation to Act on Behalf of Individuals
a)   For the purposes of arranging the finance which is the subject of my/our application, I/we authorise Captivate Finance or the Approached
     Credit Provider to obtain a report about my/our consumer or commercial credit worthiness from a credit reporting agency or a commercial
     credit reporting business (Section 18H(3)) or from a credit provider named in this application or referred to in such reports (Section
     18N(1)(ga)).
b)   I/we also authorise Captivate Finance to pass on the above obtained reports to such credit providers as are appropriate, for their
     consideration of this application.
c)   I/we also authorise Captivate Finance to give to and receive from such parties as are necessary to the arranging of this finance, such personal
     information about me/us which is necessary to the arrangement.

I/We certify that the information provided in this application form is true and correct and by signing the attached Privacy Form I/we agree to its
terms. This authorisation remains in force until finance is arranged.

Name:                                                                                    Name:



Signature of Borrower             Date   /      /                                        Signature of Borrower              Date        /        /

Name:                                                                                    Name:



Signature of Director/Guarantor   Date   /      /                                        Signature of Director/Guarantor    Date    /        /

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