Loans

Business Information

Company /Business Name*

Company/Business Number

Street Address

Postal Address

Business Phone

Business Fax

Web Address

Business Structure*

Sole Proprietorship

Partnership

Incorporation

To be Incorporated

Business Type

Construction

Forestry

Fishing

Hospitality

Manufacturing

Retail/Service

Tourism

Transportation

Principals

Name*

Phone*

Email*

Additional Principals

Include additional principals if applicable.
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Name

Phone

Business Bank Information

Name of Bank*

Branch*

Bank Contact Phone*

Loan Information

Amount Requested*

Over how many years? (max 5)*

Purpose of funding*

Loans will be used for:

Equipment ($)

Working Capital ($)

Inventory ($)

Other

If above categories do not apply, please fill out below with your category and amount. Only enter numbers in the amount column.
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Jobs Created

Full-Time

Part-Time

Jobs Maintained

Full-Time

Part-Time

Other Financing Sources Approached

Have you sought financing from any other sources? If yes, please fill below.
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Institution

Contact Name

Loan Security Offered

List below the collateral you propose to offer towards the loan. If applicable, indicate the fair market value of the assets. Example of security include business assets, personal assets, property and loan guarantees.
* For Machinery, Equipment and Vehicles indicate make, model, year, series number.
* For Property indicate legal description, street address and PID
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Assets

Asset Detail

Market Value ($)

Owner of Asset

Debts Held by the Business / Company

List below any debts held by the business / company. This should include any other loans held in the company name, leasing agreements, lines of credit. Community Futures 16/37 may request copies of debt agreements. List below any debts held by the business / company. This should include any other loans held in the company name, leasing agreements, lines of credit. Community Futures 16/37 may request copies of debt agreements.
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Owing To

Monthly Payment $

Balance Owing

Security Held on Debt

If financial assistance is provided by Community Futures 16/37 will you allow us to make a public announcement regarding your project?*

You would be contacted before any announcement was made

Yes

No

Is the business/company or any of the principals involved in ANY legal action or litigation?*

If yes, provide details

Yes

No

Details

Before signing, please read the following

The statements made in this application are for the express purpose of obtaining financing from the Community Futures 16/37 and are true, full and correct as of the date below.
I understand that any additional information required to support this application must be supplied to the Community Futures 16/37 before adequate consideration can be given to this application.
Community Futures 16/37 requires that reference and credit checks to be performed as a normal requirements in lending of public funds. I consent to Community Futures 16/37 making any inquiries of such persons, firms or corporations, as it deems necessary in order to reach a decision on this application.
I acknowledge that Community Futures 16/37 is not providing me with professional financial or legal advice, but rather offers itself as a source of information. I release Community Futures 16/37, its representatives and employees from responsibility should I choose to rely on the information provided to me by Community Futures 16/37.
I have included with this application form:

Checklist*

A completed and signed Personal Equity Statement for each principal/owner of the business and each loan applicant.

Business Plan (Ask your Business Analyst)

Projected Cash Flow Sheet for the next three years, including details of assumptions.

Financial Statements for the last three years (for existing businesses).

Environmental Risk Assessment

Photocopy of your drivers’ license or BCEID

Supporting Documents

Please attach all documents requested. If your document is too large, please compress and re-upload.

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 2 MB.

Signatures*

Name

Signature

Date

Spouse Signature

Apply Online – test

Loan Application

Business Information

Principals

Business Bank Information

Loan Information

Loans will be used for:

Jobs Created

Jobs Maintained

Other Financing Sources Approached

Loan Security Offered

Debts Held by the Business / Company

Personal Statement of Affairs

Family Information

Statement of Yearly Income & Expenditure

Income

Expenditures

Personal Equity Statement

Assets

Liabilities

Collection of Information – Voluntary

Environmental Risk Asessment

Before signing, please read the following

WE ARE HERE AS YOUR PARTNER IN BUSINESS.