Business Information
Principals
Loan Information
Fund will be used for:
Jobs Created
Jobs Maintained
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
Debts Held by the Business/Company
List below any debts held by 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.
Personal Statement of Affairs
Employment Information
Family Information
References
Please provide three references. At least two references should be from customers or previous employers and should be comments on your business capability.
Statement of Yearly Income & Expenditure
INCOME
INCOME
Collection of Information – Voluntary
Personal Equity Statement
ASSETS
LIABILITIES
The figures below should represent all personal assets and liabilities for both you and your spouse.
Environmental Risk Assessment
Before signing, please read this page
I hereby authorize Community Futures Strathcona to obtain information it deems necessary about me from time to time, including but not restricted to, reports from credit bureaus or any other source agency Community Futures Strathcona deems appropriate. I declare the information given on this statement is true and accurate. I have no liabilities or financial obligations other than those stated.