LOAN APPLICATION DATASHEET

Agent’s name:
Agent’s code:

Please complete the whole data sheet. Otherwise the credit rating cannot be performed.

Unless there are other remarks, the data should be submitted as data for the last closed year-end

BASIC DATA OF THE LOAN APPLICANT COMPANY

Name of loan applicant:

Registered office:

Tax number: / --

NAME, TELEPHONE NUMBER OF THE COMPANY CONTACT PERSON:

Name

/ E-mail / Telephone

Business issues

Financial and accounting issues
LOAN APPLICATION DATA
Type of the requested loan (mark with an x)
□ Short-term loan □ Long-term loan □ Bank guarantee □ Other: ………………………………….
Name of loan product: ......
(to be filled in by the Bank)
Please mark if you allow preferred orders (collections) to be performed to the debit of the credit line If an overdraft facility drawn from a multi-purpose credit line or other o/d facility is requested Yes □ No[1] □
-Term of the requested loan / ...... months
Requested amount, currency (several currencies may be chosen for a multi-purpose credit line) / ...... HUF / EUR / CHF
Repayment schedule / Monthly / quarterly
Grace period for principal repayment / ...... months
Description and data of offered collateral items
Collateral title / Book value (if not available then the market value established in an appraisal or other market value) / Other data
(for real estate: Plot no., address)
Agreed account turnover / ……………… %
Loan purpose, asset to be financed:
Refinancing : yes □ no □ If yes:
Loan to be refinanced (original amount / outstanding debt): / …………………… HUF/EUR/CHF / .…………….HUF/EUR/CHF
Lender bank/financial institution:
BANK CONTACTS
Account keeping bank / Annual bank account turnover (in %) / Account keeping bank / Annual bank account turnover (in %)
1. / 3.
2. / 4.
FINANCIAL DATA

Composition of the sales revenues of the last closed year by core activity

Activities / TEÁOR/NACE code /

% share within the total sales revenues

Current shares of THE LOAN APPLICANT in other companies
Company name / Tax number: / Share (%) / Sales revenues of the last closed year, / Profit of the last closed year
FORMER SHARES OF THE LOAN APPLICANT IN OTHER COMPANIES
Company name / Tax number: / Share (%) / Currently active? / Reason for termination
CUSTOMERS’ DATA
Names of main customers / Customers’ tax numbers / Share in the annual net sales revenues % / Yearly turnover with given customer (HUF) / Payment due date
1
2.
3.
4.
5.
Overdue and doubtful trade receivables / Latest year-end sum (HUF)
Date:……….. 20 / Current GL value (HUF)
Date: ……….. 201
Total overdue trade receivables
Doubtful/non-collectable receivables / (of which recognised impairment:…………………HUF)
The 5 overdue or doubtful receivables of the highest amounts (customer’s name) / Overdue receivable amount (HUF) / Length of delay (over 60, 90, 120 days) / Reason for the overdue/doubtful receivable / Planned/taken measures
1. / over ..... days
2. / over ..... days
3. / over ..... days
4. / over ..... days
5. / over ..... days
SUPPLIERS’ DATA
Names of main suppliers / Tax numbers of the suppliers / Share % / Yearly turnover with the given supplier / Payment due date
1.
2.
3.
4.
5.
Overdue debt to the suppliers / Latest year-end sum (HUF)
Date: ...... 20 / Current GL value (HUF)
Date: ...... 201
Total overdue debt to the suppliers
The 5 overdue debts of the highest amounts (suppliers) / Overdue debt amount (HUF) / Length of delay (over 60, 90, 120 days) / Reason for the overdue debt / Planned/taken measures
1. / over ..... days
2. / over ..... days
3. / over ..... days
4. / over ..... days
5. / over ..... days
DATA ON FINANCIAL OBLIGATIONS
Liabilities towards banks (loans, guarantees, factoring etc.) and leased assets (financial and operating leases)
Bank/leasing company / Loan type / leased asset / Original amount of the commitment / Outstanding amount / Maturity / Monthly repayment / Collateral
Own funds deposit

Amount

/ Maturity / Interest / Repayment schedule

Loans, guarantees, other commitments granted by the loan applicant as a private contractor to another company/natural person

Company/Natural person

/

Type of relationship

/

Type of the loan, guarantees, surety

/

Amount

/ Maturity
Loans, guarantees, other commitments granted to the loan applicant as a private contractor by another company/natural person

Company/Natural person

/

Type of relationship

/

Type of the loan, guarantees, surety

/

Amount

/ Maturity
PLANS OF THE COMPANY
Plans and investments in the subsequent year:
FINANCIAL PLANS
For the given year (HUF) / For the subsequent year (HUF)
Projected annual sales revenue
Projected profit
Details of major Assignments / Contracts
Customer’s name / Customers’ tax number / Form of the Order / Contracted amount (HUF) / Time limit for job, contract / Payment deadline (days) / Complementary information: (e.g., payment in construction projects / work schedule (other))
Framework Agreement □
Agreement □
Written order □
Framework Agreement □
Agreement □
Written order □
Framework Agreement □
Agreement □
Written order □
Framework Agreement □
Agreement □
Written order □
Framework Agreement □
Agreement □
Written order □
INTRODUCTION TO THE COMPANY
Short history of the company
Other information to be provided:
PERSONAL DATA OF THE LOAN APPLICANT
Family status: single married divorced widow(er)

Qualifications:primary secondary higher

/

Business experience

in the current activity: years

Household data

/ Number of people sharing the household:
Number of earners in household:
Regular financial COMMITMENTs of the household
Banking, leasing commitments (loan, guarantee and surety etc.)
Lender: / Original loan amount / Maturity / Monthly repayment / Collateral
Overdraft facility
Credit card
Sales finance loan
Vehicle financing
Personal loans
Housing loan
Municipality loan
Employer’s loan
Surety undertaken in relation to loans
Other

Completion of the table below is not compulsory but, if provided, the data contained therein will also be taken into

account positively during the loan assessment.

Income data of the HOUSEHOLD*
Net monthly income of the spouse/life companion (from sources other than the borrower’s private enterprise)*
Is the spouse/life companion employed by the business? / Yes □no □
Regular monthly income of the household from renting out real estate*
Regular monthly expenses of the household

*Income certification :

  • net monthly income: with an income certificate
  • regular monthly income from renting out real estate: acceptable certificates: NAV income certificate, tax return for the year for which NAV issued the income certificate, lease agreement maturing after the maturity date of the loan.

Completion of the table below is not compulsory but, if provided, the data contained therein will also be taken into

account positively during the loan assessment.

ASSETS OF THE HOUSEHOLD
Do you or your spouse have any assets?yesno
1.) Real estate address / Ownership share %
Value of the property / Valuation method:
Valuation Sale and Purchase Agreement Other / Estimated value:
HUF ......
Type of real estate / flat/apartmentdetached houselandgarage other: ……….
Type of construction / brick / prefabricated panel / light structure
Floor area / Year of construction / Loan amount as an encumbrance on the assets indicated above: HUF
2.) Real estate address / Ownership share %
Value of the property / Valuation method:
Valuation Sale and Purchase Agreement Other / Estimated value:
HUF ......
Type of real estate / flat/apartmentdetached houselandgarage other: ……….
Type of construction / brick / prefabricated panel / Light structure
Floor area / Year of construction / Loan amount as an encumbrance on the assets indicated above: HUF
Do you or your spouse have any funds deposited in a bank account? / yes no
Amount
Do you or your spouse have any securities or life assurance? / yes no
Name / Amount

** Property insurance

  • each property must be certified with a title deed, not older than 30 days, while its value must be certified with a sale and purchase agreement, insurance policy or valuation,
  • cash must be certified with the latest bank account statement,
  • shares and other securities must be certified with a certificate of deposit
  • for life assurance, not only the policy but also the surrender value needs to be certified.

I, the undersigned
......
......
......
(name, address, personal ID card No.),
hereby declare, under penalty of perjury and verify with my signature, that the data in the loan application and its appendices are true, valid and authentic; I have made these available for the bank voluntarily, and give my consent to the bank keeping and managing these data. I also hereby declare, under penalty of perjury and verify with my signature, that my business is not subject to bankruptcy or liquidation procedures, no application for the launching of such procedures has been submitted and it does not have any overdue tax, social security, customs or other public debts.
By signing the application form I hereby acknowledge the following:
  • the Bank will decide on credit disbursement and on the amount and conditions of the credit individually based on the credit application and on the submitted documents,
  • the Bank has the right to reject the loan application with/without reasoning or make an offer for a loan lower than requested
  • The assessment of the loan application on its merits will only be started after the submission of all the necessary documents, when they are fully available.
  • the Bank is entitled to check the data of the presented ID and address cards at the Central Registration Office of the Ministry of Interior.
  • the Bank is entitled to ask for other documents during the credit assessment procedures,
  • the acceptance of the loan application does not mean a positive decision or a commitment on the part of the Bank to grant the credit,
  • the credit approval fee is stated in the effective List of Conditions of UniCredit Bank and is payable promptly when submitting the credit request application, regardless of whether the credit will be granted or not,
  • if the loan is secured by real estate, it is obligatory to establish the current market/liquidation/collateral value of the property offered as collateral. The cost of establishing the current market/liquidation/collateral value of the property offered as collateral must be borne by the borrower. I also acknowledge that the property appraisals ordered by the Bank are prepared for the Bank’s internal use and that the applicant will not receive a copy thereof.
I acknowledge that the above costs are to be paid by the company represented by me independently from the result of the credit approval, also if the credit request will be eventually declined.
I acknowledge that, in the event of a positive credit assessment, if the Bank enters into the loan agreement and the collateral agreements is in the form of a notarial deed, the costs of the notarial deeds will also be covered by my business.
I hereby undertake to open an account for taking this loan and will have an account turnover at UniCredit Bank Hungary Zrt. during the term of the loan.
I acknowledge that, prior to the initiation of the contract, the Bank provided written information on the instances and terms of forwarding information to the Central Credit Information System, the scope of the recorded data and legal remedies.
Date and signature

1

[1] In this case the Bank shall not perform the payment orders submitted by the Client from the credit line either during the period of suspension of orders, ranked higher, in order to comply with the regulations on making payments.