Sheffield City Region

All information provided in this application shall remain confidential and will be reviewed only by those persons involved in the loan decision.

After completion, please return to Finance For Enterprise, Doncaster Business Innovation Centre, Ten Pound Walk, Doncaster DN4 5HX.

YOUR BUSINESS DETAILS
Business name
Business trading address (or intended address if new start)
Postcode / Business telephone / Business mobile
Business email
Business web site
Nature of business activity
Status of business / Sole proprietor
/ Limited company
/ Reg’d number
Partnership
/ Other (state)
Is the business already trading? / Yes/No / If ‘Yes’ – give start date / If ‘No’ – give estimated start date
VAT registered? / Yes/No / If ‘Yes’ – VAT regn number / Number of existing employees – full time and part time /
Business ownership
Name / Percentage owned / Years with business
Business premises
Are the business premises rented?
If yes, how much is the rent? / £ per week / per month / per quarter
When does the lease expire?
What is the date of the next rent review?
YOUR PERSONAL INFORMATION
Title / Forename(s) / Surname
EU Citizen / Address
Postcode / Telephone / Mobile
Email / Date of birth / Gender
Marital status / Maiden name / Time at current address
Dependants / NI Number / If less than 3 years, provide previous address (below) and the time at each address
Residential status
If owner, what is value? / Balance of mortgage?
YOUR PERSONAL INFORMATION (SECOND APPLICANT - IF APPLICABLE)
Title / Forename(s) / Surname
EU Citizen / Address
Postcode / Telephone / Mobile
Email / Date of birth / Gender / M/F
Marital status / Maiden name / Time at current address
Dependants / NI Number / If less than 3 years, provide previous address (below) and time at each address
Residential status / Owner occupier / Tenant / Living with parents / Other
If owner, what is value? / £ / Balance of mortgage? / £
CREDIT HISTORY Applicant 1 Applicant 2
Have you / Ever been declared bankrupt? / Yes / No / Yes / No
Any outstanding County Court Judgments? / Yes / No / Yes / No
Been an owner or director of a company in liquidation/administration/receivership? / Yes / No / Yes / No
Been refused credit? / Yes / No / Yes / No
Have you been or are you under a Debt Management Plan (eg IVA)? / Yes / No / Yes / No
Is your rent/mortgage in arrears? / Yes / No / Yes / No
If “Yes” to any of above, please provide details
Existing credit and/or store cards and loans (please provide details of all credit agreements - additional list if appropriate)
Card/lender / Balance / Mthly payment / Card/lender / Balance / Mthly payment
Details of any outstanding defaults
DETAILS OF LOAN
Amount Requested / Repayment period / months
Are you on the New Enterprise Allowance Scheme or are you about to? / Yes/No (Please Circle)
Have you applied for a Start Up Loan in the past? / Yes / No (please circle)
Is there any other cash going into the business? If so, please complete details below:
Description / Amount
Yourself / £
Bank overdraft or loan / £
HP / leasing / £
Other sources (eg Family, Prince’s Trust) / £
Will any jobs be created as a result of this loan? / Yes/No / If ‘Yes’ – how many?
Will any jobs be saved as a result of this loan? / Yes/No / If ‘Yes’ – how many?
YOUR PERSONAL SURVIVAL BUDGET (PLEASE COMPLETE TABLE BELOW OR ATTACH SEPARATE SHEET IF ALREADY COMPLETED)
ESTIMATED EXPENDITURE / TOTAL MONTHLY HOUSEHOLD EXPENDITURE
£ / PLEASE SPECIFY HOW MUCH YOU ARE CONTRIBUTING TOWARDS
£
Mortgage. Are repayments up to date? YES/NO
If NO please give details of your arrears
Rent. Are payments up to date? YES/NO
If NO please give details of your arrears
Council Tax
Water Rates
Gas, Electricity, Oil
Telephone, Mobiles, Internet
All Personal & Property Insurance
Food & General Housekeeping
Clothing
Children’s Expenses (School Meals etc)
Entertainment (Meals, Drink, Cinema etc)
Gifts (Birthdays, Christmas etc)
Subscriptions ie Sky etc
Car – Loan/HP Repayments
Car – Tax & Insurance
Car – Running Expenses ie Fuel, Service and Repairs
Personal Loan Repayments
Credit Car, Store Card, Mail Order Payments
Savings Plans
Other Expenses (Please Specify)
TOTAL EXPENDITURE

ESTIMATED NET INCOME

/ MONTHLY
£
Income from Your Employment or Income From Other Sources
(Please Specify)
Income from Wife/Husband/Partner
Working Family Tax Credit and Family Allowance
Income Projected From Your New Business
TOTAL INCOME
DOCUMENTS NEEDED WITH APPLICATION
  1. Business Plan
  2. 1 year cash flow if applying for a loan of up to £10,000 and 2 year’s cash flow forecast if applying for a loan of £10,000 to £25,000.
  3. Your CV.
  4. We have to confirm your identification and address: please provide your passport OR driving licence card PLUS a copy of a recent utilities bill (electricity, water, gas, council tax).
  5. Last 3 months personal bank statements.
  6. Details (ie quotations, evidence) of any items of capital expenditure.
  7. Additional documents / information required for businesses already trading:
  • Copies of previous 2 year’s accounts and the current year’s trading figures to date.
  • Copies of last 3 months’ bank statements for business current account.

YOUR INFORMATION – CREDIT REFERENCE AND FRAUD PROTECTION AGENCIES

We may also make searches about you at credit reference agencies who will supply us with credit information as well as information from the Electoral Register. The agencies will record details of the search whether or not this application proceeds. We may use credit scoring methods to assess the application and to verify your identity. Credit searches and other information which is provided to us and/or the credit reference agencies, about you and those with whom you are linked financially may be used by Donbac Ltd trading as Finance For Enterprise [Finance For Enterprise] and other companies if credit decisions are made about you, or other members of your household. This information may also be used for debt tracing and the prevention of money laundering as well as the management of your loan.

To prevent or detect fraud, or to assist in verifying your identity, we may make searches of Finance For Enterprise’s records and at fraud prevention agencies who will supply us with information. We may also pass information to financial and other organisations involved in fraud prevention to protect ourselves and our customers from theft and fraud. If you give us false or inaccurate information and we suspect fraud, we will record this. We and other companies may use this information if decisions are made about you or others at your address(es) on credit or credit-related services or motor, household, credit, life or any other insurance facilities. It may also be used for tracing and claims assessment.

By stating a financial association with another party you are also declaring that you are entitled to:

- disclose information about your joint applicant and/or anyone else referred to by you.

- authorise us to search, link and /or record information at credit reference agencies about you and/or

anyone else referred to by you.

Information held about you by the credit reference agencies may already be linked to records relating to one or more of your partners. For the purposes of this application you may be treated as financially linked and your application will be assessed with reference to any “associated” records.

When you borrow or may borrow from us, we may give details of your account and how you manage it to credit reference agencies. If you borrow and do not repay in full and on time we may tell credit reference agencies who will record the outstanding debt.

You have the right of access to your personal records held by credit reference and fraud agencies. We will supply their names and addresses upon request to Finance For Enterprise, Doncaster Business Innovation Centre, Ten Pound Walk, Doncaster DN4 5HX.

An “association” between the joint applicants and/or any individual identified as your financial partner will be created at credit reference agencies, which will link your financial records. You any anyone else with whom you have a financial link understand that each other’s information will be taken into account in all future applications by either or both of you. This linking will continue until one of you successfully files a “disassociation” at the credit reference agencies.

STATE AID
Is the Applicant(s)’ total value of State Aid for the past 3 years no more than 200,000 Euros? Yes / No (Delete as applicable)
If “No”, provide details of previous State Aid:…………………………………..……………………………………………………………………………………..
DECLARATION AND CONSENT
It is important that you read and understand the section entitled “YOUR INFORMATION – CREDIT REFERENCE AND FRAUD PREVENTION AGENCIES” in your terms and conditions and in this application form. By signing this application you agree that we can use your information in this way.
I/We confirm that all information contained in this application is true to the best of my/our knowledge and belief. I/We agree that the representatives of Finance For Enterprise may make any checks that they feel necessary regarding this information in order to help make a decision on the application for finance.
I/We confirm that prior to this application and without Finance For Enterprise’sintervention, I/we had been unable to raise the required level of debt to fund the activity (or activities) outlined in this application and/or supporting documentation.
I/We understand that the Loan is discretionary and that Finance For Enterprise is not obliged to give any reasons for refusal of an application.
I/We declare that the information that I/we have provided in connection with my/our application for a Start Up Loans is true and accurate.
I/We agree that the representatives ofFinance For Enterprisemay make any checks that they feel necessary regarding this information in order to help make a decision on the application for finance.
I/We authorise Finance For Enterpriseto discuss and exchange any appropriate information (including copies of documentation verifying my identity, address and bank details) with the Start Up Loans Company in relation to my loan application.
I/We agree that representatives of Finance For Enterprise may carry out searches against me at credit reference agencies and agree and acknowledge that details of such searches will be added to the credit reference agencies records about me and may be seen by other
organisations making searches. I/We also agree and acknowledge that information held about my by credit reference agencies may be linked to records relating to any person with whom I am/we are linked financially.
I/We understand that all information relating to this loan application provided by me/us to Finance For Enterprise will be treated as commercially confidential and handled in accordance with the data protection principles laid down in the Data Protection Act 1998. With this understanding:
  • I/We authoriseFinance For Enterpriseto disclose any relevant and necessary information relating to me/us or this application to any third party (including credit reference agencies, and partner organisations)
  • I/We authorise Finance For Enterprise to obtain any information concerning my/our business and/or financial affairs from any other person providing financial facilities to me/us.
  • I/We authorise Finance For Enterprise and the Start Up Loans Company to contact me/us by telephone, mail or the internet about other services that Finance For Enterprise or its partner organisations currently or may in the future provide, or to undertake research.
  • I/We agree to provide updates to this information when requested by Finance For Enterprise to satisfy the needs of project sponsors and the requirements of the Data Protection Act.
  • Finance For Enterprise work in conjunction with The Enterprise Fund Ltd trading as Business Finance Solutions (TEF) to deliver Start Up Loans on behalf of the Start Up Loans Company (SULCO). Finance For Enterprise are responsible for the assessment and approval of the loans before the application is passed to TEF for final checks, drawdown and the management of the loans going forward.
By signing below I/we agree to the processing of my personal information as set out in this document.
Applicant 1 / Applicant 2
Signature
Name
Date

FFE SHEFFIELD CITY REGION START UP LOANS APPLICATION (03/16) Page 1 of 5