National Cattle Feeders Pty Ltd ACN 104 970 381 12 Salisbury St. Balwyn Vic 3103 Phone (03) 98365560 Fax (03) 98365569 Feedlot - Client Application Form (A) Client Information Company Name …..……………………………………………………………………………….…………………………….... ACN ………………………….….……….… ABN ………………………….….……….… Feedlot Name …..……………………………………………………………………………….…………………………….... Feedlot Location Address Postal Address …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. Name of Principal Name of Manager or Alternate Contact …………………………………...…………………………….. …………………………………...…………………………….. Contact details Manager or Alternate Contact Principal Phone number ………………………….….……….… ………………………….….……….… Fax number ………………………….….……….… ………………………….….……….… Mobile ………………………….….……….… ………………………….….……….… E-mail ………………………….….……….… ………………………….….……….… Bank ………………………….….……….… Branch Account Name …..……………………………………………………………………………….…………………………. BSB ………………………….….……….… Client Bank details ………………………….….……….… Account Number………………………….….……….… Why mortgage your fixed assets for your cattle financing if you don’t have to? Solution NCF National Cattle Feeders Pty Ltd Page 2 (B) Feedlot Information Are you an ALFA member? Yes / No Number of years operator has been a quality assured feedlot. ………… Feedlot capacity. ………… Copy of the feedlots last ‘Feedlot Monitoring Program – Compliance Audit Control’ is to be forwarded with this form. National Cattle Feeders Pty Ltd Page 3 (C) Off-taker Information (off-taker) (In many cases a client will have more than one (1) off-taker. This section is to be completed for all off-takers. Additional forms are available for completion and attachment to this form.) Company Name …..……………………………………………………………………………….…………………………….... ACN ………………………….….……….… ABN ………………………….….……….… Location Address Postal Address …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. Name of Principal Name of Manager or Alternate Contact …………………………………...…………………………….. …………………………………...…………………………….. Contact details Manager or Alternate Contact Principal Phone number ………………………….….……….… ………………………….….……….… Fax number ………………………….….……….… ………………………….….……….… Mobile ………………………….….……….… ………………………….….……….… E-mail ………………………….….……….… ………………………….….……….… Number of years supplied by client ………… Copy of existing Purchase / Sale Contract is to be provided with this application form for each off-taker. (If an existing contract is not in place please supply a sample copy of a contract which you would expect to be in place by the expected loan date.) Client is required to provide historical evidence of satisfactory feedlot performance with past supply to each off-taker. (This process will be covered at initial meeting with a representative of National Cattle Feeders Pty Ltd.) National Cattle Feeders Pty Ltd Page 4 (D) Insurance Information Company Name …..……………………………………………………………………………….…………………………….... ACN ………………………….….……….… Location Address Postal Address …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. …………………………………...…………………………….. Name of Contact …………………………………...…………………………….. Contact details Phone number ………………………….….……….… Fax number ………………………….….……….… Mobile ………………………….….……….… E-mail ………………………….….……….… Copy of insurance policy and evidence of insurance coverage and expiry date is to be supplied with this form. (It should be noted that at time of loan drawdown insurance is to evidence NCF as an interested party to the insurance.) (E) Grain Provision National Cattle Feeders Pty Ltd can arrange for Grain Provision for cattle financed on payment terms which mirror the cattle finance period. Please indicate below if you wish to utilise this service. Will Grain Provision be required from time to time? Yes / No Signed …..……………………………………………………………………………….…………………………….... For and behalf of …..……………………………………………………………………………….…………………………….... Date ………………………….….……….…