an application form for a Wandsworth Business Loan

advertisement
Wandsworth Business Loan Fund Application Form
This application is in a simple step by step format in order to make the application form process easier.If you are
having trouble completing this application form, please contact us on 0845 603 2820 to help you resolve any queries.
Step 1. Check we can lend to you

Business must be located and/or trade within the London Borough of Wandsworth

Business must have been trading successfully for 12 months

Businesses must employ between 1 - 99 staff

Business must have a business bank account already open

Business owner must be legally entitled to live and work in the United Kingdom

Business owner must have a permanent address and reside within the United Kingdom

Business must have been unsuccessful in obtaining finance from conventional commercial sources which
may be because of any ONE or more of the following:
o Declined and/or Unable to Meet Criteria
o Terms and Conditions Unacceptable and/or Unable to Obtain the Full Finance
o Poor Credit History and/or Insufficient Track Record
o Purpose and/or Sector is Restricted/Excluded
o Delay and/or Unable to Produce Information Required
Step 2. Check we can lend for the purpose of your loan
We are able to provide a loan for the outcomes of business consolidation, development or expansion and/or job
protection and/or job creation with the following exceptions:

Purchase of a vehicle (unless an integral part of the business), funding for trips abroad, or ‘hobby’ activity

Refinancing any debt, or providing onward credit, investment, lending and money transfer services

Funding for research, product development or some forms of training

Political/religious purposes or any activity which may bring the Fund into disrepute (e.g. pornography,
gambling, unlicensed or illegal activity etc.)
Step 3. Gather information needed to complete your application
Section A. MUST BE PROVIDED BY ALL BUSINESS ASSOCIATES: DIRECTORS / PARTNERS / OWNERS
Identity Documents * Copies of documents can be certified by official GLE staff members at no cost to you
*Certified copy of your current passport or official photo identification document
*Certified copy of evidence of residency for Non-British passport holders (if applicable)
*Certified copy of your work permit (if applicable)
Address Documents * Copies of documents can be certified by official GLE staff members at no cost to you
*Certified copy of a utility bill with your current address no less than three months old
Copy of recent credit search (can be obtained from www.equifax.co.uk or www.experian.co.uk for a small fee)
Section B. MUST BE PROVIDED BY ALL BUSINESSES
Copy of your Certificate of Incorporation (for Private Limited Companies)
Copy of Business Bank Statements for the last 6 months
Copy of Personal Bank Statements for each owner (>25% shareholding) for the last 6 months
Copy of up to 3 years latest Management Accounts or Certified Accounts (if applicable)
Copy of Business Plan
Copy of Cash Flow Forecast for 3 years (detailed monthly breakdown of first year compulsory)
Copy of recent Payroll confirming Current Job Information (to be provided again 12 months after loan advanced)
FOR OFFICE USE ONLY: Date of Receipt:
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 1 of 10
Proof of Identity & Address Documents may be certified by any ONE of the following (some may charge):
Government Department Employee (Jobcentre Plus Official, Police Officer, Teacher in current employment at a state
school, Social Worker, Care Home Manager, Prison Governor, Probation Officer).
Selected Post Office Counters, FSA Authorised Firms (Bank, Individual Finance Advisor, Stockbroker etc.), Firm of
Solicitors / Chartered Accountants / Chartered Surveyors.
Doctor / Nurse from your own registered practice, Midwife or District Nurse (must visit client in own home), Magistrate
or Justice of the Peace, Member of Parliament, Local or County Councillor.
Minister of Religion, Officer of the Armed Forces (i.e. Warrant or Petty Officer etc.), or Person with Honours (OBE,
MBE etc.).
Proof of Identity
Proof of IDENTITY documents must have the following phrase:
‘Certified True Copy and True Likeness of [full name as printed on document].
The Certifier must also include:

The signature of the certifier

The printed name of the certifier – including first name and surname

The position (job title) of the certifier

The date of the certification being signed

The name of the organisation (including office stamp if available)
Proof of Identity MUST be a CERTIFIED copy of ONE of the following:

A signed valid passport.

A European Economic Area (EEA) Member State ID card.

An identity card issued by the Electoral Office for Northern Ireland.

Benefits book or original letter from the relevant benefits agency confirming rights to benefits or state pension
(including Job Seekers Allowance Award Letter or JSA Signing On Booklet

A current EEA or UK photo card driving licence. (including valid UK provisional driving licence)

If you are self-employed within the construction industry, one of the following photographic registration cards:
C1S4, CIS4(P), C1S4(T), C1S5 or C1S6.

A shotgun or firearms certificate.

Personal licence for selling alcohol – Issued by the local authority (must be valid)
Proof of Address
Proof of ADDRESS documents must have the following phrase:
“Certified True Copy”.
The Certifier must also include:

The signature of the certifier

The printed name of the certifier – including first name and surname

The position (job title) of the certifier

The date of the certification being signed

The name of the organisation (including office stamp if available)
Proof of Address MUST be a CERTIFIED copy of ONE of the following:

A recent (within last 3 months) utility bill or statement, or certificate from a supplier of utilities confirming
arrangements to pre-pay for the services bill. Such bill/statement/certificate should not be printed from the
internet; a mobile telephone bill is not acceptable.

Local Authority tax bill valid for the current year.

Recent (within last three months) Bank or Credit Card Statement. PDF Online printed statements are acceptable

Other system –generated or signed documentation from a regulated financial sector company confirming an
account/investment/insurance relationship exists and which contains the customer’s address is acceptable.

Solicitor’s letter confirming recent house purchase or land registry confirmation.

Local council rent card or tenancy agreement.

A letter from the local authority giving details of council tax benefit (This is the only benefit letter that is
acceptable)
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 2 of 10
Step 4. Complete the following section fully (incomplete forms will delay the process)
You and Your Business
Business name (including trading name)
Business Address
Legal structure of business (tick as appropriate)
Postcode
Sole Trader
Private Limited Company
Partnership
Limited Liability Partnership
Co-operative
Company Limited by Guarantee
Other (please state)________________________
Date Business started trading
Company Registration Number (if applicable)
VAT Registration Number (if applicable)
NI Class 2 Date of Registration (if applicable)
Telephone number
Mobile Telephone number
Email
Website
Number of Current Full Time Staff
Number of Current Part Time Staff
Total Business Debt (incl. overdrafts / loans / cards)
Total Business Debt Repayments per month
Turnover (at end of last accounting year end)
Net Profit (at end of last accounting year end)
Depreciation (at end of last accounting year end)
Wage Costs (at end of last accounting year end)
Name of Business Bank
Name on Business Bank Account
Bank address
Account Number
Sort Code
Postcode
Time with Bank
new
WBLF6 – Application Form
GLE oneLondon
<2yrs
2 to 5 yrs
> 5 yrs
Issue 1 – Feb 2014
Page 3 of 10
Funding Required
Purpose of Loan (break down by category and provide total)
Fixtures & Fittings
Equipment
Working Capital
Other
Marketing
Total
How many jobs currently exist and in
the absence of the loan are at risk of
being lost within 12 months?
Of these how
many are
MALE staff?
FT
PT
Of these how
many are
FEMALE staff?
FT
PT
FT means Full Time i.e > 30 hours per week. PT means Part Time i.e. >15 hours but < 30 hours per week
How many jobs that do not currently exist will the loan
help create within 12 months, if you receive the loan?
Of these how many
do you expect to be:
FT
PT
Business Sector (Please select ONE of the following)
Agriculture
Production - Media
Banking Services
Forestry
Production – Oil & Mineral
Insurance & Pensions
Fishing
Repair – Manufacturing Equipment
Financial Administration Services
Coal Mining
Repair – Motor Transport
Real Estate & Lettings
Petroleum & Natural Gas
Repair – Personal Goods
Legal & Accounting Services
Mining Non Ferous Metals
Construction – Commercial & Domestic
Management Consultancy
Mining Organic Materials
Construction – Civil Engineering
Architectural & Urban Planning
Mining & Quarrying Support
Construction – “Skilled Trades”
Research
Manufacturing – Food
Transport – Land
Advertisting & Marketing
Manufacturing – Drinks
Transport – Sea
Design & Photography
Manufacturing – Tobacco
Transport – Air
Veterinary Services
Manufacturing – Textiles
Transport – Service Activities
Renting & Leasing
Manufacturing – Clothes
Postal & Courier Services
Human Resources
Manufacturing – Leather
Power Generation
Travel & Tour Operating
Manufacturing – Wood
Water Collection
Private Security & Investigation
Manufacturing – Paper
Sewerage
Cleaning Services
Manufacturing – Chemicals
Waste Disposal
Administrative & Events Services
Manufacturing – Pharmaceuticals
Waste Management Services
Public Administration
Manufacturing – Plastics & Rubber
Wholesale
Education
Manufacturing – Glass Stone Ceramics
Retail Sale
Human Health Services
Manufacturing – Metals
Recreational Accommodation
Social Care Services
Manufacturing – Metal Products
Restaurants & Pubs
Child Care
Manufacturing – Electronics
Publishing
Arts
Manufacturing – Electrics Equipment
Video & Music Production
Library & Museum
Manufacturing – Machinery
Broadcasting Activities
Gambling & Betting Services
Manufacturing – Road Vehicles
Telecommunications
Sports & Fitness
Manufacturing – Ships Heavy Machinery
Information Technology
Professional Organisations
Manufacturing – Furniture
Data Processing & News Services
Beauty & Physical Wellbeing
Manufacturing – Jewellery
Banking Services
Domestic Personnel
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 4 of 10
Personal Details (please copy or print this form and complete for all business associates)
Title
Mr
Ms
Mrs
Miss
Other (specify):
Surname
Forenames
Home address
Previous address (if less than three years)
Postcode
Postcode
Residential status
Residential status
Owner
Tenant
Owner
Tenant
Living with parents
Other (specify):
Living with parents
Other (specify):
Time at current address
Time at previous address
Total Personal Debt (incl. mortgage / loans / cards)
Total Personal Debt Repayments per month
Home telephone number
Mobile number
National Insurance Number
Nationality
Email (personal)
Marital status
Date of birth (dd/mm/yyyy)
Number of dependants
Position in your business
Shareholding %age (owner/partner):
Director and Owner
Director only
Owner only
Partner
Date of Expiry of Work Permit
(if applicable)
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 5 of 10
Personal Details continued (please copy or print this form and complete for all business associates)
THE INFORMATION COLLECTED ON THIS PAGE WILL NOT AFFECT YOUR ASSESSMENT
THE INFORMATION IS COLLECTED TO TRACK THE DIVERSITY OF BUSINESS ASSOCIATES
Have you ever been convicted of an offence?
Yes
No
Are you currently claiming any government benefits?
Yes
No
If YES, upon receiving this loan will it enable you to stop claiming any government benefits?
Yes
No
Do you consider yourself disabled?
Yes
No
If you consider yourself disabled and would like us to make
reasonable adjustments to accommodate your disability,
please state what those reasonable adjustments would be:
Ethnic origin (select one of the categories)
Asian or Asian British – Bangladeshi
Mixed – White & Asian
Asian or Asian British – Indian
Mixed – White & Black African
Asian or Asian British – Pakistani
Mixed – White & Black Caribbean
Asian or Asian British – Other
Mixed – Other
Black or Black British – African
White – Britsh
Black or Black British – Caribbean
White – Irish
Black or Black British – Other
White – Other
Chinese
Prefer not to say
Other
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 6 of 10
Personal Survival Budget (please copy or print this form and complete for all business associates)
Type of Expense
Monthly
Rent or Mortgage
Council Tax
Credit & Store Cards
Personal Loans
Other Debts
Savings Plans
Insurance (car, home, life etc)
Transport (private and/or public transport)
Electricity
Gas
Water
Home Telephone
Mobile Phone
Food
Clothes
Childcare
Entertainment
Contingency
Other (please specify)
Total Expenses
Type of Income
Monthly
Your Business Income
Your Other Income (i.e. from Property Investment, Shares or other sources)
Spouse’s / Partner’s Income
Benefits & Tax Credits
Other (please specify)
Other (please specify)
Total Income
Disposable Income (Total Income – Total Expenses)
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 7 of 10
Step 5 . State Aid Declaration - Please read and complete the following section
There are European Community rules governing ‘State Aid’, which is the aid that individual member countries give to
support resident businesses. As the loan package provided by One London Ltd t/a GLE oneLondon are provided with
support from both European and UK Government funds, we have a duty to establish support received to date in order
to avoid breaking these rules.
One London Ltd t/a GLE oneLondon operates under a part of the State Aid rules known as de minimis that allows
member states to give small amounts of aid to businesses without notifying it to the European commission. Under de
minimis the maximum amount of aid that can be given to any single business must not currently exceed 200,000
Euros (approximately £170,000) in the three year period prior to the point of the loan package being advanced. As the
provider of this State Aid, One London Ltd t/a GLE oneLondon must check that this limit is not exceeded when new
aid is given.
If your business has received any other European or UK Government State Aid in this period One London Ltd t/a GLE
oneLondon will need to check this to determine how much is de minimis and whether or not it will have any effect on
the loan package you are applying for. You should note that the value of the aid is not equal to the loan package itself
but is calculated according to a formula that takes into account a number of factors (interest charged etc.).
Please complete the below table listing any other State Aid received by your business in the past three years and
sign the declaration below. One London Ltd t/a GLE oneLondon will then be able to check the de minimis position as
part of the eligibility assessment process.
Declaration
I understand that my application for a loan package from One London Ltd t/a GLE oneLondon is governed by the
European Community rules on State Aid, in particular, that the loan package is a de minimis aid and that, therefore,
my application must satisfy the condition of the de minimis rule. I further understand that aid that exceeds the de
minimis limit is possibly illegal aid, which my business may be required to repay. I confirm that I have listed below the
total amount of all forms of aid received by my business in the past three years and I acknowledge that One London
Ltd t/a GLE oneLondon will use this information to determine whether or not my application meets the conditions of
the de minimis rule.
Please list below any loan packages received from public (UK Government or European) sources over the past three
years.
Date(s) funding was provided:
Organisation(s) which provided the funding:
Value of funding received from each organisation:
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 8 of 10
Step 6. Read the Terms & Conditions and all directors/partners/owners sign here
Protecting your privacy
This application form and all supporting documentation becomes the property of One London Ltd & GLE Loan
Finance Ltd t/a GLE oneLondon. Personal information provided by you will be held on a database by One London Ltd
& GLE Loan Finance Ltd t/a GLE oneLondon. If you have questions regarding the use of your details in this way,
please write to: GLE oneLondon, 10-12 Queen Elizabeth Street, London, SE1 2JN.
Agreement
I/We agree that One London Ltd & GLE Loan Finance Ltd t/a GLE oneLondon , credit reference agencies, appointed
recovery agents, funding bodies and mentors may be provided with appropriate information that you have disclosed
for their specific purposes or needs. The way this information will be used will be:

One London Ltd & GLE Loan Finance Ltd t/a GLE oneLondon will use your information to assess your
proposal, record your details when lending funds and manage your loan throughout its life. Information will
be stored securely for 6 years after the loan is repaid.

Credit Reference Agencies may be provided with details of non payment if we make demand for repayment
but receive no satisfactory proposal for this. This information may become available to people or
organisations who have access to this agency information.

Appointed Recovery Agencies may be provided with details of your personal and business information to
assist them with the recovery of the debt where your loan is in default and we have received no satisfactory
repayment proposals.

Funding Bodies may be given any of your information, business or personal at any time.

Mentors may be provided information as necessary to assist you, from time to time, to support your business.

You have a right to apply for a copy of your information for which we may charge a small fee and to have any
inaccuracies corrected.
I/We confirm that I/we have been unsuccessful in raising commercial finance. Below are the details of where we
have been unsuccessful:
Name of Finance
Provider
Branch / Location of
Finance Provider
Date
I/We agree that all the information contained in this application is, to the best of our knowledge, true and any misuse
of funds will be repaid in full.
All applicants must sign below:
Print name:
Signed:
Date:
Print name:
Signed:
Date:
Print name:
Signed:
Date:
Print name:
Signed:
WBLF6 – Application Form
Date:
GLE oneLondon
Issue 1 – Feb 2014
Page 9 of 10
Step 7. Please send your application with all information requested attached to
GLE oneLondon, Business Finance Team, 10-12 Queen Elizabeth Street, London, SE1 2JN
Step 8 . We will progress your application in the following way
WBLF6 – Application Form
GLE oneLondon
Issue 1 – Feb 2014
Page 10 of 10
Download