Asset Optimiser Application Your Name First Last Your relationship to the borrower Director, Owner or Senior Manager Finance Broker Accountant, Lawyer or other Advisor Your Company Name Your Email Address Your Phone NumberBorrower Company or Business Name Business Address Street Address Suburb State Post Code ACN ABN Office Phone NumberWebsite Is there a trust involved in the company setup? Yes No Please list any additional trustsName of TrustABN Are there other entities in the group? Yes No Please list any additional entitiesEntity NameACN First Director's DetailsDirector's Name Director's Date of Birth DD slash MM slash YYYY Director's Email Address Director's Best Contact NumberResidency StatusPlease SelectAustralian CitizenPermanent ResidentVisa holderNon-residentOtherPlease detail residency status below. Current Residential Address Street Address City State Post Code Living ArrangementsPlease SelectHome owner, also owns investment propertiesSingle home ownerLong term renterShort term renter or living with othersOtherPlease detail living arrangements below. Is this director a beneficial owner or shareholder of the business? Yes No Shareholder PercentageBeneficial Owner/Shareholder Name Beneficial Owner/Shareholder PercentageHas this director already completed an Asset & Liability Statement (A&L)? Yes No, I would like to enter the A&L details now Please upload the A & L Statement belowMax. file size: 90 MB.Assets & Liability StatementAssetsLiabilitiesName of Bank Bank BalanceName of Overdraft Lender Overdraft AmountPropertiesProperty 1 Address ValueBank/Lender Loan AmountProperty 2 Address ValueBank/Lender Loan AmountProperty 3 Address ValueBank/Lender Loan AmountOther Assets & LiabilitiesFurniture & Fitting(s)Secured Loan(s)Motor Vehicles, Boats etc. (Current Market Value)Personal Loan(s)Investments (shares etc.)Credit Card(s)Insurance(s)Other LiabilitiesTotalsTOTAL ASSETSTOTAL LIABILITIESIs there another director? Yes No Second Director's DetailsDirector's Name Director's Date of Birth DD slash MM slash YYYY Director's Email Address Director's Best Contact NumberResidency StatusPlease SelectAustralian CitizenPermanent ResidentVisa holderNon-residentOtherPlease detail residency status below. Current Residential Address Street Address City State Post Code Living ArrangementsPlease SelectHome owner, also owns investment propertiesSingle home ownerLong term renterShort term renter or living with othersOtherPlease detail living arrangements below. Is this director a beneficial owner or shareholder of the business? Yes No Shareholder PercentageBeneficial Owner/Shareholder Name Beneficial Owner/Shareholder PercentageHas this director already completed an Asset & Liability Statement (A&L)? Yes No, I would like to enter the A&L details now Please upload the A & L Statement belowMax. file size: 90 MB.Assets & Liability StatementAssetsLiabilitiesName of Bank Bank BalanceName of Overdraft Lender Overdraft AmountPropertiesProperty 1 Address ValueBank/Lender Loan AmountProperty 2 Address ValueBank/Lender Loan AmountProperty 3 Address ValueBank/Lender Loan AmountOther Assets & LiabilitiesFurniture & Fitting(s) (2)Secured Loan(s) (2)Motor Vehicles, Boats etc. (Current Market Value)Personal Loan(s)Investments (shares etc.)Credit Card(s)Insurance(s)Other LiabilitiesTotalsTOTAL ASSETSTOTAL LIABILITIESIs there another director? Yes No Third Director's DetailsDirector's Name Director's Date of Birth DD slash MM slash YYYY Director's Email Address Director's Best Contact NumberResidency StatusPlease SelectAustralian CitizenPermanent ResidentVisa holderNon-residentOtherPlease detail residency status below. Current Residential Address Street Address City State Post Code Living ArrangementsPlease SelectHome owner, also owns investment propertiesSingle home ownerLong term renterShort term renter or living with othersOtherPlease detail living arrangements below. Is this director a beneficial owner or shareholder of the business? Yes No Shareholder PercentageBeneficial Owner/Shareholder Name Beneficial Owner/Shareholder PercentageHas this director already completed an Asset & Liability Statement (A&L)? Yes No, I would like to enter the A&L details now Please upload the A & L Statement belowMax. file size: 90 MB.Assets & Liability StatementAssetsLiabilitiesName of Bank Bank BalanceName of Overdraft Lender Overdraft AmountPropertiesProperty 1 Address ValueBank/Lender Loan AmountProperty 2 Address ValueBank/Lender Loan AmountProperty 3 Address ValueBank/Lender Loan AmountOther Assets & LiabilitiesFurniture & Fitting(s)Secured Loan(s)Motor Vehicles, Boats etc. (Current Market Value)Personal Loan(s)Investments (shares etc.)Credit Card(s)Insurance(s)Other LiabilitiesTotalsTOTAL ASSETSTOTAL LIABILITIESIs there another director? Yes No If you have any additional directors, please send their full details and completed A&L's to deals@hermescapital.com.au. Full details include the following: Director's Name Director's Date of Birth Director's Email Address Director's Best Contact Number Residency Status Current Residential Address Living Arrangements The name & shareholding percentage of the beneficial shareholder/owner (if any of the previous director's were not the beneficial/shareholder Purpose of FundsLoan Amount RequiredBrokerage RatePlease enter a value between 0 and 4.Please enter a number from 0 to 4.Purpose of Funds Working Capital Line of Credit New equipment purchase Fund stock/supplies, or fund a new contract Refurbish or fitout Buy or start a new business New Equipment PurchaseWhat type of equipment is the company looking to purchase?Please SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods / civilOtherQuantity123456 or morePlease detail equipment type(s) below. Will the asset/s be new or used? New Used Some new, some used What is the age of the asset?Please Select1-2 years2-3 years3-5 years5 or more yearsVariousMake & Model Please provide more detail below.Fund stock/supplies, or fund a new contractWhere are the stock/supplies required to be purchased? Within Australia Overseas What will the stock be used for?Please SelectTo fulfil a new contractUsed for regular salesOtherPlease provide more detail below.Refurbish or fitoutType of refurbishment/fitout Office Other Please provide more detail below.Buy or start a new businessBusiness venture stagePlease SelectClient is buying an existing businessCapital is needed to expand the client's existing business into a new areaClient is planning to start a brand new businessClient has just started a new business and already made some salesName of company being purchased Purchase price ($)Borrower's cash input ($)Background on purchaseBorrower's level of experiencePlease SelectBorrower has an existing business of this same typeBorrower has an existing business of a different typeBorrower has 2+ years' experience running a businessBorrower has less than two years' business experienceBorrower has have never run a business beforeHas a sale agreement been drawn yet? Yes No Please upload sale agreement hereMax. file size: 90 MB. SecurityHow many unencumbered assets can be offered for security?* 1-5 Assets 6 or more Please download and complete Hermes' Equipment Schedule, for valuation purposes.Then upload your completed equipment schedule here.Please upload in spreadsheet format.Accepted file types: xls, xlsx, xlsm, Max. file size: 90 MB.Please answer the following questions for each separate asset, or you can download and complete Hermes' Equipment Schedule, for valuation purposes.Asset #1 ClassPlease SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods/civil machineryOtherType of Asset, Make & Model Estimated asset valueSerial Number or ID KMS/HoursYear of ManufactureIs there a second asset available? Yes No Asset #2 ClassPlease SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods/civil machineryOtherType of Asset, Make & Model Estimated asset valueSerial Number or ID KMS/HoursYear of ManufactureIs there a third asset available? Yes No Asset #3 ClassPlease SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods/civil machineryOtherEstimated asset valueType of Asset, Make & Model Serial Number or ID KMS/HoursYear of ManufactureIs there a fourth asset available? Yes No Asset #4 ClassPlease SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods/civil machineryOtherType of Asset, Make & Model Estimated asset valueSerial Number or ID KMS/HoursYear of ManufactureIs there a fifth asset available? Yes No Asset #5 ClassPlease SelectAircraft or helicopterCommercial equipmentCraneForkliftManufacturing equipmentMining equipmentMotor vehicle: car, truck, trailer, busPlant & machineryYellow goods/civil machineryOtherType of Asset, Make & Model Estimated asset valueSerial Number or ID KMS/HoursYear of ManufactureDocumentationPlease upload photos of assetsThese will be used for valuation purposes. If not currently available, photos can be provided to our valuers at a later time.Max. file size: 90 MB.Please upload proof of ownership documentation (eg. proof of purchase)These will be used for both valuation and security perfection. If not currently available, can be provided at a later time.Max. file size: 90 MB.Please upload vehicle registration papersThese will be used for both valuation and security perfection. If not currently available, can be provided at a later time.Max. file size: 90 MB.Is there property security available? Yes No Property SecurityType of security:Please SelectFirst Mortgage - refinance first mortgageeFirst Mortgage - property is unencumberedSecond Mortgage - borrow against equityAddress Estimated property value ($)First Mortgagee Lender First Mortgage AmountLender contact details (if known)You can enter more detail here if required, including the details of any additional properties.Please attach rates notices and copy of utility bills for any properties. Drop files here or Select files Max. file size: 90 MB. Copies of mortgage statements for any loans secured by the properties Drop files here or Select files Max. file size: 90 MB. Copies of real estate valuations, should they be available Drop files here or Select files Max. file size: 90 MB. Credit CriteriaHow long has the business been trading?Please SelectLess than 2 years2 - 4 years5 or more yearsAverage Sales (per month)Business typePlease SelectSole trader, GST RegisteredPartnershipCompany with 2-10 employeesCompany with 11-50 employeesCompany with 51 + employeesWhat industry?Please SelectAgriculture, Forestry and FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeAccommodation and Food ServicesTransport, Postal and WarehousingInformation Media and TelecommunicationsFinancial and Insurance ServicesRental, Hiring and Real Estate ServicesProfessional, Scientific and Technical ServicesAdministrative and Support ServicesPublic Administration and SafetyEducation and TrainingHealth Care and Social AssistanceArts and Recreation ServicesOtherPlease provide more information on the nature of the client's business Credit HistoryBookkeeping, BAS and ATO Records:Please SelectBookkeeping and BAS are behindBookkeeping is up to date but BAS is behindBookeeping and BAS are up to dateHave there been any defaults or court actions?Either current or former Yes No Please provide further details below.Are creditors currently up to date and within terms? Yes No Please provide further details below.Business profitPlease SelectBusiness has been profitable for 12 months or moreBusiness has been profitable for the last few monthsBusiness is breaking evenBusiness has been losing money for a few monthsBusiness has never been profitableATO PositionPlease SelectATO is up to dateATO is a few months overdueBusiness has an ATO payment plan in place, and are sticking with itBusiness had an ATO payment plan, but could not maintain itThe ATO has commenced recovery actionATO DebtDoes the business have any existing business finance or loans? Yes No LenderName of LenderAmount Borrowed Upload financial documentsPlease attach all relevant documents as follows. If you encounter any issues uploading files, you may add your files to a file-share and submit a share link to deals@hermescapital.com.au Financial StatementsPreferably final accounts at the end of last financial year, plus recent management accounts. Drop files here or Select files Max. file size: 90 MB. Aged Payables & Receivables Drop files here or Select files Max. file size: 90 MB. Bank statementsMost recent bank statements for trading accounts Drop files here or Select files Max. file size: 90 MB. ATORunning account balance statement for trading entities, and payment plans (if applicable). Drop files here or Select files Max. file size: 90 MB. Tax ReturnMost recent company tax returns for trading entities Drop files here or Select files Max. file size: 90 MB. Asset Depreciation SchedulePlease highlight the equipment to be used as security. Drop files here or Select files Max. file size: 90 MB. Trust Deed Drop files here or Select files Max. file size: 90 MB. Copy of drivers' licenses for each director/guarantorIf no license, please upload Passport or other photo ID. Drop files here or Select files Max. file size: 90 MB. Any other supporting documentationIncluding working papers, plans, brochures, correspondence, searches or any other relevant information. Drop files here or Select files Max. file size: 90 MB. SubmissionDo you have a staff contact at Hermes? Yes No Staff ContactNicholas SamiosSteven GodwinStephen KempPlease enter any final commentsBy submitting this application, you certify that all information and documents provided to Hermes Capital Australia are true and correct.* I Agree
