Working Capital Finance Application Your relationship to the client I am Director, Owner or Senior Manager Finance Broker Accountant, Lawyer or other third party adviser Your Name*Your Company Name*Your Email Address* Your Phone Number*Client Company or Business Name*Suburb and/or Post CodeACNABNWebsiteIs 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 Asset & Liability Statement Please download and complete a Hermes' Asset & Liability Statement, for each Director, Shareholder and Guarantor. In the attachment is also Hermes' Privacy Act Consent Form, which must also be signed by each Director, Shareholder and Guarantor.Then upload your completed A & L and signed Privacy Forms here.Please upload a separate A & L for each Director, Shareholder and Guarantor. Drop files here or Select files Max. file size: 90 MB. Invoice FinanceWhat is the nature of the business?How does the client receive payment? B2B sale of goods and/or services, paid on invoice with credit terms B2B progress claims or milestone payments (some security may be required) A combination of both (some security may be required) Biggest customersWho are the biggest customers? What is the nature of the relationship - e.g. contract, once off jobs, long term clients, slow payersDoes the client require an adjunct Term Loan Facility? Yes No Loan Amount RequiredWhat are the loan funds to be put towards?Eg. working capital, ATO, new equipment purchase, fund a new contract, etc. SecurityWhat type of security can be provided? Property only Equipment only Both property and equipment Type of property security:Please SelectFirst Mortgage - refinance first mortgageeFirst Mortgage - property is unencumberedSecond Mortgage - borrow against equityProperty AddressEstimated property value ($)First Mortgagee LenderFirst Mortgage AmountLender contact details (if known)You can enter more detail here if required, including the details of any additional properties.Please attach, if available:Rates notices and copy of utility bills for any properties. Copies of mortgage statements for any loans secured by the properties. Copies of real estate valuations, should they be available. Drop files here or Select files Max. file size: 90 MB. Plant & Equipment Security 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. Current Financial ArrangementsWhat are the business' current financial arrangements:Do they have an OD facility with their bank? Does the bank hold a GSA, or any other security? Are there any other secured creditors?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 Receivables DetailAR Detail, showing each invoice date and amount Drop files here or Select files Max. file size: 90 MB. Aged Payables Drop files here or Select files Max. file size: 90 MB. Bank statementsMost recent bank statements for trading accounts and up to date reconciliation. 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. Asset Depreciation SchedulePlease highlight the equipment to be used as security.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
