Hermes Quicksilver 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(Required)Your Company Name(Required)Your Email Address(Required) Your Phone Number(Required)Client Company or Business Name(Required)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 Tell us a bit about your businessWhat does your business do – for who – how – and why do your customers buy from you? A brief overview.Please complete the Assets, Liabilities and Privacy Statement for each Director, Shareholder and Guarantor. Open the form Have you completed the assets, liabilities and privacy form for each director/guarantor? Yes No Please upload your bank statements via Credit Sense. Upload Bank Statements Have you proivded your bank statements via Creditsense? Yes No What are the Quicksilver funds to be put towards?Eg. working capital, ATO, new equipment purchase, fund a new contract, etc. 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 LenderCurrent BalanceSecurity Held Documents to attachPlease 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 quicksilver@hermescapital.com.au Photo ID for each director/guarantorDriver’s licence, or passport or other photo ID if no licence. Drop files here or Select files Max. file size: 90 MB. SubmissionDo you have a staff contact at Hermes? Yes No Staff ContactNicholas SamiosPlease enter any final commentsBy submitting this application, you certify that all information and documents provided to Hermes Capital Australia are true and correct.(Required) I Agree
