A practical guide to help you develop a business plan · let your business plan continue to work...
Transcript of A practical guide to help you develop a business plan · let your business plan continue to work...
BUSINESS PLAN
A practical guide to
help you develop a
business plan
• ThisdocumentisalsoavailableinFrench
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ContentsTable of Contents
• GettingStarted 2
• StudyingtheMarket 3
• PlanningaBusiness 4
• The Business Plan 5
- Introduction 6
- OwnershipandManagement 7
- Financial 8
- MarketSummary 10
- PersonnelRequirements 12
- ForecastAssumptions 13
- CashFlowfor12-monthperiod 14
- FinancialStatements 16
- ListofExisting&ProposedMachinery, Equipment,Fixtures&Furnishings/ RelatingtoProposedProject 22
- SecurityOffer 23
- EnvironmentalQuestionnaire 24
- SummaryoftheCBDCPrivacyPolicy 25
- AuthorizationforCreditInformation 29
- PersonalBalanceSheet/ ApplicationForFinancing
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Studying
Time
How much time do you have to develop yourbusinessidea?Byallowingyourselfenoughtime,you will likely avoid mistakes that could provecostly.
Money
How much money is at your disposal? Mostentrepreneurs discover their businesses requiremore capital than originally anticipated. Theneedforadequatefinancingvariesfrombusinessto business. You should ensure that you haveaccesstoenoughmoneytoallowforallpossiblecontingencies so that you don’t have cash flowproblemsormissopportunities.
Expertise
Doyouhavetheknowledgeandskillsrequiredtomakeasuccessofthisbusiness?Ifnot,itmaybeworthwhile to take somecoursesorwork in theindustryuntilyougaintheknowledgeyouneed.
Risk Tolerance
Howmuchriskisinvolved?Youneedtohonestlyassessyourpersonalityandfinancestodeterminehowmuchriskyoucantolerate.Thismayruleoutsomehigh-riskopportunities.
Financial Return
Canyoumakealivingfromthisbusiness?Somepeoplegointobusinesswithoutaclearideaofjusthowprofitabletheventurewillbe.Takethetimetodetermineifyourbusinessrevenueswilljustifyyoureffortandprovideyouwiththeincomeyouneed.
Enjoyment
Will you enjoy the business? This is a majorconsideration,especiallysinceowningasmallbusiness is often difficult and involves longhours. There will be challenges and roughspots. You will need substantial commitmentandself-sacrificeinthemonthsthatlieahead.
Family Considerations
Will this new business adversely affect yourfamily?Substantialsacrificesintimeandmoneyarerequiredintheearlystagesofanybusiness.Youneedtodeterminewhetheryoursavingsorprofitsfromthebusinesswillprovideyouandyourfamilywithanadequatestandardoflivingespecially in the early stages of the business.Youwillalsoneedtofindouthowcommittedyour family is to the business. For example,will theybeable tocopewith theextrahoursneededtogetasmallbusinessupandrunning?
Professional Guidance
Finally,gettingstartedmeansstartingoutright.Itisimportanttorealizebeforeyoustartoutthattherearemanyimportantdecisionstobemadeinvolving legaland taxation issues, insurance,finance, bookkeeping and accounting, hiringemployees,etc.Thesecanoftenbecomplicatedand difficult to address without specializedexpertise. Consequently, you should consultprofessionals such as: lawyers, accountants,insurance brokers, professional or accreditedfinancial planners, bankers and governmentagents to get the best possible advice and toavoid mistakes that may come back to hauntyoulateron.
Getting StartedTherearemanywaystostartasmallbusinessbuteachapproachsharescommonelementsyouneedtoconsider.
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Studying
Although each marketing study is differentbecauseeverybusinessisdifferent,mostseektoanswerthefollowingquestions:
• Whatisthemarketpotentialformy productorservice?
• Whowillmycustomersbe?Howmany unitscanIsell?HowmuchcanIcharge?
• Whowillmysuppliersbeandhow muchwilltheycharge?Whatcredit termsaretheylikelytooffer?
• Whoaremycompetitorsandwhat competitiveadvantagesdoIpossess?
• HowwillIgetmygoodstomarketand howexpensivewillthisbe?
• Willthisbusinessproducealarge enoughprofittojustifythesacrifices whichwillberequired?
Armed with answers to these questions anda properly laid out marketing plan, you willbe inamuchbetterposition todeterminetheviabilityofyouridea.
Getting the information for such a plan isoften quite easy. For instance, one possibletechnique is to interview potential customersor those already in the industry. Trade andindustryassociationscanalsobehelpfulsincetheypossess in-depth informationabout theirindustries.
Manypublicationsanddatabasescanhelpyouassessthepotentialofindustriesandmarkets.(AvisittoyourlocalCBDCisagoodfirststepingettingthisinformation).
Theseplansaredynamicandareonlyhelpfuliftheychangeasyourbusinesschanges.Ratherthanprepareamarketingplanandfileitawayin your desk drawer, you should re-examineyourplanfromtimetotimeinthelightofnewdevelopmentsandmakethenecessarychanges.Yourmarketingplanwillthenguideandsupportyoureffortsonacontinualbasis.
Studying the MarketThefirstthingyouneedtodowhenthinkingaboutstartinganewbusinessistodeterminewhetheryoucanmakeasuccessofit.Thismeansaskingtoughques-tionsaboutthepotentialdemandforyourproducts,howmuchyoucanchargeandwhetherpaybackwillbesufficienttomakeitworthyourwhile.
Thisinformationisprovidedbyamarketingplan.
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Planning
Businessplanscontributetothefuturesuccessofabusinessinseveralways.Theyarenecessarywhen seeking loans; they help you measureprogress;andtheytellyouwhereyouaregoingandhowtogetthere.
A business plan usually includes a descriptionof your business and the industry in which itwillfunctionincludingsuppliers,customersandcompetitors,theproductsandservicesyouwillprovide, your price schedules, sales, and yourmarketingandproductionplans.
You will also need to outline the opportunitiesandthreatsfacingyourbusiness,theresourcesyou will require, your expansion plans, andcurrentandprojectedfinancialstatements.
Planning for the Future
Planning iscritical,notonly in theearlystagesof business, but also as your business startsto grow. Continuous planning is necessary tohelpyouavoidsomeof thepitfallswhichoftenaccompanyexpansion.
Oneplanyoumustconsiderishumanresourceplanning - the hiring and management ofemployees.You need to consider how you willfind employees with the skills and trainingneededtomakeyourbusinessasuccess.
You need to be aware of the many legal,regulatoryandtaxrequirementsrelatedtohavingemployees on your payroll. Some of thesefall under provincial jurisdiction and includeemployment standards, minimum wages,workers’compensation,andoccupationalhealthandsafety.
OthersfallunderfederaljurisdictionandincludeEmploymentInsurance,CanadaPensionPlanandIncomeTax.Forfurtherinformation,youshouldcontact the appropriate provincial and federal
government departments or professionalssuchasalawyeroraccountant.
Businessplanningisacontinuousprocess.Nobusiness stays the same for long. Therefore,you need to revise your plan periodically toallow for changing circumstances. This willlet your business plan continue to work foryou. The process of rethinking the plan willforce you to develop new ways of looking atyourbusinessand itsenvironment. Thismayprovide you with new ways of increasingrevenuesorcuttingcosts.
Planning a BusinessOnceyouhavecompletedyourmarketingstudy,youcanuseitasthestartingpointfordevelopingoneofthemostimportantfoundationsofanybusiness-thebusinessplan.
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The Business Plan
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Business PlanA. Introduction
1. Name of Company:_____________________________Contact Number: ________________________ NameofApplicant:_______________________________________________________________________ (Please provide photo identification with your application)
2. Is this a new or existing business?
❏ New ❏ ExistingDatebusinessestablished:_______________________
3. Type of Operation:
❏ Manufacturing ❏ Wholesale/Retail
❏ Agriculture ❏ Construction
❏ Aquaculture/Fishing ❏ Transportation
❏ Forestry ❏ Mining
❏ Tourism ❏ Other(Specify)___________________________________________
4. Mailing Address:_________________________________________________________________________ PostalCode:______________
5. Telephone Numbers: Residence:_______________ Cell:______________________________
Fax:______________________E-mail:____________________________
6. Proposed location of business: ____________________________________________________________
7. Legal Form of Business:
❏ Incorporated ❏ SoleProprietorship
❏ Partnership ❏ Co-operative
❏ Tobeincorporated
8. Date Incorporated:___________________________
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B. Ownership and Management
1. List of Directors/Shareholders/Key Staff:(Pleaseattachdetailedresumes)
Name Position YearsinBusiness SharesHeld(%) _________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2. Explain the duties and responsibilities of management and key staff.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
C. Financial / Legal / Technical
1. Name: Phone Number: (a) Banker LineofCredit$_______________ _____________________________________________
(b)Accountant _____________________________________________
(c)LegalAdvisor _____________________________________________
(d)InsuranceCo./Agent _____________________________________________
(e)FiscalYearEnd _____________________________________________
D. Project Description
1. Briefly describe your business:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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2. List the estimated dates for the acquisition of equipment, inventory, staffing, financing, and other items needed before you can commence your project.
Item Estimateddateofacquisition
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Dateconstructionwillbegin:_______________________________________
Dateoperationswillcommence:____________________________________
E. Financial
1. Use of Funds: Source of Funds:
Land $________ CBDC $________
Building $________ Bank/CreditUnion $________
Equipment $________ ProvincialGovernment $________
Vehicles $________ BDC $________
LeaseholdImprovements$________ ACOA $________
Inventory $________ Other: $________
WorkingCapital $________ Other: $________
Miscellaneous $________ Owner’sContribution $________
Total $________ Total $________
HaveyoueverappliedfororreceivedpreviousassistancefromtheFederalortheProvincial government?Ifyes,pleasedescribe.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2. Have any of the assets contributed been pledged as security?
❏ Yes ❏ No
Ifyes,towhom?Forwhatpurpose?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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3. Will any part of the owner’s contribution be borrowed?
❏ Yes ❏ No
Ifyes,fromwhom?_______________________________________________________________________
Securitygiven:___________________________________________________________________________
Terms:__________________________InterestRate:_________________
4. Please answer the following questions
a.Haveyoueverbeenorareyouintheprocessofapplyingforprotectionunderthe BankruptcyAct?
❏ Yes ❏ No
b.Haveyoueverbeensuedorbeenthesubjectofanoriginatingnotice?
❏ Yes ❏ No
c.AreyoupresentlytheGuarantorforanyloan?
❏ Yes ❏ No
d.AreyouorthebusinessintaxarrearstoCRA?(HSTandSourceDeductions)
❏ Yes ❏ No
Ifyouansweredyestoanyoftheabove,pleaseprovidedetailsinthespaceprovided __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. Provide quotations for the purchase price of any assets being considered as part of this financing request. __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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F. Market Summary
1. Product / Service Applicantsshouldlisteachserviceifmorethanoneisprovided.Provideasmuchdetailas possibleabouttheservice.Ifasimilarserviceexistsinyourtradingarea,describeany advantagesyourbusinessmayhave(i.e.pricing,supplyofrawmaterials,transportation,etc).
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. Is your business seasonal?
❏ Yes ❏ No
3. Hours of Operation:______________________________________________
4. Will the business be extending credit? At what terms?
__________________________________________________________________________________________
__________________________________________________________________________________________
5. Typical Customers
Whoareyourcustomers?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Age_________ Sex_________ IncomeLevel__________
Willyourclientsbeotherbusinessesorthegeneralpublic?Ifotherbusinesses,namethem.Do youhavelettersofintent?(Providelettersofintentwherepossible.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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6. Trading Area
Willallyourbusinessbegeneratedwithinyourlocalcommunityorwillyourbusinessdraw customersfromsurroundingcommunities?Explain
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
7. Existing Business Competition
Whoareyourcompetitors,wherearetheylocated,andhowlonghavetheybeeninbusiness? StrengthsandWeaknesses?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
8. Market Justification
Whydoyoufeeltheidentifiedtradingareacansupportyourproposedproject?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
9. Advertising / Promotion
Howdoyouproposetoadvertiseyourproduct/service?Identifythecostofdoingso.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
10. Basis of projection
Wasthismarketinformationobtainedfromasimilartypeofoperation,oronthebasisof industrynorms,orsomeothermethod?Explain.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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G. Personnel Requirements1. Listdetailsofnewemploymenttobecreated.
❏FullTime______ ❏PartTime______❏Seasonal______
2. Ifthisisanexistingbusinesspleaselistthedetailsofexistingemployment.
❏Full-time______
❏Part-time______
3. Management
Identifythespecificdutiesofkeymanagementpersonnelwithregardstoareassuchas sales,marketing,bookkeeping,etc.Listanypreviousexperiencewhichmaybebeneficialto thisbusiness. __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
IMPORTANT:Haveyoureceivedthenecessarypermitsorreviewedyoursubmissionwiththeappropriateregulatoryagency(i.e.DepartmentofHealth,FireMarshal,MunicipalDevelopmentDepartment,SocialServices,Forestry,Fisheries,Environment,Tourism,etc.)?Pleaseprovidecopiesofanypermitsrequired.
H. Financial Information(tobeattached)
1. Historical Financial Statements: Enclosestatementforthelastthreeyearsofoperation
2. Pro-Forma Financial Statements:
a. Balance Sheet–Yearlyfortwoyears
b. Income Statement–Yearlyfortwoyears
c. Statement of Cash Flow–Projectedonamonthlybasisforthe
1sttwoyearsofoperations
d. Sales necessary to break-even
e. Ifsoleproprietorpleaseincludeyourpersonalincometaxnoticeofassessmentfor thepastthreeyears
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I. Forecast Assumptions
Sales: (Explainhowyouarrivedatsalesfigures:i.e.percentageoftotalmarket,numberofunitssold,sellingprice,salesbyunitoftime–week,month,year,etc.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Material Costs:(Relateddirectlytonumberofunitssold)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Salaries / Wages and Benefits:(Pleaselistowner’ssalary/wageseparately)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Other expenses: (Statethebasisforamountsshownineachoftheseexpensecategoriesandwhethertheyareestimatesorquotedcosts.Ensureyourinterestandbankchargesreflecttheproposeddebtincludedinyourloanapplication.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Other income: (Clearlyexplainanyitemsinthisareaandstatewhethertheyareextraordinaryorongoing.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_______________________________________________________________________________________
Drawings / Taxes:(Ifthebusinessisnotincorporated,ensureyouincludethetotalamountofcashwithdrawalsbytheproprietororallpartners.Alsoallowfortaxesonprofitsearned.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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Opening Balance
Month1
Month2
Month 3
Month4
Month5
Month6
Month7
Month8
Month9
Month10
Month11
Month12 TOTAL
SALES
1.Sales
2.OtherRevenues
3.TotalSales
RECEIPTS
CASH IN
4.CashSales
5.ReceivablesCollected
6.LoanProceeds
7.OtherReceipts
8.OtherReceipts
9.OtherReceipts
10.TotalCashReceipts
DISBURSEMENTS
CASH OUT
11.CostofGoodsSold
12.Advertising
13.Vehicle(include fuel, maintenance, lease)
14.OfficeSupplies
15.BankServiceFees
16.Insurance (liability, assets, vehicle)
17.ProfessionalFees (legal, accounting, registry)
18.Rent(premises, equipment)
19.Taxes&Licences
20.Telephone
21.Utilities
22.Wages-Employees
23.Benefits-Employees
24.OwnersDrawings/Wages&Benefits
25.RepaymentofTermDebt(P&I)
26.PurchaseofFixedAssets
27.Repairs&MaintenanceandFuel
28.Other
29.Other
30.TotalDisbursements
SUMMARY
31.TotalCashReceipts(line 10)
32.Add:CashPreviousMonth(Line 35)
33.Equals:TotalCashAvailable
34.Less:TotalDisbursements(line 30)
35.Equals:ClosingBankBalance
Prepare Cash Flow for 12-month period
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Opening Balance
Month1
Month2
Month 3
Month4
Month5
Month6
Month7
Month8
Month9
Month10
Month11
Month12 TOTAL
SALES
1.Sales
2.OtherRevenues
3.TotalSales
RECEIPTS
CASH IN
4.CashSales
5.ReceivablesCollected
6.LoanProceeds
7.OtherReceipts
8.OtherReceipts
9.OtherReceipts
10.TotalCashReceipts
DISBURSEMENTS
CASH OUT
11.CostofGoodsSold
12.Advertising
13.Vehicle(include fuel, maintenance, lease)
14.OfficeSupplies
15.BankServiceFees
16.Insurance (liability, assets, vehicle)
17.ProfessionalFees (legal, accounting, registry)
18.Rent(premises, equipment)
19.Taxes&Licences
20.Telephone
21.Utilities
22.Wages-Employees
23.Benefits-Employees
24.OwnersDrawings/Wages&Benefits
25.RepaymentofTermDebt(P&I)
26.PurchaseofFixedAssets
27.Repairs&MaintenanceandFuel
28.Other
29.Other
30.TotalDisbursements
SUMMARY
31.TotalCashReceipts(line 10)
32.Add:CashPreviousMonth(Line 35)
33.Equals:TotalCashAvailable
34.Less:TotalDisbursements(line 30)
35.Equals:ClosingBankBalance
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Forecasted Income Statement – OpeningIncome: %
Sales $_______________ ____________
OtherRevenue $_______________ ____________
TOTAL SALES $_______________ ____________
LESS:CostofSales $_______________ ____________
GROSS PROFIT
(TotalSales–CostofSales) $_______________ ____________
Expenses:
Advertising…….................… $_______________ ____________
Vehicle…...…................…….. $_______________ ____________
OfficeSupplies….............…. $_______________ ____________
BankServiceFees…............. $_______________ ____________
Insurance…………................ $_______________ ____________
ProfessionalFees….............. $_______________ ____________
Rent…..…………................... $_______________ ____________
Taxes/Licenses..................... $_______________ ____________
Telephone…….......................$_______________ ____________
Utilities…......................……. $_______________ ____________
Wages/Benefits.................…$_______________ ____________
Owner’sDraw....................…$_______________ ____________
InterestonDebt................….$_______________ ____________
Depreciation….................…..$_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
TOTAL EXPENSES $_______________ ____________
Net Profit (Loss) $_______________ ____________(Gross Profit – Total Expenses)
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Forecasted Income Statement – Year OneIncome: %
Sales $_______________ ____________
OtherRevenue $_______________ ____________
TOTAL SALES $_______________ ____________
LESS:CostofSales $_______________ ____________
GROSS PROFIT
(TotalSales–CostofSales) $_______________ ____________
Expenses:
Advertising…….................… $_______________ ____________
Vehicle…...…................…….. $_______________ ____________
OfficeSupplies….............…. $_______________ ____________
BankServiceFees…............. $_______________ ____________
Insurance…………................ $_______________ ____________
ProfessionalFees….............. $_______________ ____________
Rent…..…………................... $_______________ ____________
Taxes/Licenses..................... $_______________ ____________
Telephone…….......................$_______________ ____________
Utilities…......................……. $_______________ ____________
Wages/Benefits.................…$_______________ ____________
Owner’sDraw....................…$_______________ ____________
InterestonDebt................….$_______________ ____________
Depreciation….................…..$_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
TOTAL EXPENSES $_______________ ____________
Net Profit (Loss) $_______________ ____________(Gross Profit – Total Expenses)
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Forecasted Income Statement – Year TwoIncome: %
Sales $_______________ ____________
OtherRevenue $_______________ ____________
TOTAL SALES $_______________ ____________
LESS:CostofSales $_______________ ____________
GROSS PROFIT
(TotalSales–CostofSales) $_______________ ____________
Expenses:
Advertising…….................… $_______________ ____________
Vehicle…...…................…….. $_______________ ____________
OfficeSupplies….............…. $_______________ ____________
BankServiceFees…............. $_______________ ____________
Insurance…………................ $_______________ ____________
ProfessionalFees….............. $_______________ ____________
Rent…..…………................... $_______________ ____________
Taxes/Licenses..................... $_______________ ____________
Telephone…….......................$_______________ ____________
Utilities…......................……. $_______________ ____________
Wages/Benefits.................…$_______________ ____________
Owner’sDraw....................…$_______________ ____________
InterestonDebt................….$_______________ ____________
Depreciation….................…..$_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
Other:…………...................… $_______________ ____________
TOTAL EXPENSES $_______________ ____________
Net Profit (Loss) $_______________ ____________(Gross Profit – Total Expenses)
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Forecasted Balance Sheet – OpeningASSETS:
CURRENTASSETS:
Cash……………………………………………………………........….$___________
AccountsReceivable..………………………………………....…….$___________
Inventory……………………………………………………….......…. $___________
PrepaidExpenses……………………………………………....…….$___________
OtherCurrentAssets…………………………………………....…… $___________
TOTAL CURRENT ASSETS (A) $___________
FIXED ASSETS:
Land……………………………………………………………….........$___________
Building………………………………………………………….......… $___________
Furniture/Fixtures..……………………………………………......…..$___________
Vehicles……………………………………………………….......……$___________
Equipment……………………………………………………......……$___________
OtherAssets…………………………………………………….....….. $___________
TOTAL FIXED ASSETS (B) $___________
TOTAL ASSETS (A+B) $___________
LIABILITIES:
CURRENTLIABILITIES:
BankIndebtedness……………………………………………....……$___________
AccountsPayable&AccruedLiabilities…………………….……. $___________
IncomeTaxPayable……………………………………………....….. $___________
OtherLiabilities……………………………………………….....…… $___________
TOTAL CURRENT LIABILITIES (C) $___________
LONG TERM DEBT:
Mortgages………………………………………………………....….. $___________
LoansfromShareholders….……………………………....…..….. $___________
OtherLongTermDebt…………………………………………....….. $___________
TOTAL LONG TERM DEBT (D) $___________
TOTAL LIABILITIES……………………………………………......(C+D) $___________
Shareholders/Owner’sEquity...………………………………….(E) $___________
TotalLiabilities+Shareholders/Owner’sEquity…..……(C+D+E) $___________
NOTE: (A+B) = (C+D+E)
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Forecasted Balance Sheet – Year OneASSETS:
CURRENTASSETS:
Cash……………………………………………………………........….$___________
AccountsReceivable..………………………………………....…….$___________
Inventory……………………………………………………….......…. $___________
PrepaidExpenses……………………………………………....…….$___________
OtherCurrentAssets…………………………………………....…… $___________
TOTAL CURRENT ASSETS (A) $___________
FIXED ASSETS:
Land……………………………………………………………….........$___________
Building………………………………………………………….......… $___________
Furniture/Fixtures..……………………………………………......…..$___________
Vehicles……………………………………………………….......……$___________
Equipment……………………………………………………......……$___________
OtherAssets…………………………………………………….....….. $___________
TOTAL FIXED ASSETS (B) $___________
TOTAL ASSETS (A+B) $___________
LIABILITIES:
CURRENTLIABILITIES:
BankIndebtedness……………………………………………....……$___________
AccountsPayable&AccruedLiabilities…………………….……. $___________
IncomeTaxPayable……………………………………………....….. $___________
OtherLiabilities……………………………………………….....…… $___________
TOTAL CURRENT LIABILITIES (C) $___________
LONG TERM DEBT:
Mortgages………………………………………………………....….. $___________
LoansfromShareholders….……………………………....…..….. $___________
OtherLongTermDebt…………………………………………....….. $___________
TOTAL LONG TERM DEBT (D) $___________
TOTAL LIABILITIES……………………………………………......(C+D) $___________
Shareholders/Owner’sEquity...………………………………….(E) $___________
TotalLiabilities+Shareholders/Owner’sEquity…..……(C+D+E) $___________
NOTE: (A+B) = (C+D+E)
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Forecasted Balance Sheet – Year TwoASSETS:
CURRENTASSETS:
Cash……………………………………………………………........….$___________
AccountsReceivable..………………………………………....…….$___________
Inventory……………………………………………………….......…. $___________
PrepaidExpenses……………………………………………....…….$___________
OtherCurrentAssets…………………………………………....…… $___________
TOTAL CURRENT ASSETS (A) $___________
FIXED ASSETS:
Land……………………………………………………………….........$___________
Building………………………………………………………….......… $___________
Furniture/Fixtures..……………………………………………......…..$___________
Vehicles……………………………………………………….......……$___________
Equipment……………………………………………………......……$___________
OtherAssets…………………………………………………….....….. $___________
TOTAL FIXED ASSETS (B) $___________
TOTAL ASSETS (A+B) $___________
LIABILITIES:
CURRENTLIABILITIES:
BankIndebtedness……………………………………………....……$___________
AccountsPayable&AccruedLiabilities…………………….……. $___________
IncomeTaxPayable……………………………………………....….. $___________
OtherLiabilities……………………………………………….....…… $___________
TOTAL CURRENT LIABILITIES (C) $___________
LONG TERM DEBT:
Mortgages………………………………………………………....….. $___________
LoansfromShareholders….……………………………....…..….. $___________
OtherLongTermDebt…………………………………………....….. $___________
TOTAL LONG TERM DEBT (D) $___________
TOTAL LIABILITIES……………………………………………......(C+D) $___________
Shareholders/Owner’sEquity...………………………………….(E) $___________
TotalLiabilities+Shareholders/Owner’sEquity…..……(C+D+E) $___________
NOTE: (A+B) = (C+D+E)
22 I CBDCBusinessPlan www.cbdc.cawww.cbdc.ca
List of Existing & Proposed Machinery, Equipment, Fixtures & Furnishings, Relating to Proposed Project
Item No. Quantity
Description(Include manufacturer’s name,
machine capacity, etc.)
Model No.
Year of Mfg. Purchase
Purchase Price
Remarks(e.g. condition of equipment, etc.)
** Attach manufacturer’s specifications, brochures, etc. wherever possible
www.cbdc.ca CBDCBusinessPlan I23 Need assistance call 1-888-303-2232www.cbdc.ca
LAND
Location
TypeofDistrict
Zoning
Services
Dimensions
PurchasePrice
DateofPurchase
BUILDING
Type
Dimensions(m.)
Area(sq.m.)
Basement
NoofStories
Mostrecentappraisal
EqUIPMENT ItemNo.QuantityModel#DateofPurchase
OTHER
Personalguarantee(s)
Security Offer
24 I CBDCBusinessPlan www.cbdc.cawww.cbdc.ca
Environmental QuestionnaireLOCATION:__________________________________________________________________________________
DESCRIPTION:_______________________________________________________________________________
PLEASEGOTHROUGHBOTHCHECKLISTSBELOWANDCHECKANYACTIVITIESTHATARELIKELYTOOCCURINTHEPROPOSAL.
PART 1: CHECKLIST OF EXCLUSIONS:Istheprojectrestrictedtoonlythefollowingelements oractivities?(Checkwhereappropriate)
❏Purchaseofofficeequipmentorequipment foraplantthatdoesnotproducegas,liquid orsolidemissions
❏Developmentoftechnologyinanexisting laboratoryorfactory
❏Studies(Marketingstudies,feasibility studies,etc.)
❏MarketingActivities
❏Placingatraineeorworkerwithanexisting business
❏Productivity
❏Modernizationofabuilding (includesexpansionlessthan10%or installationofkitchenequipmentfor restaurantorinn)
❏Constructionofabuilding,lessthan100 squaremetersandlessthan5metreshigh, morethan30metresfromawaterbodyor theocean
❏Resurfacingorpavingofanexistingroad
PART 2: CHECKLIST OF ACTIVITIES: Doestheprojectincludeanyofthefollowingelementsor activities?(Checkwhereappropriate)
❏Waterorsewerorsewagetreatmentplant (butnothookupstoexistingsystems)
❏Roadconstruction(butnotpavingofexisting roads)
❏Constructionofabridgeorculvertovera waterway
❏Constructionofabuilding,warehouseor plantoranextensiongreaterthan10%of anexistingstructure
❏Constructionorearthmovingonsteepslopes
❏Grubbingorexcavationofsoilsor contaminatedsoils
❏Workwithin30metresoforinawaterbody (pond,lake,river,stream,estuaryorocean)
❏Workwithin30metersoforinawetland (bog,fen,marsh,swamp,saltmarsh)
❏PermitfromDepartmentofFisheries&Oceans
❏Clearingofland
❏Constructionorrenovationofalaboratory
❏Storageoruseoffuels,chemicalsor flammablegoodsordecommissioningof astoragesite
❏ Industrialemissionstotheair(butnot domesticheatingfurnaces)
❏ Industrialwaste(liquidorsolid)
❏Wharfconstruction
❏Dredging,disposalofdredgedmaterialor shorelineinfilling
❏Rivercleanuporriverimprovement
❏Mining
❏Ecotourism(boattours,whalewatching, canoeoutfitting,adventuretourism)
❏ Itisalineardevelopment(road,trails,power line,pipeline,submarinecable)
❏ Itisadjacenttoaheritagesite(Nationalor ProvincialPark,wildliferefuge,historicsite)
Signature:____________________________Date:__________________
Consent to electronic mail useI, the undersigned, consent to the CBDC’s use of electronic mail to transfer or disclose my personal information, including my financial information to a third party. I understand that email is not entirely secure and that copies of my personal information may be kept by myself or the CBDC’s internet service provider.
Signature:____________________________Date:__________________
Name(pleaseprint):___________________________________________
www.cbdc.ca CBDCBusinessPlan I25 Need assistance call 1-888-303-2232www.cbdc.ca
Summary of the CBDC Privacy Policy
TheCBDCsofAtlanticCanadarecognizetheimportanceofprivacyandthesensitivityofpersonalinformation.Wehaveanobligationtokeepconfidentialallinformationbywhichyoucanbeidentified.Wearecommittedtoprotectinganypersonalinformationwehold.ThisPrivacyPolicyoutlineshowwemanageyourpersonalinformationandsafeguardyourprivacy.
Your Privacy Rights
SinceJanuary1,2004,allbusinessesengagedincommercialactivitiesmustcomplywiththePersonalInformationProtectionandElectronicDocumentsAct(PIPEDA).ThePIPEDAconfirmsyourrightsconcerningtheprivacyofyourpersonalinformation.TheCBDCsareresponsibleforthepersonalinformationwecollect,useanddisclosuretoothers.Toensureouraccountability,theCBDCshavedevelopedthisPolicy,implementeddocumentsecuritymeasuresandtrainedourdirectorsandstaffaboutourpoliciesandpractices.ThisPolicyrecognizesandisincompliancewiththefollowingtenPrivacyPrinciplessetoutinPIPEDA:
1. ACCOUNTABILITY: Anorganization isresponsibleforpersonalinformation underitscontrolandshalldesignatean individualorindividualswhoare accountablefortheorganization’s compliancewiththefollowingprinciples. 2. IDENTIFYING PURPOSES:Thepurposes forwhichpersonalinformationis collectedshallbeidentifiedbythe organizationatorbeforethetimethe informationiscollected. 3. CONSENT:Theknowledgeandconsent oftheindividualarerequiredforthe collection,useordisclosureofpersonal information,exceptwheninappropriate. 4. LIMITING COLLECTION:Thecollection ofpersonalinformationshallbelimited tothatwhichisnecessaryforthe purposesidentifiedbytheorganization. Informationshallbecollectedbyfairand lawfulmeans.
5. LIMITING USE, DISCLOSURE, AND RETENTION:Personalinformationshall notbeusedordisclosedforpurposes otherthanthoseforwhichitwas collected,exceptwiththeconsentofthe individualorasrequiredbythelaw. Personalinformationshallberetained onlyaslongasnecessaryforfulfilmentof thosepurposes. 6. ACCURACY:Personalinformationshall beasaccurate,complete,andup-to-date asisnecessaryforthepurposesforwhich itistobeused. 7. SAFEGUARDS:Personalinformationshall beprotectedbysecuritysafeguards appropriatetothesensitivityofthe information. 8. OPENNESS:Anorganizationshall makereadilyavailabletoindividuals specificinformationaboutitspolicies andpracticesrelatingtothemanagement ofpersonalinformation. 9. INDIVIDUAL ACCESS:Uponrequest,an individualshallbeinformedofthe existence,useanddisclosureofhis personalinformationandshallbegiven accesstothatinformation.Anindividual shallbeabletochallengetheaccuracy andcompletenessoftheinformationand haveitamendedasappropriate.10. CHALLENGING COMPLIANCE:An individualshallbeabletoaddressa challengeconcerningcompliancewiththe aboveprinciplestothedesignated individualorindividualsforthe organization’scompliance.
What personal information do we collect?
Personalinformationincludesanyinformationthatidentifiesyou,orbywhichyouridentitycouldbededuced.Weneedthisinformationprimarilyinordertoprovidelendingservicestoourclients.
Why CBDCs Need Personal Information.
CBDCsprovideservicesandproductstoawiderangeofclients.Indoingso,wemayfromtimetotimedistributematerialsconcerningtheseservicesandnewdevelopmentsrelevanttoyourbusiness.
26 I CBDCBusinessPlan www.cbdc.cawww.cbdc.ca
Ourprimarypurposeforcollectinginformationisinordertoassistyou.Yourpersonalinformationisusedforpurposesincluding,butnotlimitedto,assistanceinthepreparationofbusinessplans;businessconsultations;creditreviews;analysisofloaneligibility;directpayment/withdrawal;preparationoflegaldocuments;completionofquarterlyreports;assessmentanddeterminationsastonetworth;determiningeligibilityforvariousfundingprogramsandsources,etc.
Use of Your Information
Weuseyourpersonalinformationtoprovideadviceandservicestoyou,andtoincludeyouinanydirectmarketingactivities.Ifyounolongerhavealoanwithus,andtellusthatyounolongerwishtoreceiveinformationaboutourservicesorotherwise,wewillremoveyoufromourmailinglist.
How do we collect your personal information?
Wecollectinformationonlybylawfulandfairmeansandnotinanunreasonablyintrusiveway.Whereverpossible,wecollectyourpersonalinformationdirectlyfromyou,beginningwiththeapplicationforandloanandcontinuingthroughoutthelifeoftheloanifitisapproved.
Sometimes,weobtaininformationaboutyoufromothersourceswhichmayinclude:
• yourbankorcreditunion;
• yourinsurancecompany;
• yourrealestateagentinaproperty transaction;
• governmentagenciesorregistries;
• youremployer;
• yourlawyer;
• youraccountant;
• creditreportingagencies(Trans-Union andEquifax)
• outsideConsultants.
Consent
Inmostcases,wewillaskyoutoprovidewrittenconsent,toallowtheCBDCtocollect,use,ordiscloseyourpersonalinformation.Bysigninganapplicationforaloan,werecognizethisasyourconsenttoourcollecting,usinganddisclosingtheinformationreferredtointheApplicationinordertoprocesstheloanassessment.Normally,weaskforyourconsentinwriting,butinsomecircumstances,wemayacceptyouroralconsent.Yourconsentmayalsobeimpliedthroughyourconductwithus.
Disclosure of your Personal Information
TheCBDCdoesnotdiscloseyourpersonalinformationtoanythirdpartytoenablethemtomarkettheirproductsandserviceswithoutyourwrittenconsent.Wearerequired,however,todiscloseinformationtocertaingovernmentorganizationsincludingAtlanticCanadaOpportunitiesAgency(ACOA)andHumanResourcesandSkillsDevelopmentCanada(HRSDC).Inaddition,theCBDCwilldiscloseyourpersonalinformationwhen:
• requiredorauthorizedbylawtodoso;
• youhaveconsentedtothedisclosure;
• Itisnecessaryinordertoestablishor collectsumsowingtous; • weengageathirdpartytoprovide administrativeservicestous(like computerback-upservicesorarchivalfile storage);
• theinformationisalreadypubliclyknown.Inaddition,wewilldiscloseyourpersonalinformationtothirdpartiesinordertofacilitatethegrantingofaloan.Anexampleisabankofficeractinginconnectionwiththeloanandthesecuritybeingtakentosupportit.Inthoseinstances,yourconsentwillbeimpliedbyyoursigningtheLoanApplicationandwewillreleasetheinformationunlessyouadviseusotherwiseinwriting.
www.cbdc.ca CBDCBusinessPlan I27 Need assistance call 1-888-303-2232www.cbdc.ca
Retention of your Personal information
TheCBDCsreceivefundingfromtheAtlanticCanadaOpportunitiesAgency(ACOA),HumanResourcesSkillsDevelopmentCanada(HRSDC)andcertainothergovernmentorganizations.Thetermsofouragreementswiththoseorganizationsrequirethatwemaintaintheinformationthatwecollectforaperiodofnotlessthan7yearsfromthedatethatanapplicationisrejectedortheloan,ifgranted,isrepaid.
Updating Your Information
Sinceweuseyourpersonalinformationtoprovideservicestoyou,itisimportantthattheinformationbeaccurateandup-to-date.Ifduringthecourseofourdealings,anyofyourinformationchanges,pleaseinformussothatwecanmakeanynecessarychanges.IftheCBDCholdsinformationaboutyouandyoudemonstratethatitisnotaccurate,completeandup-to-date,theCBDCwilltakereasonablestepstocorrectanyerrors.
Is My Personal Information Secure?
TheCBDCstakeallreasonableprecautionstoensurethatyourpersonalinformationiskeptsafefromloss,unauthorizedaccess,modificationordisclosure.Amongthestepstakentoprotectyourinformationare:
• premisessecurity(lockeddoorsand securefilecabinets); • restrictedaccesstopersonalinformation; • deployingtechnologicalsafeguardslike securitysoftwareandfirewallstoprevent hackingorunauthorizedcomputeraccess; • internalpasswordandsecuritypolicies.
Access to Your Personal Information
Youmayrequestaccesstoanypersonalinformationheldinyourfile.Summaryinformationisalsoavailableonrequest.Wemayseektobereimbursedforcopyingchargesifyourequirecopiesofyourpersonalinformation.
Can I be denied access to my personal information?
Yourrighttoaccessyourpersonalinformationisnotabsolute.Wemayberequiredtodenyaccesswhen:
• denialofaccessisrequiredorauthorized bylaw; • grantingaccesswouldhavean unreasonableimpactonotherpeople’s privacy; • theinformationisprotectedbysolicitor- clientprivilege; • yourpersonalinformationcannotbe severedfromanother’spersonal information.
Ifwedenyyourrequestforaccessto,orrefusearequesttocorrectinformation,weshallexplainwhy.
Credit Bureaus
Tohelpusmakecreditdecisionsaboutclients,preventfraud,andchecktheidentityofnewclients,wemay,onoccasion,requestinformationaboutyoufromthefilesofconsumerreportingagencies.
Communicating with Us
Youshouldbeawarethate-mailisnota100%securemedium,andyoumustbeawareofthiswhencontactingustosendpersonalorconfidentialinformation.
Changes to this Privacy Policy
SincetheCBDCregularlyreviewsallofitspoliciesandprocedures,wemaychangeourPrivacyPolicyfromtimetotime.
28 I CBDCBusinessPlan www.cbdc.cawww.cbdc.ca
Your Privacy Practices
DuringthecourseofconsideringyourapplicationandanysubsequentrelationshipbetweenourCBDCandyourbusiness,youmayprovideuswithpersonalinformationthatiswithinyourcontrol.WerelyonyoutoensurethatyouhavecompliedwiththeprovisionsoftheProtectionofPrivacyandElectronicDocumentsActandanyotherapplicablelegislationorrequirementsbeforereleasingthatinformationtous.Bysigningbelow,youareconfirmingthatyouhavecompliedwiththeserequirementsandareauthorizedtoprovideuswiththeinformationwerequire.
Name: _____________________________________
Date: _____________________________________
Name: _____________________________________
Date: _____________________________________
www.cbdc.ca CBDCBusinessPlan I29 Need assistance call 1-888-303-2232www.cbdc.ca
AUTHORIZATION FOR CREDIT INFORMATION
TheCommunityBusinessDevelopmentCorporationmaycollectcreditandotherfinancially-relatedinformation(includinginformationrelatedtomytransactionandthoseofmybusiness)aboutmeandthebusiness(“information”)frommeandthebusiness,fromservicearrangementseitherofushasmadewithorthroughtheCommunityBusinessDevelopmentCorporation,fromcreditbureaus,otherfinancialinstitutions,othercreditors,notereceivableaccountsandfromreferenceseitherofushasprovidedtoyou;
a) TheCommunityBusinessDevelopmentCorporationmayuseinformationasfollows:
• Togivecreditbureaus,otherfinancialinstitutionsandotherpartiesthattheCommunity BusinessDevelopmentCorporationmaydeemappropriate. • Todeterminemyfinancialsituationorthefinancialsituationofthebusiness;and • ForanypurposerelatedtotheprovisionofservicesrequestedfromtheCommunity BusinessDevelopmentCorporation.TheCommunityBusinessDevelopmentCorporation mayalsogiveittoanyemployeeormemberoftheCommunityBusinessDevelopment Corporationbutonlyasitrelatestotheprovisionofservicesorthemanagementofmy businessaccount.
b)TheCommunityBusinessDevelopmentCorporationmayalsouseinformationforthefollowing purposes: • TopromotetheCommunityBusinessDevelopmentCorporationservicestomeandthe business,and • Tousemysocialinsurancenumberasanaidtoidentifymewiththecreditbureausand otherfinancialinstitutionsforfilematchingpurposes.
WheneitherofusceasestobeaclientoftheCommunityBusinessDevelopmentCorporation,theCommunityBusinessDevelopmentCorporationmaykeepinformationinitsrecordsolongasisneededforthepurposedescribedin(a)above.
Note:InthisAuthorizationforCreditInformation“Business”,“us”and“our”meanthebusinessentitywhosenameand/ordescriptionappearinsectionAoftheApplicationforAssistance.Thisshallinclude,butnotbelimitedto,anyoperatingname,variation,revisionorsuccessortothenamelistedintheApplicationforAssistance.“I”,“me”,and“my”meantheowner/partnersigningtheApplicationforAssistance.
TheApplicationforAssistancewhichcontainstheBusinessInformationmustbesignedbytheauthorizedsigningofficer(s)fortheBusinessANDbytheowner/partnerwhosepersonalinformationiscontainedinthesameApplicationforAssistance.
IftheBusinesshasmorethanoneowner/partner,eachadditionalowner/partnermayberequiredtosignaseparateApplication.
Signature:___________________________________
Name&Title:________________________________
Date:________________________________________
Signature:___________________________________
Name&Title:________________________________
Date:________________________________________
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Please list two people, not residing with you, who may be contacted for references.
1. Name:___________________________________________________________________________________ Address:_________________________________________________________________________________
Business:_________________________________Telephone:__________________________________
2. Name:___________________________________________________________________________________ Address:_________________________________________________________________________________
Business:_________________________________Telephone:__________________________________
APPLICANT’S DECLARATION
I,theundersigned,declarethatalltheaboveinformationistrue,correctandcompletewithno materialfactsknowntomeomittedandthatIamanauthorizedagentofthebusinessapplying forassistance,andhavenotbeenabletoobtaintherequestedfundingfromconventional lendersatreasonableterms.
Signature:___________________________________ Name:_______________________________________ Date:________________________________________
www.cbdc.cawww.cbdc.ca
PERSONAL BALANCE SHEET / APPLICATION FOR FINANCING
Inwhichofficiallanguagedoyouprefertoreceivecorrespondence?❏English❏French Dateofapplication:
Haveyouapprochedyourfinancialinstitutiontoobtainfinancingonreasonabletermsandconditions?❏Yes❏No
Ifyes,where? Whatisthestatus?1.Pending2.Turneddown3.Approved4.Conditional
PurposeofLoan AmountofLoanRequested TermRequired
LastName FirstName MiddleName(s) SocialInsuranceNumber DateofBirth
PhoneNumber()
Home()
Business()
Cellular()
Fax()
HomeAddress(Street)(City)(PostalCode) ❏Own
❏Rent$
Howlongatthisaddress? Yrs:Mos: Name,AddressandTel.oflandlord(ifrenting)
PreviousAddress(iflessthan3yrsatpresentaddress)
PresentEmployer Address JobStatus:1Permanent2Temporary3SeasonalWorker4PartTime5NoJob
JobTitle Description Phone Since Salary
PreviousEmployer(iflessthan3yrswithpresent) Address JobStatus:1Permanent2Temporary3SeasonalWorker4PartTime5NoJob
JobTitle Description Phone Since Salary
Othersourcesofincome: Amountperyear:$permonth:$
Details:
MaritalStatus:❏Married❏Divorced❏Widowed
❏Single❏Separated❏CommonLaw
Numberofdependants(ExcludingSpouse)
Spouse’sSurname Spouse’sfirstandmiddlename(s) SocialInsuranceNumber DateofBirth
Spouse’sEmployer Address Phone Since Salary
Phone# JobTitle Description JobStatus:1Permanent2Temporary3SeasonalWorker4PartTime5NoJob
IF MARRIED OR COMMON LAW INCLUDE ASSETS AND LIABILITIES OF BOTH
ASSETS LIABILITIESCash Demand/TermLoans Monthlypayment
$ $ $
$ $ $
Investments CreditCard/Personallineofcredit Monthlypayment
$ $ $
$ $ $
Household&Personal MortgageLoans Monthlypayment
$ $ $
$ $ $
LifeInsurance(CashSurrenderValue) $
Automobile CurrentValue
Year Model
$
$
PersonalResidence
$
OtherRealEstate$
$
OtherLiabilities
$
OtherAssets Subtotal $
$
TOTALASSETS $ TOTALLIABILITIES $
Details: NETVALUE(ASSETS-LIABILITIES) $
TOTAL $
www.cbdc.ca
Haveyoueverhadanassetrepossessed? ❏Yes ❏No DoyoucarryLifeInsurance?
Haveyoueverdeclaredbankruptcy? ❏Yes ❏No ❏Yes ❏No
Areyoupartytoanyclaimsorlawsuits? ❏Yes ❏No IfYes,Amount$
Doyouoweanytaxespriortothecurrentyear? ❏Yes ❏No Isthisa,❏Cashvalueor❏Term
BUSINESS INFORMATIONIfyoucurrentlyown,orrepresent,anexistingbusinessthatisapplyingforfinancing,pleasecompletethefollowing:
CompanyName BusinessPhone#()
Fax#()
Cellular#()
CivicAddress MailingAddress MajorActivityoftheBusiness
Homebasedbusiness? Fiscalyearend BusinessStatus
Howlonghaveyoubeeninbusiness? YearEstablished Full-time
PreviousAddress(iflessthan3yrsatpresentaddressandhowlong) WebAddress Part-time
EmailAddress Seasonal
❏Proprietorship❏Partership❏Incorporated❏TobeIncorporated❏Nonprofit
Name Address PhoneNumber FaxNumber
Lawyer
Accountant
Banks
Isthebusinessprovidingsupportforobligationsnotlistedonitsfinancialstatement? ❏Yes ❏No
Isthebusinesspartytoanyclaimorlawsuit? ❏Yes ❏No
Hasthebusinesseversoughtlegalprotectionfromitscreditors? ❏Yes ❏No
Doesthebusinessoweanystatutorycreditors?❏Yes❏No(eg. HST, payroll remittance’s, income tax, WCB, employment standards…)
IfYes,amountowed:$_________________________
Owedto:_____________________________________
Detailsontheabove:
Shareholders/PartnersNames Percentageownership Partnership Percentageownership
Iunderstandthatinordertoprocessmyapplication,theCBDCrequiresmypersonalinformation.Iherebyconsenttothisinformationbeingcollected,usedbytheCBDCanddisclosedtothirdparties,including,butnotlimitedto,Banks,CaissesPopulairesorCreditUnions,creditreportsagencies,insurancecompanies,lawyers,provincialand/orfederalgovernment,accountants,businessconsultants,trainingconsultantsandaffiliatedCBDCs,forthepurposeoffacilitatingtheassessmentandapprovalofmyapplication,aswellasfacilitatingpaymentofloans,determiningmyeligibilityforassistanceprograms,andprovidingmewithinformationabouttraininganddevelopmentopportunities.IacknowledgehavingreceivedacopyoftheSummaryoftheCBDCsPrivacyPolicy.IauthorizetheCBDCtokeepmypersonalinformationinmyfileforaperiodof7yearsafterthelasttransactioninmyfile.I,theundersigned,consenttotheCBDC’suseofelectronicmailtotransferordisclosemypersonnalinformation,includingmyfinancialinformationtoathirdparty.IunderstandthatemailisnotentirelysecureandthatcopiesofmypersonalinformationmaybekeptbymyCBDC’sInternetserviceprovider.
Our Privacy Policy is available on our website at www.cbdc.ca
Signature Signature
PleasePrintName PleasePrintName
Date Date
www.cbdc.ca