Business Rescue Finance
Facility Required :
1. Application company details
Nature of Business:
Street & Postal Address:
2. Shareholder, Director and Member contact detail
Name & Surname(s):
How were you introduced to Merchant Factors?
3. Board of Directors, Shareholders, Members
Address & Telephone Contact Detail
Contact Person & Email
Is your Debtors book Ceded?
If Yes then Ceded to Whom?
6. Suspensive Sale / Lease Agreements
7. Selling Terms (Credit sales only)
Terms of Sale:
Reservation of Ownership:
Credit Guarantee Insurance:
8. Kindly email the below mentioned documentation to
Audited Financial Statements (for past 2 years)
Latest Management Accounts
Budget and Cash Flow Projection (Minimum 6 Months)
Debtors Age Analysis - Current
Creditors Age Analysis - Current
Statement of Assets and Liabilities (Shareholders/Directors)
Company Statutory Documents Including Tax Clearance Certificate
Copies of invoice, statement, creditor notes, letterhead and sales literature
Brief History of Business
Copies of ID's for all Shareholders, Directors and Members
9. Declaration by Applicant
The above information has been provided on the understanding that it will be treated in the strictest confidence
I/We acknowledge that the information herein contained constitutes the basis on which my/our application shall be considered and that all such information is of material importance and directly relevant to its due consideration.
I/We warrant that all the information herein contained is to the best of my/our knowledge and belief, true and correct in every possible respect, and I/we am not / are not aware of any other information which, if it should become known to you, will affect the consideration of my/our application in any way.
I/We consent to you making enquiries of whatsoever nature for the purpose of verifying the information herein contained.
If a cession of debtors is being offered as security, I/we certify that there are no prior cessions.
I/we verify that there are no arrangements with creditors in existence and that there are no judgements, provisional winding up orders, judicial management or legal action outstanding or threatened against the company, Business, Directors, Partners, Members, etc.
The Credit Applicant hereby acknowledges and agrees that:
The Credit Grantor may:
Perform a credit research on the applicants record with one or more of the registered Credit Bureaux when assessing the applicant's application.
Monitor the credit applicant's payment behaviour by researching his/her records on one or more Credit Bureau.
Use new information and data obtained from the Credit Bureau in respect of the applicant's future credit application.
Record the existence of the applicant account with any Credit Bureau.
Record and transmit details of how the applicant has performed, and how the account is conducted by the applicant in meeting his/her obligations on the account.
Place the applicant name on the Credit Grantor's marketing data base.
Use information obtained from one or more credit bureau, assess future credit applications by the applicants and the members of his/her family.
The credit applicant acknowledges and agrees that any information regarding his/her creditworthiness, defaults in payment to the Credit Grantor, and details of how his/her account with the Credit Grantor is conducted may be disclosed to any other creditor of the applicant or to one or more Credit Bureau.
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