additional information to the lease/ loan application

Transkrypt

Solutions for your business.
ADDITIONAL INFORMATION TO THE LEASE/ LOAN APPLICATION
1. Basic data
Full name of applicant:
Registered address:
Business address:
Telephone:
NIP:
www:
REGON:
KRS:
2. Scope of business activity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Date of company registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Number of employees as at the last day of the accounting year: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Is business activity run in own real property?
(applicable to the companies keeping a single entry set of books to register revenues and expenses):
YES
NO
- land and mortgage register number of the plot where business activity is run: . . . . . . . . . . . .
- term of the rental agreement (expiry date): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Business scope: commerce/manufacturing/services
Share of assortment in the sale
7. Sales structure
Share %
COUNTRY: . . . . . . . . . . . . %
EXPORT: . . . . . . . . . . . . %
8. Equity/organisational/personal relationship in a group of companies
Name and address
Nature of relationship
% share
Equity in TPLN
Market value
Encumbrance
9. Machine fleet held (or transport fleet)
Type of machine, type of
equipment, make of vehicle
Year of
manufacture
................................................
(date and signature)
IKB Leasing Polska Sp. z o.o. • ul. Seweryna Mielżyńskiego 14 • Okrąglak • 61-725 Poznań
Tel.: +48 61 84 60 310 • Fax: +48 61 84 60 329 • [email protected] • www.ikb-leasing.pl
Członkowie
Zarządu: Zarządu:
dr Wilfried
Adam
Górczyński,
Peter Hartmann,
Anna Kamińska-Skrzypczak,
Agnieszka Żurek
Członkowie
drBarth,
Wilfried
Barth,
Peter Hartmann,
Adam Górczyński
Kapitał zakładowy 16.000.000,- PLN • NIP: 778-13-70-639 • mBank S.A. O/Poznań 58 1140 1124 0000 5470 0200 1001
Sąd Rejonowy Poznań - Nowe Miasto i Wilda w Poznaniu, VIII Wydział Gospodarczy KRS • nr KRS 0000002358
1
10. Major clients
Company name/country
of origin
Product
% share in sales
Dates
of payment
Period of
co-operation
Product
% share in sales
Dates
of payment
Period of
co-operation
11. Major suppliers
Company name/country
of origin
12. Major competitors and the company position in the market (strengths/weaknesses):
............................................................................................................
............................................................................................................
............................................................................................................
............................................................................................................
13. Contracted credits, loans and other financial obligations (own and guaranteed)
Financing
institution
Type of credit/loan
(limit amount)
Monthly capital
instalment
Current
assumptions
Start date/end date
14. Current lease agreements entered into (apart from IKB Leasing Polska)
Lessor
Object
Monthly instalment
Current
indebtedness
Start date/end date
................................................
Członkowie
Zarządu: Zarządu:
dr Wilfried
Adam
Górczyński,
Peter Hartmann,
Agnieszka Żurek
Członkowie
drBarth,
Wilfried
Barth,
Peter Hartmann,
Adam Górczyński
2
15. Structure of trade receivables by age (in TPLN) as at: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total
Total overdue
Overdue up to
30 days
Overdue from
31 and 90 days
Overdue above
90 days
16. Structure of trade liabilities by age (w TPLN) as at: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total
Total overdue
Overdue up to
30 days
Overdue from
31 and 90 days
Overdue above
90 days
17. Is the company in arrears with payments towards the Social Insurance Institution (ZUS):
YES
NO
18. Is the company in arrears with payments towards the Tax Office (US):
YES
NO
19. Is the company a party to the composition proceedings concerning the payment
of arrears to ZUS/US:
YES
NO
................................................
Członkowie
Zarządu: Zarządu:
dr Wilfried
Adam
Górczyński,
Peter Hartmann,
Agnieszka Żurek
Członkowie
drBarth,
Wilfried
Barth,
Peter Hartmann,
Adam Górczyński
3

additional information to the lease/ loan application

Transkrypt

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