Resources – We Follow you

Equipment

Name of Supplier/Dealer

Contact Number

Name of contact person *

Factor

Equipment to be financed

Rental Term *

Rental p/m

Annual esc %

Settlement

YesNo

Settlement

Payable to

Name of Business (Full Legal Entity & Trade Style) *

Registration No.

Vat No.

Period under current management *

Previous employer / business if less than 5 years *

Email Address

Nature of Business

Number of Employees

Contact Person

Telephone Number

Fax Number

Postal Address

Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Physical Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Auditors Details

Name

Contact Person

Telephone Number

Email Address

Banking Details

Banker

Branch

Date Opened

Account Number

Overdraft Limit

Insurance Details

Name

Policy Number

Telephone Number

Contact Person

Fax Number

Email Address

Landlord Details

Name

Postal Address

Telephone Number

Contact Person

Fax Number

Email Address

Shareholders, Directors, Members, Controlling Company details

Trade References

TURNOVER DECLARATION

Select Applicable *Turnover is above R2 millionTurnover is under R2 million

Trade Reference & Credit Bureau Consent
I/We hereby consent to you or your cessionary/ies making enquiries to my/our credit records and trade references with any credit reference agency or any third party to confirm the details provided and confirm that this consent shall apply in every respect to every director, shareholder, member and/or associate of the applicant. As signatory to this application I/we hereby indemnify you or your cessionary/ies against any claim that may be made against you or you cessionary/ies by any director, shareholder, member and/or associate of the applicant by virtue of this consent.

Marketing Consent
I/We consent to We Follow You (Pty) Ltd providing personal details to its cessionary/ies, subsidiaries and associated entities and other departments for purposes of marketing and referring potential business opportunities from and by its cessionary/ies, subsidiaries and associated entities as well as for credit assessment purposes.

Financial Intelligence Centre Acts (FICA)
All accountable institutions are required to identify their clients as required by the Financial Intelligence Centre Act No 38 of 2001. We therefore consent to you carrying out identity and fraud prevention checks and sharing information as required.

Certificate
I/we certify that to the best of my/our knowledge and belief the information I/we have given you is correct and I/we are not aware of any matters of circumstances which I/we have not disclosed to you in writing which might influence your decision. I/We certify that there are not writs, summonses, judgements, petitions, winding up order or pending applications for liquidation or threatened against the Applicant or its directors/shareholders.

Annual Turnover
I/We warrant that the Annual Turnover and/or Net Asset Value is true and correct and acknowledge that We Follow you (Pty) has relied on such warranty in determining the legal framework of the facility.

Calculators

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