Demande de financement

Sujet *

Business name

Business Address *

City

Postal Code

Email adress

Phone Number

Business Status

Amount of Financing Requested

Number of Shareholders

Primary Shareholder Name

Primary Shareholder Email Address *

Primary Shareholder Address *

City

Postal Code

Primary Shareholder Status

Highest Level of Education Completed *

Member of One or More Underrepresented Groups

Second Shareholder Name

Second Shareholder Email Address

Shareholder Email Address

City

Postal Code

Second Shareholder Status

Highest level of education completed

Member of One or More Underrepresented Groups

Loan objective

Le but du prêt et les retombées attendues.

REQUIRED DOCUMENT: Personal Net Worth Statement (one per shareholder)

Télécharger le modèle Download the Personal Net Worth Statement template if needed

DOCUMENT: Business Plan or Project Summary

DOCUMENT: Financial Statements for the Last Two Years

DOCUMENT: Two-Year Financial Projections

DOCUMENT: Most Recent Internal Financial Statements

Where did you hear about the SADC des Laurentides services?

Consent

Yes

No

I consent to the release by the SADC to any lender, personal information agency, co-borrower or guarantor, as it deems appropriate, of any information relating to this application and to any commitment under which I may be bound to the SADC des Laurentides Inc.

Fees *

Yes

No

I acknowledge that I am aware that a non-refundable fee of 1.75% of the loan amount (minimum $400) for the Investment Fund and a non-refundable fee of 1.75% of the loan amount (minimum $400) for the Youth Strategy will be required upon signature of the application. These fees will be due upon presentation of the financing file to the Investment Committee of the SADC des Laurentides Inc.

Accuracy of Information Provided

Yes

No

I affirm that all of the information contained in this application is true, correct and complete in every respect, that I have no creditors other than those stated herein, and that I am aware that the SADC will rely on this information in responding to this application/offer of bond, and I declare that I have not withheld any information that would affect the decision.*

Personal Information

I accept the terms

By submitting one or more pieces of personal information to SADC des Laurentides through the use of this form, you expressly consent to the collection, use, disclosure and retention of such personal information by SADC des Laurentides in accordance with the terms, conditions and notices set out in this Privacy Policy. We will only collect personal information that is necessary for the purposes for which it was collected and will limit the sharing of such information to those persons and entities necessary for the fulfillment of those purposes. We do not sell, rent or share your personal information with third parties for marketing purposes. Politique de confidentialité*

Financial Assistance Application

de financement

Financing application

Nous avons bien reçu votre demande.

Questions about our financing?

Geneviève Poliquin

Cloée Elorie Chartrand

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