Jump Start Interest Free Loan Business Application Form Page 4

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Will you be contributing to the purchase? If so, how much?
How many years have you operated the business?
What role do you play in the business?
⃝ Active Manager
⃝ Passive Shareholder
⃝ Director
⃝ Other ___________________________________________________
What is your business structure?
⃝ Sole Trader
⃝ Partnership
⃝ Company
⃝ Trust
⃝ Other ___________________________________________________
* Business Certificate of Registration will be required for holding entities, trustees and trading entities
Do you pay yourself a wage or dividend from the business?
How many staff do you have excluding yourself?
*Please provide a copy of your current profit and loss statement, current balance sheet and latest tax
return (attach here) or at the time of interview with our Relationship Officer.
Jump Start Interest Free Loan Application Form

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