Agri Lending Application Form

Transcription

1 Agri Lending Application Form How to complete the form 1 Please use a BLACK pen 2 Mark boxes like this If you make a mistake, do this and mark the correct box 3 Please use BLOCK CAPITAL LETTERS and leave one space between each word A 2 Contents Part 1 Part 2 Part 3 Part 4 Part 5 (i) Part 5 (ii) Farm Business Details Personal Details Application Details Central Credit Register Notifications Data Protection Notice Declaration Three easy steps to applying for business lending with AIB 1. Arrange a meeting with your local AIB branch / Relationship Manager 2. Complete the enclosed application form in full 3. Gather any additional supporting documentation or information that may be required by the Bank (we will inform you if the Bank has any additional requirements). Agri Lending Application Form Thank you for your recent enquiry in relation to credit facilities. In order to progress your application you will need to arrange a meeting with your local AIB branch / Relationship Manager and complete this Agri Lending Application Form. You can complete this form during this meeting or with the help of a Business Professional e.g. Agricultural Consultant, etc. We will inform you of any further documentation that may be required to support your application. Your request for credit will be progressed when we receive these documents along with your signed Agri Lending Application Form. AIB Agri Lending Application Form 1 of 16

2 Part 1: Farm Business Details Please tell us about your farming business. This information will assist us in providing a professional timely response. Business Name Trading Name (if different from above) Farm Address County Contact Person Telephone Best Contact Time Main Bank Account Details BIC IBAN Business Type Sole Trader Company Partnership If Specify Company Registration Number (if applicable) Company Incorporated In (Country) (if applicable) Business/Farm Ownership Details List below any shareholding entity that ultimately owns or controls 25% or more of the shares or voting rights in this business or otherwise exercises control over the management of this business. 1. Owner / Company Name Irish Resident Yes No Date of Birth Percentage Shareholding % Address Occupation 2. Owner / Company Name Irish Resident Yes No Date of Birth Percentage Shareholding % Address Occupation 3. Owner / Company Name Irish Resident Yes No Date of Birth Percentage Shareholding % Address Occupation AIB Agri Lending Application Form 2 of 16

3 Farm Financial Details Note: Personal financial details will be sought in later sections. Borrowing Details: e.g. Farm Overdraft, Credit Union Loan, Stocking Loan, Leasing and Hire Purchase. Borrowing Details Financial Institution Balance () Repayment Amount () Frequency Annual Repayment () e.g. Stocking loan e.g. AIB e.g. 60,000 e.g. 5,000 e.g. Quarterly e.g. 20,000 Total Total Financial Commitments e.g. Merchant Credit, Co-Op Debt, Forward Contracts, Bank Guarantees, etc. Details Amount Total Value Savings/Debtors Savings/Deposit Account(s) Savings/Deposit Account(s) (if applicable) Financial Institution/Debtors Amount Savings Debtors Total Value AIB Agri Lending Application Form 3 of 16

4 Investments Investments Life Assurance Pension Shares Property (specify) (specify) Financial Institution Value Term Remaining (if applicable) Total Value Farm Details Farming System: Please provide a brief description of your farming system (e.g. farm 80 hectares (30 leased) comprising dairy (60 milking herd), beef (80 head calf to beef), forestry (5 hectares) and tillage (barley) enterprises). AIB Agri Lending Application Form 4 of 16

5 Owned Land Details Land Owned Lot 1 Townland Hectares Quality Market Value () (Excellent; Good; Average; Poor) Lot 2 Lot 3 Lot 4 Lot 5 Total Value Details of Rented Land (Specify lease or rent) Townland Hectares Term Annual Rental per Hectare () Lot 1 Lease/Rent Lot 2 Lease/Rent Lot 3 Lease/Rent Lot 4 Lease/Rent Lot 5 Lease/Rent (delete as appropriate) Total Value Capital Expenditure in Past Two s Provide details of development and cost Total Cost (ex VAT) () e.g. 3 bay slatted tank with lie back for 30 cows e. g. 4 0, Dairy Details: (if applicable) Total Value Co-op Supplied Milk Supplied Litres Annual Average Protein Content % Annual Average Butterfat Content % Number of Cows Milked Milk Production Platform Hectares AIB Agri Lending Application Form 5 of 16

6 Livestock Livestock Category Dairy Cows Number of Market Value per Unit () Total () In-Calf Heifers Maiden Heifers Calves 0-6 mths Bulls Beef Suckler Cows In-Calf Heifers Bulls Over 2 years 1-2 years Less than 1 year Sheep Breeding Ewes Lambs Rams Sheep Pigs Sows & Gilts Boars Fatteners Bonhams Horses (specify) Poultry (specify) (specify) Total Value Crops Crop Type Hectares Expected Yield (tonnes/hectares) Total Market Value () Total Value AIB Agri Lending Application Form 6 of 16

7 Farm Machinery Details: (Please list main machinery) Machinery leasing schedule may be sought where more than 5 leases Description Age (years) Value () Total Value Farm Produce in Stock Silage (Tonnes) Silage (Bales) Number of Market Value per Unit () Value () Hay (Bales) Straw (Bales) Grain (Tonnes) (specify) (specify) Total Value Labour Number of Employees Casual Amount per Annum () Permanent Total Details of Farm Buildings Description Livestock Capacity Location (i.e. lot 1, lot 2, etc.) AIB Agri Lending Application Form 7 of 16

8 Direct Payment Details Basic Payment Scheme (including Greening) Number of Entitlements Entitlement Value Amount () Green, Low-Carbon, Agri-Environment Scheme (GLAS) of Expiry 2 0 () Agri-Environmental Options Scheme (AEOS) of Expiry 2 0 () Forestry Premia of Expiry 2 0 () Disadvantaged Area Payment () (specify) () Total Trading Accounts Full Accounts? Yes No Yes No Yes No Period Ending Net Profit + Interest + Depreciation = Trading Profit / EBIDTA Value () Value () Value () Tax Status (Tax up to date) Yes Is a Revenue Agreement in Place? Yes ly Amount of Revenue Agreement () No No AIB Agri Lending Application Form 8 of 16

9 Part 2: Personal Details Your personal details are also important to us and while it is critical to understand your business, it is also important to understand its owners. These details will help us meet your current needs. Personal Details: (Principal Business/Farm Owner) Note: If your personal details below are the same as your business details that you have just filled in, there is no need to complete all fields below. Surname Gender Male Female First Name Address County Country Contact Details Telephone Best Contact Time Date of Birth BIC IBAN Number of Dependants Dependants Age Range From To Residential Status Owner Tenant Living with Parents Number of s at Address Estimated Value of Residential Home (if owner) Previous Address (if less than 3 years at current address) *Are you a Young Trained Farmer? Yes No Off-Farm Income (Tick as appropriate) Off-Farm Employment (i) Amount Off-Farm Employment (ii) Amount Gross Net Frequency of Payment Frequency of Payment * A Young Trained Farmer is defined as a farmer between 18 and 40 years of age and has completed or is in the process of completing the relevant Agri qualifications. AIB Agri Lending Application Form 9 of 16

10 Personal Financial Details: (Principal Business/Farm Owner) Note: If your personal financial details below are the same as your business/farm financial details that you have just filled in, there is no need to complete all fields below. Borrowings Financial Institution Balance () Repayment Amount () Frequency Annual Repayment () Mortgage Personal Loan Motor Loan Overdraft Credit & Cards Tax Liability (give details) Total Savings and Investments Financial Institution Amount Held Savings Deposits Investments Investment Accounts Life Assurance Shares Pension Property (if applicable) Total Value Property 1 (other than family home) Please indicate current property value Gross annual rental income (if applicable) Property 2 (other than family home) Please indicate current property value Gross annual rental income (if applicable) (give details) Please indicate current property value Gross annual rental income (if applicable) Total Total value of properties Total gross annual rental income AIB Agri Lending Application Form 10 of 16

11 Personal Details: (Second Business Owner - if applicable) (If more than two, please use separate form or photocopy this page.) Note: If your personal financial details below are the same as your business/farm financial details that you have just filled in, there is no need to complete all fields below. Surname Gender Male Female First Name Address County Country Contact Details Telephone Best Contact Time Date of Birth BIC IBAN Number of Dependants Dependants Age Range From To Residential Status Owner Tenant Living with Parents Number of s at Address Estimated Value of Residential Home (if owner) Previous Address (if less than 3 years at current address) *Are you a Young Trained Farmer? Yes No Off-Farm Income (Tick as appropriate) Off-Farm Employment (i) Amount Off-Farm Employment (ii) Amount Gross Net Frequency of Payment Frequency of Payment * A Young Trained Farmer is defined as a farmer between 18 and 40 years of age and has completed or is in the process of completing the relevant Agri qualifications. AIB Agri Lending Application Form 11 of 16

12 Personal Financial Details: (Second Business Owner - if applicable) Borrowings Financial Institution Balance () Repayment Amount () Frequency Annual Repayment () Mortgage Personal Loan Motor Loan Overdraft Credit & Cards Tax Liability (give details) Total Savings and Investments Financial Institution Amount Held Savings Deposits Investments Investment Accounts Life Assurance Shares Pension Property (if applicable) Total Value Property 1 (other than family home) Please indicate current property value Gross annual rental income (if applicable) Property 2 (other than family home) Please indicate current property value Gross annual rental income (if applicable) (give details) Please indicate current property value Gross annual rental income (if applicable) Total Total value of properties Total gross annual rental income AIB Agri Lending Application Form 12 of 16

13 Part 3: Application Details Please tell us about your current financial requirements. If you are unsure, please discuss with your Relationship Manager, who will be happy to go through the various options. Application Details Facility 1 Overdraft Loan Credit Line Purpose of Facility e.g. Working Capital Total Planned Spend Non-Bank Input Source of Non-Bank Input (Savings/Department of Agriculture Grant, etc.) Loan Amount Required Proposed Repayment Period s s Loan Repayment Frequency e.g. ly Loan First Repayment Date / / Facility 2 Overdraft Loan Credit Line Purpose of Facility e.g. Working Capital Total Planned Spend Non-Bank Input Source of Non-Bank Input (Savings/Department of Agriculture Grant, etc.) Loan Amount Required Proposed Repayment Period s s Loan Repayment Frequency e.g. ly Loan First Repayment Date / / Describe briefly the purpose of Facility 1 and/or Facility 2 and what financial input is being provided by you and the source of these funds. Please let us know if this investment will be supported by Department of Agriculture (DOA), Food and the Marine funding and/or other specialist funding. Additional Information Depending on the purpose of your borrowing, further details may be required. For example, if you are building animal handling/housing facilities expected construction costs may be required. If you are purchasing land; the address, valuation, etc. may be required. Please provide any additional information which is relevant to your application. AIB Agri Lending Application Form 13 of 16

14 Do you foresee any additional requirement over the coming 12 months? Yes No If Yes, please comment Attachments These details may not be required for all applications. Your Relationship Manager will advise you on what further information is required to ensure a speedy decision. Date Received Certified/Audited Accounts Confirmation of Tax Affairs Statement of Direct Payments Guide to Basic Payment Scheme Entitlements Milk Statements ICBF Report Management Accounts/ Profit Monitor Cashflow Statement Business Plan Aged Debtors Listing Aged Creditors Listing Machinery Leasing Schedule Security/Collateral Proposed Your Relationship Manager will inform you if security is required. Description Registered Owner Number of Hectares Value per Hectare Offered / Held AIB Agri Lending Application Form 14 of 16

15 Part 4 Central Credit Register Notifications NOTICE: Under the Credit Reporting Act 2013 lenders are required to provide personal and credit information for credit applications and credit agreements of 500 and above to the Central Credit Register. This information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements. The Central Credit Register is maintained and operated by the Central Bank of Ireland. For information on your rights and duties under the Credit Reporting Act 2013 please refer to the factsheet prepared by the Central Bank of Ireland. This factsheet is available on Copies can also be obtained at your local AIB branch and on Part 5 (i) : Data Protection Notice (How we use your information at AIB) In this Notice, we explain how we collect information about you, how we use it and how you can interact with us about it. Who We Are When we talk about AIB, or us or we in this Notice, we are referring to Allied Irish Banks, p.l.c. and its subsidiaries, affiliates and their respective parent and subsidiary companies ( AIB Group ). We will share information about you within AIB Group. How We Collect Information about You and Your Consent We collect personal information, for example when you open an account; make a deposit; apply for a loan; use your credit or debit card; or look for advice about your investments. We will also collect information from others, such as credit bureaus (like the Irish Credit Bureau), or through our website, apps, social media sites, community based discussion forums and CCTV footage. We will sometimes record phone conversations to improve security, resolve complaints, improve service and train our people. We will always let you know when we are recording our calls with you. Our websites use cookie technology. A cookie is a little piece of text that our server places on your device when you visit any of our websites. They help us make the site work better for you. You can find out more about cookies, including how to disable them on We also use cloud technology to store data including your information, to support our infrastructure and to deliver you real time personalised offers. By using our products and services, or asking about them directly or online, you are consenting to us collecting and using your information in the ways we explain in this notice and any future versions of it. How We Keep Your Information Safe We know that you care about how information about you is used, stored and shared. We appreciate your trust in us to do that. To protect your information we use security measures that comply with Irish law and meet international standards. This includes computer safeguards and secure files and buildings. What We Use Your Information For Offering and Managing Your AIB Products and Services We gather information about you and the products and services you use, or ask us about. We use this information to: make recommendations about the products or services you hold with us, decide how the products and services you don t yet hold might be suitable for you, and decide to offer these to you, the terms and conditions under which we offer them and how we will offer them to you, for example directly or through digital media. Developing Our Relationship Marketing and Customer Experience We may use your information for direct marketing purposes, where you have given us permission to do so. We may make you aware of products and services which may be of interest to you. We may do this by phone, mail, , text or through other digital media. You can decide how much direct marketing you want to accept, so we make it as easy as possible for you to change your direct marketing preferences, simply contact us directly online or by calling We will also use the information we have gathered on you to personalise your experience on digital media such as websites, apps, ATMs, social media sites, mobiles and tablet devices. This may include giving you product and service content we believe might be of interest to you. Data Analytics Using Information in Our Business We analyse the information that we collect and hold on you through channels such as social media networks (Facebook, Twitter, YouTube etc.). This helps us understand your behaviour, our relationship with you and also our position in a market place. Our analysis helps us to offer you products and services content we believe will be of interest to you. Our Legal Obligations We have legal obligations to prevent fraud, tax avoidance, money laundering and terrorist financing. These obligations mean we have to continually update our customer information. Often we have to share customer information with third party law enforcement agencies. Where false or misleading information is given to us, or we suspect criminal activity we will record this and tell the appropriate law enforcement agencies, which may be within and outside Ireland. Your Information and Third Parties We sometimes use other companies and individuals to work on our behalf or to give us information to help us make decisions. For example to: AIB Agri Lending Application Form 15 of 16

16 analyse data; collect debts; trace information; process information; and conduct market research. We contract with all third parties to whom we give your information for these purposes to keep your information confidential and to respect the law on data protection. If at any time you would like to be removed from our market research database please let us know by writing to AIB, Office of the Director of Retail & Business Banking, Bankcentre, Ballsbridge, Dublin 4. We use credit reference agencies to check your credit history, your debts, how you operate your accounts and to verify your identity. The credit reference agencies record these searches, whether we offer you credit or not. We give them information about the products and services you hold with us and we keep them updated about how well you repay credit. We do this so that we can make decisions about offering credit and carry out credit reviews. We may use credit scoring techniques and automated decision making systems to either fully or partially assess your application. Accessing and Managing Your Information We try to make sure that the information we have about you is accurate and up-to-date. Sometimes we may ask you to verify that the information we have remains accurate. If your information changes or you believe we have information which is inaccurate or not up-to-date please let us know and we will change it. Under the Data Protection Acts you have the right to see the personal information we hold about you. We will charge you 6.35 for this. To get a copy of this information, write to your local AIB branch or to the SARS Unit, 4th Floor, 1 Adelaide Road, Dublin 2. Part 5 (ii): Declaration (To be completed by the individuals listed in part 2 Personal Details). I/We hereby authorise AIB Group to procure credit references from a credit reference agency or agencies and to make such enquiries as any member of AIB Group may deem necessary in connection with this application. I/We hereby confirm that the information which I/We have provided above is true and correct. I/We hereby confirm that the authorisation contained herein to disclose information constitutes a consent for the purposes of the Data Protection Acts, 1988 and Signature of First Applicant* Signature of Joint Applicant (if any) *Authorised representative of the Business Date / Date / Lending criteria, terms and conditions apply. Allied Irish Banks, p.l.c. is regulated by the Central Bank of Ireland. AIB Agri Lending Application Form AIB/AGRILF 03/18 16 of 16