Cash flow requirements: - Accord Small Business Financing



RELIEF REQUEST AS A RESULT OF COVID-19Please fill in all fields and return to us as soon as possible to credit@Date: FORMTEXT ?????Company Name: FORMTEXT ?????Monthly Anticipated Drop in Revenues: FORMTEXT ?????, FORMDROPDOWN (pick monthly or yearly)Are your Canada Revenue Agency Accounts current? FORMDROPDOWN , if noAmount in Arrears to Payroll/Source Deductions: FORMTEXT ?????Amount in Arrears to GST/HST: FORMTEXT ?????Amount in Arrears to Income Tax: FORMTEXT ?????Physical Work Location: FORMTEXT ?????Primary Industry Serviced: FORMTEXT ?????Primary Client(s):1. FORMTEXT ?????6. FORMTEXT ?????2. FORMTEXT ?????7. FORMTEXT ?????3. FORMTEXT ?????8. FORMTEXT ?????4. FORMTEXT ?????9. FORMTEXT ?????5. FORMTEXT ?????10. FORMTEXT ?????Cash flow requirements:Please list all expected loan obligations, and indicate which obligations you are requesting relief for (including any not with Accord Small Business Finance Group / Accord Financial)LEAD BANK OBLIGATIONSLead BankOperating Line Limit / Credit LimitMargining Limit (if different)Current BalanceLength of Requested ReliefRelief Approved?ROYAL BANK$2,000,000$2,000,000$1,500,0003 MonthsYESBrief Summary of relief requested/granted: Bank Provided a Temp limit increase for 3 months. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN Brief Summary of relief requested/granted: FORMTEXT ?????YELLOW IS A SAMPLEOBLIGATIONS WITH LENDERS OTHER THAN ACCORDLenderNext Payment DateMonthly PaymentType of Relief Requested*Requested ReliefRelief Approved?ABC LeasingApr 15, 2020$4,500Interest Only PMTS3 MonthsPENDING FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN *Types of Relief Requested Include: None; Payment Drag; Skip/Reduced. YELLOW IS A SAMPLEHAVE YOU APPLIED FOR GOVERNMENT RELIEF PROGRAMS?Government Relief ProgramQualificationAppliedEstimated Monthly Subsidy / Amount Applied for75% Canadian Emergency Wage Subsidy (CEWA)YES – I believe my business will qualifyPENDING$75,00075% Canadian Emergency Wage Subsidy (CEWA) FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????10% Temporary Wage Subsidy (TWS) FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????BDC Small Business Loans directly from BDC FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????Extended Work Sharing Program FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????Canada Emergency Business Account ($40,000 SME Loan) FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????Business Credit Availability Program (BCAP) with EDC/BDC (through your bank) FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????I am currently deferring my federal GST/HST remittances FORMDROPDOWN I am currently deferring my federal Income Tax Payment FORMDROPDOWN I am currently deferring my federal Customs/Duty Payments FORMDROPDOWN I am currently deferring my EHT Premiums (ensure your province offers this deferral.) FORMDROPDOWN I am currently deferring my PST Tax Payments (ensure your province offers this deferral.) FORMDROPDOWN I am currently deferring my WCB Premiums (ensure your province offers this deferral.) FORMDROPDOWN YELLOW IS A SAMPLEWHAT OTHER RELIEF PROGRAMS HAVE YOUR APPLIED FOR / QUALIFY FOROther Program (provide details)QualificationAppliedEstimated Monthly Subsidy / Amount Applied for FORMTEXT ????? FORMDROPDOWN FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMDROPDOWN FORMTEXT ?????Any commentary you would like to provide: FORMTEXT ?????Please provide a brief description of your situation including steps you are taking: FORMTEXT ?????Has your business conducted any layoffs?# of employees before COVID-19: FORMTEXT ?????# of employee layoffs: FORMTEXT ?????What contract(s) do you need relief on, if not all, please list which contract(s): FORMTEXT ALLPlease describe the what relief you are requesting? FORMTEXT I would like partial payments for 3 months. I can afford $xx per month.Do you need additional working capital? FORMTEXT ?????How can Accord assist you in managing through COVID-19? FORMTEXT ?????Please send the following documentation with the return of this completed document in order to process your request: FORMCHECKBOX Last 2 years of accountant prepared financial statements FORMCHECKBOX Current dated Interim Financial Statements (income statement & balance sheet) FORMCHECKBOX Current dated aged A/R A/P ReportPlease help us improve our services to you, by completing this short 2 minute survey. Form Completed By: FORMTEXT ?????Your E-Mail Address: FORMTEXT ?????Your Business #: FORMTEXT ?????Your Mobile #: FORMTEXT ?????X:______________________________Authorized Signature ................
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