Financial Assistance Application Company informationCompany name(Required) Address(Required) Mailing address City / Town Postal Code(Required) Email(Required) Telephone(Required)Company status(Required)Incorporated (Inc.)Non-profit organization (NPO)General partnershipRegisteredCooperative (COOP)OtherSHAREHOLDER INFORMATIONNumber of shareholders(Required)123456Majority shareholder contact informationName(Required) First Name Last Name Email(Required) Address(Required) Mailing Address City /Town ZIP / Postal Code Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeSecond Shareholder contact informationName(Required) First Name Last Name Email(Required) Adress(Required) Mailing Adress City / Town ZIP / Code Postal Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeThird Shareholder contact informationName(Required) First Name Last Name Email(Required) Address(Required) Mailing address City /Town ZIP / Postal Code Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeFourth Shareholder contact informationName(Required) First name Last Name Email(Required) Address(Required) Mailing address City /Town ZIP / Postal Code Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeFifth Shareholder contact informationName(Required) First Name Last Name Email(Required) Address(Required) Mailing address City /Town ZIP / Postal Code Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeSixth Shareholder contact informationName(Required) First Name Last Name Email(Required) Address(Required) Mailing address City /Town ZIP / Postal Code Statut(Required)Company directorEmployeeStudentRecipient of Employment InsuranceRecipient of Social WelfareUnemployed and without incomeFINANCING REQUIREDAmount of financing requested(Required) Loan objective(Required)500 words maximum MANDATORY DOCUMENT :Personal financial report (1 per shareholder). You may download and complete the template below or attach your own report.(Required)Accepted file types: zip, xls, xlsx, doc, docx, pdf, Max. file size: 1,000 MB.Download template →OPTIONAL DOCUMENTSBusiness plan or summaryAccepted file types: pdf, Max. file size: 1,000 MB.Financial statements from the last 2 yearsAccepted file types: pdf, Max. file size: 1,000 MB.Recent Financial statementsAccepted file types: pdf, Max. file size: 1,000 MB.2-year financial forecastAccepted file types: pdf, Max. file size: 1,000 MB.Where did you hear about the SADC des Laurentides services?(Required)Internet searchSocial mediaAn SADC des Laurentides partnerAn aquaintanceOtherSpecify If you heard of the SADC des Laurentides from one of our partners (Pays-d'en-Haut RCM, CLD des Laurentides, banks, economic organizations) or clients, please specify which one.DECLARATIONSI 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.(Required) Yes No I acknowledge that I am aware that a non-refundable fee of 1.5% of the loan amount (minimum $400) for the Investment Fund and a non-refundable fee of 1.5% 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.*.(Required) 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.(Required) Yes No 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.(Required) I accept the terms View our Privacy Policy Do you have questions about our financing? Write us
