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Financing Application

All information we receive will be treated as confidential.

2.1 When was the business founded:
2.2 Name(s) of owners and percentage shareholding:
2.3 Names, functions, employment history (with dates) and education of key managers:
2.4 What are the main fields of activity of the business:
2.5 Please describe all the products/services offered by the business:
2.6 Number of employees:

3.1 Please complete the following financial information for the last 5 years:
dfdfd	0	-1	-2	-3	-4
Net Sales:
Net Profit (Loss):
Owner's Equity:
Total Debt:
Total Assets:
3.2 Please attach 2001, 2002 and 2003 year-end balance sheet, income and cash flow statements.

4.1 How much financing is the company seeking?
4.2 How much is the company own investment?
4.3 For which purpose and when will the financing be used?
4.4 Briefly describe the proposed activities and developmental plans for the business over the next 5 years.
5.1 List all markets in which your products are currently sold and what percentage these markets make up of your total sales:
5.2 What percent of each of these markets (5.1.) does the company hold?

6.1 Please list the business' top 5 customers, and the type, amount (EUR) of products sold to each, and what percentage each make up of total sales.
Client	Country	Products	Annual amount (EUR)	% sales

6.2 Please list the business' top 5 suppliers, and the type, amount (EUR) of materials purchased from each, and what percentage each make up of total purchases
Supplier	Country	Products	Annual amount (EUR)	% purchases

7.1 Please list the largest competitors for each product line, and the market share each holds:

7.2 Please explain how the company compares to its competitors. Does the business possess any unique technologies, trademarks, production processes or skills?

8. In which areas do you feel you would like to receive technical assistance?

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