HFLA New Business Loan Application

HFLA New Business Loan Application
Section 1: Applicant Information
Name *

First Name Last Name
Are you Jewish? *
HFLA is only able to offer loans to members of the Jewish Community. You must be Jewish in order to apply.
Please describe your involvement in the Jewish community: *
What is your date of birth (mm/dd/yyyy)? *
What is your citizenship status? *
What country were you born in? *
If applicable, what other countries have you lived in?
If applicable, what year did you arrive in Canada?
If applicable, what are the ages of your minor children?
How did you hear about HFLA
Have you ever applied for a loan with HFLA before? *
Have you ever served as a guarantor with HFLA before? *
Section 2: Contact Information
Cell Phone Number *
Alternative Phone Number
Email *
example@example.com
Section 3: Housing Information
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you own or rent this home? *
If you own this home, please list the year in which it was purchased: *
If you own this home, please list the purchase price: *
If you own this home, please list the current value: *
If you own this home, please list the outstanding mortgage on it: *
Section 4: Employment Information
What is your current occupation/job title? *
What is the name of your current employer? *
How long have you worked for this employer? *
What is your gross annual income? *
What is your net annual income? *
Are you planning to maintain this job while starting your new business? *
Section 5: Spousal/Partner Information
What is your marital status? *
What is your spouse/partner's name? *

First Name Last Name
What is your spouse/partner's date of birth? *
What is your spouse/partner's citizenship status? *
What is your spouse/partner's occupation/job title? *
What is the name of your spouse/partner's current employer? *
How long has your spouse/partner worked for this employer? *
What is your spouse/partner's gross annual income? *
What is your spouse/partner's net annual income? *
Section 6: Financial Summary

Both sides must be completed if you are married or living in a common law relationship. If a question is not applicable to you, please list "N/A" in that column.
If applicable, please list your car make, model and year here:

Please provide details about your assets here: *

	Applicant	Spouse/Partner
Cash/bank account balances
RRSP's, GIC's, investments etc.
Other
Total assets

Please provide details about your liabilities here: *

	Applicant	Spouse/Partner
Personal/student loans
Outstanding line(s) of credit
Mortgage/home equity loans
Credit card balances
Other loans or liabilities
Total liabilities
Total typical monthly cost of repayment

Please provide details about your NET monthly income here: *

	Applicant	Spouse/Partner	Comments (if any)
Net MONTHLY employment income
NET MONTHLY Canada Child Benefit Income
NET Monthly income from other sources
Total net MONTHLY income

Please provide details about your monthly expenses here: *

	Monthly Cost
Rent/mortgage
Property tax
Strata/maintenance fees
Car loans/lease payments
Public transportation
Auto insurance
MSP
Extended medical coverage
Utilities (heat & hydro)
TV, phone and internet
Food, toiletries and household supplies
Clothing
Childcare/tuition
Other loan repayments
Other expenses
Total

Have you ever had a loan or financial obligation sent to collections?? *
Have you ever declared bankruptcy? *
If you have declared bankuptcy in the past, please email a recent credit report to jwaselhfla@gmail.com at your earliest convienience.
Section 7: New Business Information

Please share more with us about the business you hope to establish
How much would you like to borrow from HFLA? *
What is the name of the new business you plan to start? *
Please describe the products or services you will offer: *
Briefly identify who you want your primary customers to be and describe their need/want for your product or service: *
Have you done market research on the needs of customers? If so, describe how the results have influenced your plans: *
Describe the activities you will use to promote and sell your product or service.? *

Please complete the following chart outlining the startup costs for this new business:

	Monthly costs
Rent Deposit
Equipment
Website
Marketing
Legal
Accounting
Other

What specifically will you use your HFLA loan funds for? *

Please complete the following chart outlining the monthly costs of running the business:

	Monthly costs
Rent
Supplies
Staff
Marketing
Office
Legal
Accounting

Aside from applying for an HFLA loan, how do you plan to fund your new business in the initial stages? *
How much do you expect to generate/sell in each of the first 12 months and then in year 2 and 3? *
When does the business collect from customers (eg: cash up front, payment in 60 to 90days, deposit and then the balance in 60 days etc)? *
When do you think your new business will be profitable? *
What are your short-term (the upcoming year) and long-term (the next 3-5 years) goals for your business? *
Is there anything else you would like to share about your business plans with us? *
Section 8: Guarantor Information

A guarantor is someone who agrees to be responsible for the debt of a borrower should they default on their loan payments. If you, the applicant, are unable to make your loan payments, your guarantor(s) will be required to do so on your behalf. Please ensure that you have spoken with your guarantors to request that they serve as your guarantor BEFORE you submit their names. Finally, please note that one guarantor cannot be married to the other guarantor or to you, the applicant.
One Jewish guarantor is required for every loan. If you are requesting a loan of more than $5,001, you will need a second guarantor and if you are requesting a loan of more than $10,001 you will need a third guarantor. How many guarantor's do you need for your loan? *
Please provide the name and phone number of your guarantor(s) here so that we can call them to asses their suitability and willingness to serve in this capacity.
Jewish guarantor's name: *

First Name Last Name
Jewish guarantor's cell phone number: *
Jewish guarantor's alternative phone number:
Relationship to your Jewish guarantor: *
Second guarantor's name (this guarantor need not be Jewish):

First Name Last Name
Second guarantor's cell phone number:
Second guarantor's alternative phone number:
Relationship to your second guarantor:
Third guarantor's name (this guarantor need not be Jewish):

First Name Last Name
Third guarantor's cell phone number:
Third guarantor's alternative phone number:
Relationship to your third guarantor:
Section 9: Acknowledgement & Declaration

Please review the following and initial each box if you are in agreement: *

	Initial
I declare that the information provided in this application is true and correct.
I acknowledge and agree that the personal information collected from me may be disclosed to the employees and volunteers involved in the loan decision process, to persons retained by HFLA to administer the loan, the the guarantor(s) listed above and to the other persons deemed necessary by HFLA for the provision or enforcement of the loan.

Date *

Month Day Year
Date
Should be Empty:

HFLA New Business Loan Application

Section 1: Applicant Information

Section 2: Contact Information

Section 3: Housing Information

Section 4: Employment Information

Section 5: Spousal/Partner Information

Section 6: Financial Summary

Section 7: New Business Information

Section 8: Guarantor Information

Section 9: Acknowledgement & Declaration