Drought Assistance Fund Online Form

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raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

>  About You
    Proposed Activity
    Financial Position
    Supporting Documents
    Declaration




Please provide your 6 digit BP number, if available





A Trust is not an eligible borrowing type
Parties and associated entities to the business
Note: If Trust, list trustee company/individual(s)





Applicant Details




DD/MM/YYYY

Numbers only: No spaces or hyphens




Applicant details




DD/MM/YYYY

Numbers only: No spaces or hyphens



Property Address







per rates notice

Postal Address





raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
>  Proposed Activity
    Financial Position
    Supporting Documents
    Declaration


   
Proposed Activity
Please provide an estimate of costs for each activity







Maximum $50,000

Proposed Terms & Conditions





raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
>  Proposed Activity
    Financial Position
    Supporting Documents
    Declaration


Property provided as security for loan







hectare (ha)



Can be found on Rates Notice

I/We acknowledge that a Statutory Charge will be taken over our property (or part)
Note: NSW Rural Assistsnce Authority will advise the farmers commercial lender of the loan which will rank after the business' existing loans

raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
>  Proposed Activity
    Financial Position
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    Declaration


Commitment Schedule









raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
✓  Proposed Activity
>  Financial Position
    Supporting Documents
    Declaration


Financial Position Assets






hectare (ha)

exclude value of W.A.L
Financial Position  




















raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
✓  Proposed Activity
>  Financial Position
    Supporting Documents
    Declaration


Accountant's Details




Numbers only: No spaces or hyphens


Rural Financial Counsellor's Details




Numbers only: No spaces or hyphens


Financial Institution Details




Numbers only: No spaces or hyphens


raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
✓  Proposed Activity
✓  Financial Position
>  Supporting Documents
    Declaration


  

If you do not have one, download this template - Cash Flow Statement Template


Please download the Mortgagee Consent Form and have your bank complete and return via email. - Mortgagee Consent form
Tax Return 
Please Upload:
  • Balance sheets and Financial Statements of your farm business. (These include Profit and Loss Statements, Stock Trading account and Depreciation schedules)

Note: Tax Assessment Notices are not acceptable

  • Most recent Tax Return:
    • Individual members of a Partnership/ Family Trust
    • Individual Director(s)/Shareholder(s) of all Companies

Note: In each of the above, each Director/Shareholder, etc. is to provide details including the source of income, if they are not primarily dependent on the business for their livelihood.


   
Supporting Documentation
Please upload any other relevant documentation/information

raa_home  About You  >  Proposed Activity  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
✓  Proposed Activity
✓  Financial Position
✓  Supporting Documents
>  Declaration


  
General Statement *
Any person who knowingly and with intent to defraud the NSW Rural Assistance Authority (RAA) or another person, files an application for assistance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent act, which is a crime under the Crimes Act 1900 and subjects the person to criminal penalties.

Privacy *
The information in this application is provided voluntarily and is being collected by the RAA for purposes related to the administration of the scheme of assistance under which you have applied, including the assessment of the effectiveness of the scheme. 

This may involve disclosing the information in this application to contractors engaged by the Authority or to either State or Commonwealth government agencies. We will supply you with details of those that we have disclosed information to, if you apply to us in writing. Information regarding your application may also be discussed and exchanged with the nominated contact persons listed by you in your application.

Not providing the information requested in this application or providing false or misleading or incomplete information may impact on the ability of the RAA to accurately assess your application.

The RAA agrees to take all reasonable measures to ensure that the personal information collected by it is stored securely. You may access or correct your personal information by contacting the RAA by telephone on 1800 678 593 (toll free) or by writing to: Manager Administration, NSW Rural Assistance Authority, Locked Bag 23, ORANGE, NSW, 2800.
Calls to "1800" numbers from your home phone are free. Calls from public phones and mobiles may be timed and attract charges.

Your Statement *
I/we declare that:

1. The information provided in this form is correct.
2. The primary production business listed above is an eligible primary production business.
3. I have read the Guidelines in relation to the assistance applied and understand the conditions and requirements therein.

I/we understand that:
    1. Deliberately giving false or misleading information is a serious offence.
    2. The NSW Rural Assistance Authority can make relevant enquiries to ensure I receive my correct entitlement.
    3. Any overpayment will be recovered.
    4. Personal information is protected and can be given to someone else where state/territory or Commonwealth legislation requires or where i give permission.
    5. Statistics may be collected and analysed in such a way as to protect my anonymity.
    6. Prior to applying for this assistance I/we sought independent financial advice and the taxation implications of any assistance granted has been explained to me.
    7. I/we authorise the release of information by relevant authorities, including Commonwealth, state/territory or local authorities to the NSW Rural Assistance Authority relating to my/our application for a Drought Assistance Fund Loan.
    8. I/we agree to provide feedback in relation to this Scheme.
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