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NSW Forest Industries Innovation Fund

Forest Industries Innovation Fund Online Form

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Forest Industries Innovation Fund

Have you applied previously for assistance from the NSW Rural Assistance Authority?

BP Number

Please provide your 6 digit BP number, if available

Business Name

What Industry Sector is your business?

Briefly detail the nature of your enterprise

ABN

ACN

Key Contact Information

First Name

Middle Name(s)

Last Name

Date of Birth

DD/MM/YYYY

Phone

Mobile

Email Address

Borrowing Entity

A Trust is not an eligible borrowing type

Executor

Did you want to add more Key Contacts?

Yes

Key Contact Information

First Name

Middle Name(s)

Last Name

Date of Birth

DD/MM/YYYY

Phone

Mobile

Email Address

Borrowing Entity

A Trust is not an eligible borrowing type

Executor

Residential Address

Street

City

Postcode

State

Country

Local Land Services Area

Local Government Area (LGA)

per rates notice

Is the Residential Address your Postal Address?

Yes

Postal Address

Street

City

Postcode

State

Country

14.28%

Details of Project Proposal

Which of the required objectives does your project meet?

Improve the profitability of the NSW timber industry and drive employment growthTo drive new investment and innovation to enhance the NSW forestry industry.Position the NSW forestry industry to adjust and capitalise on new opportunities

Total estimated cost of the project (ex GST)

Less any Grant (if applicable)

Net Cost of the Project

Loan required (ex GST)

Location of Proposed Project

Street

City

Postcode

State

Country

Local Government Area (LGA)

per rates notice

Preferred Terms & Conditions

Please outline your preferred repayment terms

Monthly

Quarterly

Half Yearly

Annual

Monthly

Please specify the months you wish to make repayments

Jan, Apr, Jul, OctFeb, May, Aug, NovMar, Jun, Sep, Dec

Please specify the month you wish to make repayments

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Please specify the months you wish to make repayments

Jan, JulFeb, AugMar, SepApr, OctMay, NovJun, Dec

28.56%

Property provided as security for loan

Security Type

CommercialResidentialOther

Street

City

Postcode

State

Country

Registered Proprietor/s

Area

hectare (ha)

Owner

Value

Current Market Value

Amount Owing

Title Reference(s)

Deeds Held By

Description

42.84%

Commitment Schedule

Type of Facility

Limit

Lender

Interest Rate

Balance Owing

Repayment Frequency

Repayment Amount

Is your commitment interest only?

YesNo

57.12%

Financial Position Assets

Street

City

Postcode

State

Country

Area

hectare (ha)

Total

Financial Position

Total Other Real Estate

Total Plant & Machinery

Total Motor Vehicles

Total Cash at Bank

Total Share Portfolio held / Co-Operative Shares

Total Superannuation

Other (describe)

Other Amount

Did you want to add an additional (other) asset

YesNo

Other (describe)

Other Amount

Did you want to add an additional (other) asset

YesNo

Other (describe)

Other Amount

Have you ever been bankrupt, assigned a liquidator, or are there any unsatisfactory judgements against you in any court?

YesNo

Details

71.4%

Accountant's Details

Firm Name

Contact First Name

Contact Last Name

Phone

Mobile

Main Financier's Details

Bank of Company Name

Contact First Name

Contact Last Name

Phone

Mobile

Solicitors Details

Firm Name

Contact First Name

Contact Last Name

Phone

Mobile

85.68%

Upload Cash Flow Statement

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

Upload Project Proposal

Upload Copy of current LLS rates notice(s)

Upload Copy of current LGA (Council) rates notice(s)

Tax Return

Please Upload:

Last 3 years balance sheets and Financial Statements of your business. (These include Profit and Loss Statements, Stock Trading account and Depreciation schedules)

Note: Tax Assessment Notices are not acceptable

Last 3 years business and individual Taxation Returns and a current listing of all Assets and Liabilities held by each:

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.

Upload Taxation Return

100%

By ticking this box, I/We have lodged an application with the NSW Rural Assistance Authority for a Forest Industries Innovation Fund Loan to carry out works within my/our business.

To allow this application to be assessed, 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 Forest Industries Innovation Fund Loan.*

I agree

General Statement *

Any person who knowingly and with intent to defraud the NSW Rural Assistance Authority 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 NSW Rural Assistance Authority 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 Authority to accurately assess your application.

The NSW Rural Assistance Authority 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 Authority by telephone on 1800 678 593 (Calls to “1800” numbers from your home phone are free. Calls from a public phone and mobiles may be timed and attract charges.)

Declaration *

I/We have read and understood the Forest Industries Innovation Fund Guidelines.

I declare

My/our business had long-term viability and the capacity to repay the loan when it is due.

I declare

I/We own or manage a business involved in:

I declare

Plantation and/or native forest operations; or
Forest product processor/milling operations; or
Silvicultural or forest harvest/haulage contracting; or
Production or development of forest industry inputs or outputs, including market development.

I/We have provided security for the low interest loan acceptable to the NSW RAA.

I declare

I/We are willing to undertake periodic reporting requirements or undergo periodic site visits and auditing to evaluate whether the funded project has achieved its objectives.

I declare

I/We are not a State Owned Corporation or Government agency.

I declare

I/We have read the Privacy statement above about how information provided in my/our application may be used.

I declare

I/We understand that completed applications under the Scheme will be assessed in order of receipt and loan offers will be based on the availability of funds.

I declare

I/We hereby give approval to the NSW Rural Assistance Authority to obtain and provide information relevant to this application from my/our lender(s), accountant or any other nominated person.

I declare

I/We give ongoing approval for the NSW Rural Assistance Authority to obtain and provide information as required from my/our lender regarding any review (annual or otherwise) of my facilities with that lender and/or this loan if approved.

I declare

I/We solemnly declare that this is a true and correct statement of all my/our affairs.

I declare

I/We make this solemn declaration subject to punishment by law provided for any wilful false statement.

I declare

I/We agree to provide feedback and/or participate in a review of this Scheme.

I declare

Thanks for completing the Forest Industries Innovation Fund Application

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