Small Business Loan Application

Canada Small Business Financing Program

Canada Small Business Financing Program (CSBFP) or Canada Small Business Financing Loan (CSBFL)

Government Loans Guaranteed

Personal Statement of Affairs

Reference

Financial Position

Financial position as of:

Assets

Cash

Liquid Investments (stocks, bonds, etc.)

RRSPs

Real Estate

Primary Residence

Private Investments

Other Assets

Automobiles

Accounts Receivable

Other

Total Assets

Liabilities

Bank Loans

Credit Cards

Mortgages

Income Taxes

Current/Arrears

Other Liabilities (Accounts Payable)

Total Liabilities

Annual income

Annual expenditures

Mortgage (or rent ________) Municipal taxes & heating Insurance premiums Other: Total expenditures

Total income less total expenses

Signature

I HEREBY CERTIFY that all information provided is true and complete. I have no other undisclosed financial obligations and acknowledge the foregoing will be used to determine my credit worthiness. I authorize you to give to and obtain from persons with whom I have financial or other business dealings, and commercial and consumer reporting agencies, credit and other financially-related information about me. If I have supplied my social insurance number (SIN) in any application to you, you may treat my SIN as an integral part of that information and maintain it in your records about me. You may likewise use my SIN and communicate it and allow it to be communicated to those persons and agencies as an aid to identifying me. My deposit account may be charged with payments on the loan.

Personal Statement of Affairs