Natural Disaster Relief Loan  

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raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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    Assistance Required
    Financial Position
    Supporting Documents
    Declaration


Please select your type of business and declared event.




There are no registered declared events for Small Business Operators



There are no registered declared events for Primary Producers



There are no registered declared events for Sporting & Recreation Clubs



There are no registered declared events for Not for Profit Organisations








Number of years



e.g. Director, Manager, Partner, etc















Number of years

Number of years



Sporting and Recreational Club Details




Number of years

Number of years






Working at least 35 hours per week





raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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    Assistance Required
    Financial Position
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    Declaration





BP Number Update

Your BP number has changed and will now begin with the number 2.
(e.g. 2545678)


Numbers only, beginning with 2 (e.g. 2545678)



If you are applying under a trust entity you will need to supply a copy of the trust deed


Include spaces, e.g: 12 312 312 312

Parties and associated entities to the business
Note: If Trust, list trustee company/individual(s)





Include spaces, e.g: 12 312 312 312
Key Contact Information




DD/MM/YYYY

Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000




Key Contact Information




DD/MM/YYYY

Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000







Number only





as per rate notice

as per rate notice

Postal Address


Number only





raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
>  Assistance Required
    Financial Position
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Assistance Required




Insurance Details


Landline: +61298721111 / Mobile: +61417000000



Proposed Works & Terms & Conditions


Sports and Recreation Club repayments must be made monthly






Maximum Loan Amount - $130,000

Maximum Loan Amount - $25,000

Maximum Loan Amount - $10,000
Recovery Plans


raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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Property Holding
The property where work is to be carried out






hectare (ha)







Landline: +61298721111 / Mobile: +61417000000






raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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Property provided as security for loan
Please note, RAA cannot take security over property held in a Self-Managed Super Fund (SMSF)






hectare (ha)







Landline: +61298721111 / Mobile: +61417000000







raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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✓  Assistance Required
>  Financial Position
    Supporting Documents
    Declaration


Commitment Schedule - Liabilities








Please click below to add details of other financial commitments

raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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✓  Assistance Required
>  Financial Position
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Financial Position - Property






hectare (ha)

Financial Position - Property






hectare (ha)

Financial Position - Assets












Assets





Please download and complete the Income Details template and attach in the below field - Income Details Template Link



Financial Position - Assets





















Financial Position - Assets














Financial Position - Assets
















raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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✓  Assistance Required
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Accountant's Details




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Main Financier's Details




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Rural Financial Counsellor's Details




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Solicitor's Details




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

✓  About You
✓  Assistance Required
✓  Financial Position
>  Supporting Documents
    Declaration



Please download the Mortgagee Consent Form and have your bank complete and return via email. - Mortgagee Consent form



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



e.g. as shown on electricity bill





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 individual Tax 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.


Supporting Documentation
Please upload any other relevant documentation/information

raa_home  About You  >  Assistance Required  >  Financial Position  >  Supporting Documents  >  Declaration

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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 Collection Notice *
The information in this application is provided voluntarily and is being collected by the NSW Rural Assistance Authority (‘the 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 a third party engaged by the Authority or to either State or Commonwealth government agencies. The Authority will supply you with details of those parties that the Authority has disclosed information to if you apply to the Authority in writing. Information regarding this application may also be discussed and exchanged by the Authority with the authorised nominated contact persons listed by you as part of your application.

The Authority agrees to take all reasonable measures to ensure that the personal information collected by the Authority is stored securely.

You may access or correct your personal information by contacting the Authority 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.

I understand and declare that:
1.  I have read, understood and I will comply with the scheme guidelines.
2.  The information I have provided in this application is true and correct.
3.  If I am applying on behalf of a partnership, trust or corporation, I have the authority to make this application on its behalf.
4.  The business meets the criteria for an eligible business for the scheme.
5.  When asked for financial information, I must provide my personal tax returns in addition to financial information for all business entities with which I have a formal interest including companies, partnerships and self-managed super funds.
6.  The invoices for this application have not been used to secure any other NSW government funding. (i.e. I have not been reimbursed for these invoices in the past).
7.  I will be required to repay any overpayment I receive.
8.  I authorise RAA to discuss this application with relevant private/public authorities, financial lending institutions and accountants, including my nominated financial counsellor/advisor. If required, I will provide documents from the relevant authority to permit the RAA to do this.
9.  Any assistance received under this scheme will be applied in accordance with the scheme guidelines and the RAA may conduct an audit or inspection to ensure I have complied.
10.  I have obtained/will obtain all required work approvals and permits prior to commencing work, and I understand the need for any development to be ecologically sustainable, in accordance with the Rural Assistance Act 1989 No 97.
11.  I will provide feedback in relation to this scheme if requested.
12.  Any statistics collected and analysed will be done in such a way to protect my anonymity.
13.  Applications will be assessed in the order they are received and loan offers will be based on the available funds of the scheme.
   
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