DFC LOAN ENQUIRY FORM PLEASE READ BELOW: This is not a Loan Application form. DFC's Small Business loans starts at $5,000. To apply for a student loan online, click here. See our website for the different types of loans DFC offer and requirements. *I would like to: Be contacted by DFC Make an appointment with DFC *Proposed Appointment Date *Proposed Appointment Time *Email address *Phone Number *How did you hear about us? --Select One-- I am a repeat customer DFC Sales Representative Radio / TV Ad Newspaper Ad DFC Facebook Business Seminar / Mixer Group presentation Publication / Magazine DFC Website Google, Bing etc Referral - DFC Employee Referral - Existing Customer Referral - Friend / Family Trade Show / Exhibition *What would you need financing for? --Select One-- Green Technology for Business Green Technology for Home Small Business (Less than $40,000) Business(Above $40,001) Educational Financing Home Financing / Refinancing DFC Foreclosed Property *Location of Project? --Select One-- Caye Caulker San Pedro Corozal District Orange Walk District Belize District Cayo District Stann Creek District Toledo District *City, Town, Village or Area Business Information *I am seeking to --Select One-- Open a new business Expand my existing business Open another business *Please select business category: --Select One-- Green Technology Agriculture Livestock Aqua Culture Agro Processing Professional Service Business Tourism based business Manufacturing Transportation Other *Please state the specific Business type? (eg: Mechanic shop, Hotel, Tour operator, pig rearing *Business is owned by: --Select One-- Sole Proprietorship Incorporated Company Private Partnership Other *Company Name *Company Address *Do you have experience in this type of business? Yes No *Kindly state experience in years Months These are the kinds of Renewable Energy (RE) and Energy Efficiency (EE) upgrades you can make for your business. Please select the ones you would be interested in doing. Solar Panels Solar Water Heating Washers and Driers Air Conditioning Refrigeration Water Harvesting & Filtration LED Lighting Solar Lighting Other Equipment Cool Roofing Low Flow Plumbing Low Flush Toilets Insulated Windows Building Insulation Small World Turbines Alternative Fuels Electric or Hybrid Vehicles for Business other *If you know how much you need to borrow, please enter it here. *Please provide a breakdown of how you plan to use the loan financing. To add more item description click 'New Entry' New Entry DESCRIPTION OF ITEM ITEM TOTAL Action Total - Owner’s contribution is the value of capital or hard asset you, the business owner can invest into the business. This may also include sweat equity (labour). How do you plan to market/promote your service or product?(eg: Flyers, Newspaper, Facebook etc.) What makes your product/service better than other competitors? Please provide any other details important for the financing of this business project: Home Financing *What type of Home financing are you seeking? --Select One-- Build a new home Energy Efficient Home Home Addition Home Repairs Home Refinancing DFC Foreclosed Property Buy an existing home Home Security (fence, burglar bars etc.) *Name of Lending Institution *Total Loan Amount *Total Loan Paid *Monthly Payment Amount *Total Loan Life *Loan Life Pending *Please state original loan purpose *Reason for Refinancing These are the kinds of Renewable Energy (RE) and Energy Efficiency (EE) upgrades you can make for your business. Please select the ones you would be interested in doing. Solar Panels Solar Water Heating Washers & Driers Air Conditioning Refrigerators and Freezers Rain Water Storage & Filtration LED Lighting Solar Lighting Other Equipment Cool Roofing Low Flow Plumbing Low Flush Toilete Insulated Windows Building Insulation Small Wind Turbines Bio Gas, Bio Fuels (for Cooking) Other *If you know how much you need to borrow, please enter it here. *Is the property: Title Lease *This is: Retrofiting an Existing Home New Construction Project Please list or describe in as much detail, how the desired home financing would be used *Enter details for Foreclosed Property of interest *Best Offer ($) Cash Purchase DFC Financing needed Would financing also be needed for home improvements? Yes No Please state any other details you would like to add Learn more about acquiring DFC Foreclose properties Education Financing *What will you study? *Will you be studying Locally or Abroad? Within Belize Abroad *If abroad, kindly state country Country... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe *Please state name of Institution *Have you been formally accepted by the Institution? Yes No *Date for commencement of studies. *Course Duration Years Months *Please provide details of financing needed DFC offers a maximum of $100,000 BZD for courses beyond 2 year. Cost of Course Amount BZ$ Tuition Fees Living Expense (lodging & Food) Travel Expense Other Total - Funds Available Amount BZ$ Own Source Scholarship Other (specify) Total - Kindly provide any other important details for this financing. *PROSPECTIVE CLIENT (To add a new prospective client please click 'New Client') New Client Applicant First Name Middle Name Last Name Date of Birth National Status Address Action 1 Contact Information Applicant Office # Home # Cell # E-mail Address Action 1 Income Applicant Employment Status Name of Business/Employer Employment Period Marital Status I Currently Action 1 --Select One-- Self Employed Employed Full Time Student Part Time Student --Select One-- Married Common Law Single Widow --Select One-- Rent Where I Reside Own Where I Reside Applicant Occupation/Position Annual Salary (Last Year) Total for any Other Income (Last Year) Annual Payment Capacity (35% Gross) Monthly Payment Capacity Action 1 FINANCIAL INFORMATION (If Applicable) *Do you have any current loan commitments? Yes No Name of Bank Loan Balance Monthly Payment Action New Entry *Do you have any Credit Cards? Yes No Name of Bank Credit Limit Action New Entry *Are you currently a guarantor for any loan? Yes No Institution Loan Value Commencement year Action New Entry Please indicate from the list below, the documents you have at this time: Valid Photo ID (Social Security Card, Passport, Voters ID) Financial Records Energy Audit Business Plan DFC can assist with the business plan Updated land/Property Tax Relevant permits, contracts, licenses etc. For Companies Certificate of Incorporation, Memorandum and Articles of AssociationCertificate of Good Standing, Resulution to Borrow, authorized Signatures. Please indicate from the list below, the documents you have at this time: Valid Photo ID (Social Security Card, Passport, Voters ID) Financial Records DFC can assist with compiling financial statements Business Plan BELTRAIDE's Small Business Development Center (SBDC) can assist. Documents Relevant permits, contracts and licenses Please indicate from the list below, the documents you have at this time: Energy Audit (Energy Service Provider can supply) Cost Estimate (Energy Service Provider can supply) Valid Photo ID (Social Security Card, Passport, Voters ID) Employment Letter or Certified income statement (if self employed) Proof of savings Bill of Quantities Cost for materials and labour for phases of construction Approved Building Plan New construction or addition Please indicate from the list below, the documents you have at this time: Valid Photo ID (Social Security Card, Passport, Voters ID) Certificates, Diplomas, Tanscripts Acceptance Letter from Institution Course Outline Particulars on Security (Guarantor or Real Estate Collateral for loans in excess of $15,000) Evidence of Scholarship, Grants etc. (If applicable) Learn more about acquiring DFC Foreclose properties Submit My DFC Inquiry Request
