PROJECT FINANCE SEARCH
- APPLICATION
“We do not charge up-front fees”
We charge a percentage success fee
only upon an applicant accepting finance through
The Vitala Group, at the applicant's sole discretion.
We do not accept finance applications for less than a minimum
US $5 million
equivalent, per project application, neither do we finance acquisitions
Thank you for contacting us for an initial finance
search appraisal.
Please note the following
:
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Before completing the Project
Finance Application form, please click on this button
We are unable to reply without
the applicant complying with the below: |
i. |
To open
this form as a
Word
document please click the button on the right, complete the form &
email it to us at:
info@vitalagroup.com alternatively, fax the completed form
to: +44 20 8991 9558 |
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ii. |
This
questionnaire is for an initial appraisal only.
None of the
information supplied by you is binding upon either party
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iii. |
We respond to
all questionnaires submitted, provided
they are fully completed |
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iv. |
Please use separate pages for any additional explanations you may
wish to submit. Please allow up
to 14 working days for us to reply |
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v. |
No support
documents are required at this stage. We
are unable to review those at this early stage of investigation
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vi. |
All information
submitted is held confidential and is not passed on to third
parties, until a
Confidentiality / Non-Disclosure / Non-Circumvention Agreement
has been entered into with the applicant. |
vii |
Applications not submitted
in English language can not be responded to |
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viii
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The Vitala Group of Companies
abides to the laws of the UK Bribery Act 2011, which prohibits:
- The bribing of another person
-
The bribing of foreign officials
-
Failure of a commercial organisation to prevent bribery
_______________________________________________________________________________________
We do not permit any of our international
representatives to ask for / solicit / demand any up-front
payments / fees / costs reimbursements and / or to make any
conditions, subject as a prelude to seeking project financing
from us.
_______________________________________________________________________________________
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Please note, that in providing project
finance related services, we are not in any way acting as legal,
tax and / or other professional advisers, or giving legal, tax
or other professional advice and we strongly recommend, that
project finance applicants obtain independent legal or tax
advice, as appropriate. The
services of The Vitala Group are not offered to any person or
entity, in any jurisdiction or country where the advertisement,
offer, provision or sale of such services is restricted or
prohibited by law, or regulations are in force where The Vitala
Group would be subjected to any registration or licensing
requirements. |
Project
Finance - Application Form
APPLICATION
DATE:
…………………………….
1)
PROJECT APPLICANT/
OWNER/ BORROWER
| 1 |
Representative / broker
/ intermediary full name |
|
| 2 |
Are you a
broker / intermediary ? |
YES…../ NO…… |
| 3 |
Applicant’s
full name (completing this
application, must be the developer / borrower) |
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| 4 |
Developer current profession |
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5 |
Developer
/ borrower
correspondence address |
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Office
telephone |
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Cell phone |
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Fax |
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Email |
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Website |
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6 |
Is
this the first time you are seeking financing for this project? |
YES ...../ NO
..... |
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7 |
If "NO", when did you start
seeking finance for your project? |
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2) DESCRIBE YOUR PROJECT
( for which
you are seeking finance )
Theme Park /
Water Park / Mall / Stadia / FEC / Marina /
Attractions / Hotel
/ Resort /
Casino / Other
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
______________________________________________________________________
3) I/we confirm
having read the FAQ section (frequently asked questions) of this
website:
YES ( ) / NO ( )______________________________________________________________________
4)
DESCRIBE THE COMPANY
SEEKING FINANCE ( Its legal
status, only if formed already )
Corporation, LLC,
Partnership, Inc., Limited Company, Sole
Proprietors, Other
| a. |
Authorised
Capital in Local Currency |
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| b. |
Paid up Capital in Local Currency |
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| c. |
State type of local currency |
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| d. |
Name of
legal entity |
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| e. |
Name
of project (
if chosen ) |
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| f. |
Legal location of company registration |
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| g. |
Company registration no. (
if any ) |
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| h. |
Date company established |
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| i. |
Location where company was
registered |
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5) CURRENT OWNERS
and / or
SHAREHOLDERS
(
at the time of
application ):
| Mr / Mrs / Company |
|
% |
| Mr / Mrs / Company |
|
% |
| Mr / Mrs / Company |
|
% |
| Mr / Mrs / Company |
|
% |
| Mr / Mrs / Company |
|
% |
| Mr / Mrs / Company |
|
% |
| |
|
100 % |
6) COMPANY BOARD OF DIRECTORS
AND OFFICERS’ NAMES
(
at the time of application ) :
| Mr / Mrs / Company |
|
Chairman /
President / CEO |
| Mr / Mrs / Company |
|
Director /
Vice President |
| Mr / Mrs / Company |
|
Director /
Vice President |
| Mr / Mrs / Company |
|
Secretary |
| Mr / Mrs / Company |
|
Treasurer |
| Mr / Mrs / Company |
|
Others |
7)
PROJECT DESCRIPTION
Please describe it in detail (
using
separate pages if necessary ):
| a. |
Available land area:
( specify measurements
) |
...............square meters
............................acres
........................hectares |
| b. |
Is land zoned for your purposes?
If YES,
state current type of zoning
|
YES ….. / NO ….. |
| c. |
Site Location and Address
----------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------
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Remarks |
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d.
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Describe
in your own words
the current stage of project development, by
ticking, one or more of
the
following: |
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i. Start-up,
no works done |
YES ..... / NO ..... |
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ii. Some works
done: ( studies / research
/ other
) |
YES ..... / NO ..... |
| Is
a written land survey available? |
YES ..... / NO ..... |
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| i. Date of
land survey? |
......
/........ /.......... |
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Detailed Works
Already Completed: |
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- Marketing Feasibility Study (MFS) |
YES ..... / NO ..... |
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- Financial Feasibility Study (FFS) |
YES ..... / NO ..... |
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- Business Plan (BP) |
YES ..... / NO ..... |
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| - Development
Budget
(DB) |
YES ..... / NO ..... |
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| -
Initial Outline Architectural Master Plan (IOAM) |
YES ..... / NO ..... |
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- Final Architectural Master Plan (FAM) |
YES ..... / NO ..... |
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-
Environmental Impact Study (EIS) |
YES ..... / NO ..... |
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- Social Impact Assessment (SIA) |
YES ..... / NO ..... |
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Full Information Technology Survey (ITS) |
YES ..... / NO ..... |
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e. |
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ii. All other tests completed
- Construction
estimate
- Quantity survey obtained |
YES
..... / NO .....YES ..... / NO
.....
YES ..... / NO .....
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iii. An
architectural concept has been developed and plans are
already available |
YES
..... / NO .....
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iv.
Planning and building applications have already been submitted |
YES
..... / NO ..... |
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v.
Planning and building application
submission
date |
|
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vi.
Planning and building application has
been granted (
date
) |
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f. |
Has the land already been acquired?
If Yes, at what value?
|
YES
..... / NO .....
US$: |
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g. |
State
month / year of acquisition
If No, has a deposit secured the land site? |
YES ..... / NO .....
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h. |
How much of a
deposit has been paid? |
US$:
|
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i. |
If not
acquired, has an option been secured? |
YES ..... / NO ..... |
8)
FINANCIAL INFORMATION ( US
$ equivalent
)
| a. |
Total estimated project costs |
US$: |
| b. |
How much of a.
above, has been provided by the
Shareholders as equity /
partnership / joint venture? |
US$: |
| c. |
How
much additional equity are you seeking? (additional
partners) |
US$: |
| d. |
How
much loan capital are you seeking?
(financing only) |
US$: |
| e. |
Are you contemplating using all
/ part of any future
loans for any
payments other than for your project? |
YES ..... / NO ..... |
NOTE
–
amounts in (b), (c) and (d) must total
that in (a).
9)
LOAN PERIODS
Please state your preferred loan period, ( excluding existing and or
additional equity requirements )
Please tick only one
option:
Less than 5 years
c
More than 10 years
c
In excess of 15 years
c
As long as
possible
c
10)
GUARANTEES / LITIGATION
(A) Although not required in
most cases, we need to know shareholders’
personal willingness to issue “personal guarantees
”.Are you willing to provide personal guarantees?
YES.... / NO …
(B) Are there any outstanding litigation matters
pending against the company, and / or its owners / officers
YES……./NO......
If YES, please describe:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
11)
DUE
DILIGENCE
| a. |
Are shareholders prepared to submit to a due diligence
investigation /
procedure |
YES ..../ NO ... |
| b. |
Is
there any information about the Shareholders
/ Investors /
Directors
/ Project - which you do not
wish to disclose in the future? |
YES ..../ NO
... |
| c. |
Are you prepared to disclose to us all sources which have been
approached in the past for
equity/ loans, for this project? |
YES ..../ NO
... |
|
d. |
Do
any of your current shareholders intend to serve in a future
management role in your
project? |
YES ..../ NO
... |
| e. |
Have
you any objections to a number of brokers
/ sources being involved in locating finance? |
YES ..../ NO
... |
12)
LOANS
| a. |
Are
there any past outstanding loans to repay from the loan(s) you
are seeking?
( Not necessarily for this project )
If Yes, please
describe the type of loans in detail:
|
YES .... / NO
.... |
| b. |
Do you seek a loan only? |
YES .... / NO
....
|
| c. |
Do
you seek equity ( in addition to a
loan )?
|
YES .... / NO
.... |
| d. |
How much do you seek?
i.
Loan US$ ...................
ii.
Equity US$
..................
TOTAL |
%
%
100 % |
13)
CAPITALISATION
(
Please
calculate the estimated total of your project costs )
Please indicate percentage distribution
terms:
| a. |
We have
already equity invested
|
% |
| b. |
We
intend to increase our equity in (a) by |
% |
| c. |
We have additional cash deposits on hold, amounting to |
% |
| d. |
We seek “ to borrow
” in total |
% |
| |
TOTAL |
100 %
|
14)
BORROWER
/ APPLICANT /
OWNER’S - ESTIMATED
PAST DEVELOPMENT COSTS
| a. |
What is the total expenditure (
in summary ) to date
which you have incurred
for this project development ?
|
US$ |
| b. |
What are the matters covered in
a., above:
Studies, land
acquisition, tests, surveys, etc ….
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
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15) |
In the process of searching for finance/equity through us, have
you been asked or has it been demanded from you by any third
party, without our consent and contrary to our policy, to
make any payments/inducements/ fee instalments/advances, as a
precursor to seeking project finance through The Vitala Group ? |
| |
|
YES ..... / NO ..... |
| |
If YES,
please state by whom / state the name: |
__________________ |
| |
If YES,
please state the amount / inducement requested: |
US$ ______________ |
GENERAL
NOTES
| a. |
This application for a Finance Search does not constitute an offer
and /or solicitation
for the procurement of project finance by The
Vitala Group or any of its subsidiary
companies.
|
| b. |
In
the event of The Vitala Group and /or any of its
subsidiary companies financing
directly a
project
application, no Success Fees / Commissions shall become due.
|
| c. |
We do not charge up-front fees
or any other hidden fees.
We charge a percentage success fee only upon an applicant
accepting finance through The Vitala Group,
acceptance
always
at the applicant's sole discretion.
|
| d. |
It should be noted that neither the Vitala Group nor its companies,
directors,
shareholders and /or affiliates receive any Finders Fees/ Commissions
from other sources,
unless specified
in writing by both parties, and these are subject to a signed Financial
Procurement Agreement.
|
| e. |
If
your project appears to be acceptable to us to proceed with, you may
be responsible
for the cost of an initial site visit by one of our Executives, to meet
your team, inspect your
site and discuss
the way forward for your application.
Such costs are
fully refunded from
our Fees listed in
the Financial Procurement Agreement, to be signed by both parties, if
and when your party accepts a financing offer made by
/ through
The Vitala Group.
|
| f. |
In
the event of other intermediaries
/ brokers / lenders’ representatives
/ agents making
loan proposals, separate Finders Fees / Commissions may
be due and will be advised (
where applicable ). Such fees are
subject to
the signing of a separate agreement and are usually only due when a
financing offer has been accepted
/ closed by the applicant.
In most cases, lenders will pay these fees
directly from the loan proceeds to the intermediary(
ies ).
Upon submission of loan proposals to the
client, loan proposer, broker and financial intermediaries need
to be advised that the Vitala Group will require direct contact
with those involved in the project finance process after its
first introduction.
This requirement is mandatory, in order to
comply with the Foreign Corrupt Practices Act (FCPA), the
Sarbanes-Oxley Act, and with US Federal Money Laundering
regulations under US banking regulations.
The Vitala Group and its
associated companies, are not licensed as a Financial Advisor or
Securities Dealer, as defined by laws in the United Kingdom
Financial Services and Marketing Act 2000 and other similar
legislation prevailing in the European Union, including the
United States of America Investment Advisers Act of 1940.
All information
contained in this website is not governed by the SEC, the United
States Securities Act of 1933, and as amended, The Securities
Exchange Act 1934 and regulations thereto, or the Investment Act
of 1940. |
The above form
is independently prepared and presented and is not to be construed as a
solicitation for investment funds or sale of securities for investment,
nor is this a complete report or a form of contract.
The
applicant recognises that The Vitala Group and its subsidiary companies
are not licensed to sell securities and that these transactions
would be exempted under successive legal acts as existing in the
legal geographical jurisdiction of the project application.
The above text does not
represent the public policy of any bank
or financial institution. Finance application terms and availability are subject to
change.
|
Thank you
for the interest you have shown in the Vitala Group of Companies and we
shall respond to your
enquiry soon.
|
| Email:
info@vitalagroup.com
Phone: +44 (0) 20 8991 9556 Fax: +44 (0)
20 8991 9558 |
