formato cuestionario basico empresas

GENERAL APPLICATION
IT CAPITAL
Day
Factoring
Lease
Contract advancement
REGIONAL ADRESS OFFICE
BRANCH OFFICE
NUMBER
Month
Equipment Purchase
Year
Sale & Leaseback
REGIONAL ZONE
BRANCH OFFICE
ACCOUNT EXECUTIVE`S NAME
NOTE (WHEN THE INORMATION DOESN`T APPLY MARK THE SPACE WITH A N/A OR A DASH)
APPLICANT COMPANY`S FULL NAME
____________________________________________________________________________________________________
ECONOMIC GROUP
SECTOR
RFC
COMPANY`S LIFESPAN
COMPANY`S CONSTITUTION DATE
THE COMPANY`S OFFICIALS WHITH THE FACULTY TO REGISTER AND SIGN CONTRACTS
__________________________________________________________________________________________________
__________________________________________________________________________________________________
COMPANY`S SPECIFIC COMMERCIAL ACTIVITY
BRIEF DESCRIPTION OF THE COMPANY`S HISTORY (DETAILED CHANGES IN THE SOCIAL OBJECT, NAME AND CAPITAL)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
SHAREHOLDERS FROM THE LAST LEGAL REFORM
NAME
% OF
SHAREHOLDING
POSITION THEY HOLD AND RFC
CURP AND THE PLACE OF BIRTH
COMPANY`S SENIOR OFFICIALS
PERSONAL DATA
NAME
CURREENT POSITION
AGE AND PLACE OF
BIRTH
1
RFC
CURP
FAMILY COMPANY (GENERATIONAL REPLACEMENT`S NAME AND EXPERIENCE)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
INSTITUTIONAL COMPANIES (STAFF ROTATION POLICY)
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
MAIN DOMESTIC CUSTOMERS
NAME
LINE AMOUNT
(MILLION OF PESOS)
SALES` POLICY
(CREDIT/ CASH)
SALES %
RATE
GUARANTEE
$
$
$
$
$
MAIN EXPORT CUSTOMERS
NAME
PRODUCT
SALES %
DESTINATION COUNTRY
SALES` POLICY (CREDIT/CASH)
OPERATION
PROCESS DESCRIPTION
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
PRODUCTIÓN SYSTEM
TECHNOLOGY
USED
____________________________________________________________________________________________
NATIONAL
FOREIGN
SERIAL
INTERMITANCE
BY PROJECT
SEASONALITY OF BUSINESS (EXPLAIN WHAT MONTHS AND REASON)
INSTALLED CAPABILITY (LAST 3 YEARS)
YEAR
QUANTITY
OTHER:
USED CAPACITY
MEASURE
USED %
CAUSES OF VARIATION
20
20
20
INSTALLED CAPACITY BALANCE POINT (UNITS)
WASTE %
TREATMENT
MAIN COMPETITORS
MARKET`S
PARTICIPATION %
NAME
STRENGHTHS
WEAKNESSES
MAIN SUPPLIERS
NAME
ANTIQUITY
INPUTS
PURCHASE %
PURCHASE POLICY
LINE AMOUNT
(MILLION OF PESOS)
$
$
$
$
$
2
GUARANTEE
MACHINERY &
EQUIPMENT ORIGIN
%NATIONALS
%IMPORTED
IN CASE OF USING IMPORTED IMPUTS, DESCRIBE THE TYPE OF IMPUTS, MEANS OF PAYMENT AND THE COUNTRY OF ORIGIN.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
FILIAL, SUBSIDIARY OR HOLDING COMPANIES (F, S, H)
NAME
F/S/H
ACTIVITIE
FUNDING RECEIVER OR
FINANCING SUPPLIER
ATTACH THE COMPANY`S ORGANIZATION CHART,AND THE OPERATIONAL WORKFLOW.
REAL ESTATE AND PROPERTIES OF COMPANY
SURFACE AREA
DESCRIPTION (INCLUDE THE RPP)
P/R/A*
LAND
CONSTRUCTION
LIEN AMOUNT OF REAL
ESTATE
VALUE
(MILLION OF
PESOS)
$
$
$
$
$
$
$
$
$
$
* OWNED/RENTED/RENTED TO SHAREHOLDERS
MONTHLY RENT PAYMENT (PESOS): $
HUMAN RESOURCES
TOTAL COMPANY EMPLOYEES
IS THEIR A LABOR
UNION
SENIOR OFFICERS
NO
WORKERS
EXECUTIVE
TEMPORARY EMPLOYEES
NAME OF THE WORKERS`UNION
YES
TOTAL No. OF EMPLOYEES IN THE LAST 3 YEARS AND
PARTIAL
20
20
20
20
________________________________________________ LOWEST AND HIGHEST SALES` MONTH ENE-FEB-MAR-ABR-MAY-JUN-JUL-AGO-SEP-NOV-DIC
EXPLAIN THE PERIODICITY AND SALES PER MONTH _________________________________________________________________________________
MARKET (INDICATORS, PRICING, AND GOODS FORM THE LAST 3 FINANCIAL YEARS AND PARTIAL)
FINANCIAL
YEAR
PRODUCT
VOLUME
(UNITS)
COST PER UNIT
(PESOS)
SALES PRICE
(PESOS)
$
$
$
$
20
$
$
20
$
$
$
$
$
$
$
$
$
$
$
$
3
CAUSES OF VARIATION (DEMAND, SUPPY AND
PENETRATION TO THE MARKET)
20
20
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
PARTIAL
FINANCIAL
YEAR
VOLUME
(UNITS)
PRODUCT
20
COST PER UNIT
(PESOS)
SALES PRICE
(PESOS)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CAUSES OF VARIATION (DEMAND, SUPPY AND
PENETRATION TO THE MARKET)
MAARKET EXPECTATIONS ( NEW PRODUCTS, DEMAND, HISTORIC AND EXPECTED OFFERS, PRICING CONTROL, ETC.)
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
OBJETIVE MARKET WHERE THE PRODUCT ARE DESIGN
____________________________________________________________________________________________________
DISTRIBUTION CHANNELS AND/OR BRANCHES AND /OR POINTS OF SALE
TYPES OF TRANSPORTATION OF COMPANY PRODUCTS
NUMBER OF OWNED VEHICLES
NUMBER OF RENTED VEHICLES
FINANCIAL LIABILITIES’ DETAILS (IN MILLIONS OF PESOS)
LENDERS
TYPE OF
LOAN
DATE
CURRENCY
AMOUNT
BEGINNING
4
ENDING
GUARANTEE*
USE OF
RESOURCES
NAME OF OWNER(S)
* INDICATE NUMBER OF PROPERTIES WITH VALUE
OVER APPRAISAL
GUARANTEES ISSUED (INCLUDE GUARANTEES, OBLIGATIONS,GUARANTEE DEPOSIT)
AMOUNT
(MILLION OF
PESOS)
GRANTED TO
RISK INSURANCE
START AND END OF
CONTRACT
INTERMEDIARIE
INSTITUTION
$
$
ENVIRONMENTAL IMPACT
_____________________________________________________________________________________________________________________________
CREDIT REQUEST JUSTIFICATION (CLEARLY DETAIL THE SPECIFIC USE OF RESOURCES)
__________________________________________________________________________________________________________________________
OTHER FINANCIAL OR BANKING SERVICES RECENTLY USED (5 YEARS UNTIL THE PRESENT)
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
TYPE OF FINANCIAL PRODUCT OR INVESTMENTS (AMOUNT IN PESOS OR US DOLLARS)
AMOUNT
______1________________________________________________________________________________________________________$___________________
______2________________________________________________________________________________________________________$___________________
______3________________________________________________________________________________________________________$___________________
______4________________________________________________________________________________________________________$___________________
______5________________________________________________________________________________________________________$___________________
______6________________________________________________________________________________________________________$___________________
______7________________________________________________________________________________________________________$___________________
______8________________________________________________________________________________________________________$___________________
______9________________________________________________________________________________________________________$___________________
______10_______________________________________________________________________________________________________$___________________
______11_______________________________________________________________________________________________________$___________________
______12_______________________________________________________________________________________________________$___________________
______13_______________________________________________________________________________________________________$___________________
______14_______________________________________________________________________________________________________$___________________
______15_______________________________________________________________________________________________________$___________________
______16_______________________________________________________________________________________________________$___________________
5
PROPOSED GUARANTEES
CURRENT VALUE OVER THE APPRAISAL
______1________________________________________________________________________________________________________$___________________
______2________________________________________________________________________________________________________$___________________
______3________________________________________________________________________________________________________$___________________
______4________________________________________________________________________________________________________$___________________
______5________________________________________________________________________________________________________$___________________
______6________________________________________________________________________________________________________$___________________
______7________________________________________________________________________________________________________$___________________
______8________________________________________________________________________________________________________$___________________
______9________________________________________________________________________________________________________$___________________
______10_______________________________________________________________________________________________________$___________________
¿Have you ever or are you currently working on main public, politic or governmental job in México or Overseas?
Yes
No
Specify your job, title and time lapse of the job:
____________________________________________________________________________________ ______________________________________
¿Your spouse or relatives, have worked in a main public, politic or governmental position in México or Overseas?
Yes
No
Specify relative name, title and time lapse of the job:
__________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________ _
¿Any Partners or Shareholders of your company are or have worked in a main public, politic or governmental position in México or Overseas?
Yes
No
Specify Partner or Shareholder name, title and time lapse of the job:
_____________________________________________________________________________ _____________________________________________
¿Have you been arrested or any event related to terrorism or criminal activity in México or Overseas?
Si
No
Specify time lapsed and detailed event:
__________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________ ___
CONTACT OF CLIENTS
1* Name of company: ________________________________________________________________________________________________________
Telephone number (s):_____________________________________________________________________________________________________ ___
Contact name: ____________________________________________________________ Last Year Sales:____________________________________
Current Year Sales: _____________________________________ Credit Amount: __________________________ Days of credit:_________________
2* Name of company: ________________________________________________________________________________________________________
Telephone number (s):____________________________________________________________________________________________________ ____
Contact name: ____________________________________________________________ Last Year Sales:____________________________________
Current Year Sales: _____________________________________ Credit Amount: __________________________ Days of credit:________ _________
3* Name of company: ________________________________________________________________________________________________________
Telephone number (s):___________________________________________________________________________________________________ _____
Contact name: ____________________________________________________________ Last Year Sales:____________________________________
Current Year Sales: _____________________________________ Credit Amount: __________________________ Days of credit:_______ __________
4* Name of company: ________________________________________________________________________________________________________
Telephone number (s):__________________________________________________________________________________________________ ______
Contact name: ____________________________________________________________ Last Year Sales:____________________________________
Current Year Sales: _____________________________________ Credit Amount: __________________________ Days of credit:______ ___________
5* Name of company: ________________________________________________________________________________________________________
Telephone number (s):_________________________________________________________________________________________________ _______
Contact name: ____________________________________________________________ Last Year Sales:____________________________________
Current Year Sales: _____________________________________ Credit Amount: __________________________ Days of credit:_____ ____________
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CONTACT OF SUPPLIERS
1.- Name of Company: _______________________________________________________________________________________________________
Telephone number (s): _______________________________________________________________________________________________________
Contact name: _____________________________________________________________ Last year purchase: ________________________________
Current year purchase: ____________________________________ Credit Amount: _______________________ Days of credit: __________________
2.- Name of Company: _______________________________________________________________________________________________________
Telephone number (s): ______________________________________________________________________ _________________________________
Contact name: _____________________________________________________________ Last year purchase: _____________________________ ___
Current year purchase: ____________________________________ Credit Amount: __________________ _____ Days of credit: __________________
3.- Name of Company: _______________________________________________________________________________________________________
Telephone number (s): ___________________________________________________________________ ____________________________________
Contact name: _____________________________________________________________ Last year purchase: _____________________________ ___
Current year purchase: ____________________________________ Credit Amount: _______________ ________ Days of credit: __________________
4.- Name of Company: _______________________________________________________________________________________________________
Telephone number (s): ________________________________________________________________ _______________________________________
Contact name: _____________________________________________________________ Last year purchase: _____________________________ ___
Current year purchase: ____________________________________ Credit Amount: ____________ ___________ Days of credit: __________________
5.- Name of Company: _______________________________________________________________________________________________________
Telephone number (s): _____________________________________________________________ __________________________________________
Contact name: _____________________________________________________________ Last year purchase: _____________________________ ___
Current year purchase: ____________________________________ Credit Amount: _________ ______________ Days of credit: __________________
Bank References
______________________________ ______________________ _______________________________ ___________________________________
Name of bank
Account or Credit number Contact Name
Telephone (s)
______________________________ ______________________ _______________________________ ___________________________________
Name of bank
Account or Credit number Contact Name
Telephone (s)
______________________________ ______________________ _______________________________ ___________________________________
Name of bank
Account or Credit number Contact Name
Telephone (s)
______________________________ ______________________ _______________________________ ___________________________________
Name of bank
Account or Credit number Contact Name
Telephone (s)
______________________________ ______________________ _______________________________ ___________________________________
Name of bank
Account or Credit number Contact Name
Telephone (s)
Expected transactionality
¿ Are you acting on his own behalf or for a third party ? Specify:_______________________________________________________________________
¿Your resources are own or third party? Specify______________________________________________________________ ______________________
If you´re acting or your resources are from a third party, please provide the following details of the third party:
Name of person of Company you´re acting for or receiving resources __________________________________________________________________
(Commercial Activity or Pourpose) ______________________________________________________________________________________________
Company date constitution or birth date of person*________________________ Place of constitution or birth* _________________________________
Country of constitution or Birth* __________________________Nacionalty __________________TAX ID number (RFC if apply) ___________________
Gender* _________________ CURP or Birth register or Constitution number* (cuando cuente con esta) ______________________________________
Electronic Advance Number (México )____________________ Telephone (s) ___________________________________________________________
E-mail _______________________________________Occupation or Professional activity* ____________________________________
Full Adress
__________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________ ___________
7
Expected transactionality
1. ¿ What is the approximate amount of payments expected to be made monthly? $____________________________
2. ¿ monetary instrument with which expects to make payments ?
Payment from your account/ _________ Checks _________ Cash _________ Otra (Especifique)_________________ Wide Transfer_______________
3. ¿Do you expect make pre-payments for your financing?
Yes ___________ No __________
I DECLARE UNDER THE PENALTY OF PERJURY THAT I KNOW THE SCOPE AND CONTENT UNDER ARTICLE 112 BY THE LAW OF CREDIT
INSTITUTIONS AND THAT THE INFORMATION PROVIDED HERE IS CORRECT.
SIGNATURES
NAME AND
SIGNATURE
CLIENT OR LEGAL REPRESENTATIVE.
BUSINESS EXECUTIVE NAME AND SIGNATURE
Format for exclusive use of IT Capital or Capital Independiente Empresarial y Comercial SA de CV SOFOM (ENR ) filed with
IMPI (copyright 2011) , unauthorized distribution , copying or sale, will be penalized by federal authorities.
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