Bounce Back Business Loan Scheme Bounce Back Business Loan Scheme 1 Questions about your business2 Business details3 Bank Account Details4 Account Authorised Signatories5 Loan6 Business In Difficulty7 Declarations Has your business been adversely impacted by Covid-19?*YesNoIf you answer no to this question, your business is not eligible for a Bounce Back Loan.Are you a Bank of Ireland UK customer?*YesNoThis form is for Bank of Ireland UK customers only.If you are entering information on behalf of another party on the account, please ensure you have obtained their permission to do so and that you have shared a copy of our privacy notice. This can be found here: https://www.bankofirelanduk.com/site-links/privacy-notice/Please tick this box to confirm that you have read and fully understood the features of the product you are applying for.*YesNoYour business is not eligible for a Bounce Back Loan Legal name of your company, business or association*Trading as name (if applicable)Company registration/Registered charity number (if applicable)Business Address - Building/House Number*Street*Town*Business Postcode*Business mobile number*Business Contact Email address* Number of employees*Please select:0-910-4950-249250 plusLength of Trading*Please select:Less than 1 year1 - 4 years5 - 9 years10 - 14 years15 - 24 years25-49 years50 years or moreApplicant details These are the details of you as the individual who is submitting this application on behalf of all parties on your account.Role in the company*Please select:Business OwnerDirectorMemberBeneficial Owner over 20 percentBeneficial Owner of the CompanyGuarantorAuthorised SignatoriesSignatory*YesNoFirst Name*Surname*Date of Birth* Date Format: DD slash MM slash YYYY Residential Address - House Number*Street*Town*Postcode* You’ll need to have a business current account or charity bank account with Bank of Ireland UK to apply for the Bounce Back Loan scheme. Please provide your account details below. This will be where you’ll receive your funds and make repayments from.Name on the account*Account number*Sortcode*This is your 6 digit sort code starting with 90 or 30, please don’t include hyphens. It can be found on your cheque book, account statement or when logged in to online banking.Standard Industrial Classification (SIC) Code*Please view attached document and enter your code: Please provide any other – Director / Member / Beneficial Owner over 20% and beneficial owner of the company / Guarantor / Authorised Signatories. This must be the same as what appears on your mandate. Not providing all of this information will result in delays in fulfilling your request.NOTE: As the individual with the authority to submit this application, your details have been captured in the 'Applicant Details' section and do not need to be re-input here.Business type*Please select:Sole TraderPartnershipLimited Liability PartnershipLimited CompanyClub Association or SocietyCharityTrustHow many Directors / Members / Beneficial Owners over 20% and beneficial owner of the company / Guarantor / Authorised Signatories are there?*Please select:0123Excluding your applicant details that you’ve filled in at step 2.Person 1First Name*Surname*Role in the company:*Please select:DirectorMemberBeneficial Owner over 20 percentBeneficial Owner of the CompanyGuarantorAuthorised SignatoriesSignatory?*YesNoDate of Birth* Date Format: DD slash MM slash YYYY Residential Address - House Number*Street*Town*Postcode*Email address*Mobile number*Person 2First Name*Surname*Role in the company:*Please select:DirectorMemberBeneficial Owner over 20 percentBeneficial Owner of the CompanyGuarantorAuthorised SignatoriesSignatory?*YesNoDate of Birth* Date Format: DD slash MM slash YYYY Residential Address - House Number*Street*Town*Postcode*Email address*Mobile number*Person 3First Name*Surname*Role in the company:*Please select:DirectorMemberBeneficial Owner over 20 percentBeneficial Owner of the CompanyGuarantorAuthorised SignatoriesSignatory?*YesNoDate of Birth* Date Format: DD slash MM slash YYYY Residential Address - House Number*Street*Town*Postcode*Email address*Mobile number* You can apply for a loan which is up to 25% of your turnover in calendar year 2019, from a minimum of £2,000, up to a maximum of £50,000. If your business was established after 1 January 2019, you should apply the 25% limit to your estimated annual turnover from the date you started your business.What is your annual turnover, or if your business was established after 1 January 2019, what is your estimated annual turnover? For businesses which are part of a broader group, please state your group’s turnover.*How much would you like to borrow under the Bounce Back Loan Scheme:*Min amount permitted is £2,000 and Max of £50,000 and must less than or equal to 25% of the turnover amount provided in the previous fieldPlease confirm that this is equal to or less than 25% of annual turnover for 2019 or your estimated annual turnover. Please note: if you are part of a larger group, this should apply at group level.*YesNoYou can only apply for a loan up to 25% of your turnover.As part of the scheme, the government is offering a Business Interruption Payment which will cover your interest payments for the first year of a Bounce Back Loan. The government will pay the Business Interruption Payment directly to your lender. Please confirm that you are content to agree to this Business Interruption Payment. (4)* Yes, I confirm I agree to the Business Interruption Payment. (4) Please note: for the purposes of questions in this form and the State Aid form which ask about amount of State Aid received, you will need to take into account both the value of the loan applied for and the value of the Business Interruption Payment (covering the first year of interest on the loan). Was your business already insolvent or otherwise a business in difficulty (5) on 31 December 2019?*YesNo(5) As defined by EU Regulation 651/2014, a business is considered in a difficulty if it met any one of the following criteria on 31 December 2019: Individuals or companies that have entered into collective insolvency proceedings; Limited companies which have accumulated losses greater than half of their share capital in their last annual accounts (this does not apply to SMEs* less than 3 years old); Partnerships, limited partnerships or unlimited liability companies which have accumulated losses greater than half of their capital in their latest annual accounts (this does not apply to SMEs less than 3 years old); Where the undertaking has received rescue aid and has not yet reimbursed the loan or terminated the guarantee, or has received restructuring aid and is still subject to a restructuring plan; A company which is not an SME where, for each of the last two accounting years: i) your book debt to equity ratio has been greater than 7.5; and ii) your EBITDA interest coverage ratio has been below 1.0 *SMEs are defined as a business with less that 250 employees and either (a) a turnover of less that £44.45m or (b) a balance sheet of less than £38.22MIf you are unsure whether your business was in difficulty , please use the Business in Difficulty Questionnaire to help answer this question. You do not need to submit this as part of your application.If yes please also see the State Aid Form and If No, please go to the declaration sectionI confirm that my business is eligible for a Bounce Back Loan based on the criteria set out in the State Aid From above* I confirm By submitting this application you are confirming you are eligible and understand the implications of the declarations listed below. You are also confirming that you have authority to submit this application form on behalf of all parties on the account. With the submission of this loan application, you, the Borrower, declare the following:I/We confirm that my/our business was carrying on its business on 1 March 2020, that I was/we were engaged in trading or commercial activity in the United Kingdom as at the date of this application (6) , and the business has been adversely impacted by COVID-19.* I/We confirm (6) Ignoring any temporary cessation due to Covid-19I/We confirm that this is my/our only application for a Bounce Back Loan for this business, and I am/we are not part of a wider group (5) which has already received a Bounce Back Loan. I/We confirm that I/we (including as part of a wider group) have not yet obtained, nor am I/are we in the process of applying for, a loan through either the Coronavirus Business Interruption Loan Scheme (CBILS), the Coronavirus Large Business Interruption Loan Scheme (CLBILS), or the Covid Corporate Financing Facility (CCFF) for this business unless those facilities will be refinanced in full by the Bounce Back Loan which I am/ we are now applying for.* I/We confirm (5) Group is defined as: two or more companies are part of a group when one company: holds 25% or more of the shares or voting rights in another company; or can appoint or remove the directors/shareholders of another company; or exercises influence over the commercial decisions another company or controls it in some other way. Companies are also part of the same group if they are sister companies owned by one or more individuals in common and the companies operate in the same or closely related markets (or the products/services they provide are complementary or would generally be purchased by the same set of customers for the same end use)”I/We confirm that I am/we are not: (a) a bank or building society; (b) an insurance company; (c) public sector organisation, or a state-funded primary or secondary school; or (d) an individual other than a sole trader or a partner acting on behalf of a partnership.* I/We confirm I/We confirm at the time of submitting this application, I am/we are not subject to a debt relief order or an individual voluntary arrangement, an undischarged bankrupt nor, if we are applying for the loan as a partnership, in a voluntary arrangement with my/our creditors nor in liquidation, or (in Scotland) subject to a debt payment plan, trust deed - whether protected or not - or an undischarged bankrupt.* I/We confirm I am/we are either a company or limited liability partnership incorporated or established in the UK, or I am/we are tax resident in the UK* I/We confirm I/We confirm that either: a) I was/we were not a business in difficulty on 31 December 2019 and that if I am/we are successful in this Bounce Back Loan application(7), that I/we, together with any other business in my/our group/under my, our common control will not have received more than £711,200 in State Aid since 19 March 2019 under the State Aid Temporary Framework(8) (or £106,680 in the case of fisheries and aquaculture businesses, or £88,900 for agriculture business); or b) That if I was/we were a business in difficulty on 31 December 2019, that if I am successful in my Bounce Back Loan application(9): i) For businesses involved in fisheries and aquaculture: I/we together with any other business in my/our group/under my/our common control will not have received more than £26,670 in de minimis State Aid ii) For businesses involved in agriculture: I/we together with any other business in my/our group/under my/our common control will not have received more than £17,780 in de minimis State Aid iii) For businesses involved in logistics: I/we together with any other business in my/our group/under my/our common control will not have received more than £88,900 in de minimis State Aid iv) For all other business: I/we together with any other business in my/our group/under my/our common control will not have received more than £177,800 in de minimis State Aid, in each case during the last three years.* I/We confirm (7) The Bounce Back Loan (including the value of the Business Interruption Payment) constitutes State Aid. The Business Interruption Payment, which covers the interest of 2.5% for year one of the Bounce Back Loan, must be accounted for in this declaration. Please note: If you are active in Fisheries and Aquaculture, Bounce Back Loans are not available for the activities listed in Article 1, Paragraph 1 of European Commission Regulation 717/2014 (8) If you have received de minimis State Aid before, including under the Temporary Framework, you will have received a letter confirming the value of your de minimis State Aid. (9) The Bounce Back Loan (including the value of the Business Interruption Payment) constitutes State Aid. The Business Interruption Payment, which covers the interest of 2.5% for year one of the Bounce Back Loan, must be accounted for in this declaration. Please note: If you are active in Fisheries and Aquaculture, Bounce Back Loans are not available for the activities listed in Article 1, Paragraph 1 of European Commission Regulation 717/2014I/We confirm that if I was/we were a business in difficulty on 31 December 2019, the Bounce Back Loan will not (in whole or in part) be used to support export related activities.* I/We confirm I/We confirm that if I/we or any member of my/our group receive income from sources other than my/our trading activity, more than 50% of my/our business' income, together with that of any member of my/our group, is derived from my/our business trading activity (10).* I/We confirm (10) This does not apply to charities or further education collegesI/We undertake to use the credit granted on the basis of this agreement only to provide economic benefit to my/our business, for example, providing working capital, or investing in my/our business. I/We also confirm that the Bounce Back Loan will be used wholly for business purposes and not personal purposes.* I/We confirm I/We have reviewed and understood the costs associated with repayment of the loan, that is, the principal and interest and repayment of capital during the period beginning from the second year of the loan until its expiry five years later. I/We confirm that I am/we are able and intend to complete timely repayments in future. In addition, I/we understand that the 100% guarantee that is provided by the government under this scheme is to cover any losses made by the lender, and does not cover losses that I/we might suffer if I am/we are unable to meet my payment obligations for which I/we remain fully liable. I/We understand that if I am/we are unable to meet my/our payment obligations, this could have a negative impact on my credit score, which may reduce my ability to access further lending in the future.* I/We confirm I/We understand that, while the prohibition of personal guarantees under the Bounce Back Loan Scheme fully protects the personal assets of owners and directors of limited liability companies, if I am/we are a sole trader or partnership my/our personal assets may be at risk, should I/we fail to complete loan repayments as per the loan agreement with the lender. Per the terms of the Bounce Back Loan Scheme, neither the lender nor the government as guarantor will seek to enforce the loan against my/our main home or main vehicle.* I/We confirm I/We understand that this loan, made under the Bounce Back Loan Scheme, is not subject to the usual consumer protections that apply to business lending and as such I/we will not have the benefit of the protection and remedies that would otherwise be available to me/us under the Financial Services and Markets Act 2000 or the Consumer Credit Act 1974. ** I/We confirm Financial Services and Market Act 2000 and the Consumer Credit Act 1974I/We understand that the lender will not conduct any form of credit or affordability check and accepts no responsibility, whether arising in contract, tort (including negligence) or otherwise, for my/our decision to borrow. I/We also understand that the lender may register its Bounce Back Loan with credit reference agencies, and that my credit rating may be affected by any failure or delay in repaying. ** I/We confirm I am/We are aware that, if I am/we are in any doubts as to the consequences of the agreement not being regulated by the Financial Services and Markets Act 2000 or the Consumer Credit Act 1974, then I/we should seek independent legal advice. I/We acknowledge that the lender is not responsible for informing me/us about these consequences.* I/We confirm Financial Services and Market Act 2000 and the Consumer Credit Act 1974. I/We make the data protection declaration and, if relevant have provided notice of data processing to relevant individuals.* I/We confirm Data protection declarationFor loan applications being submitted on behalf of limited companies, unincorporated associations, charities, or partnerships: I/We declare that I/we are submitting this form in accordance my/our company / partnership / charity / unincorporated association signing mandate.* I/We confirm I/We recognise that by providing information that is inaccurate or incomplete in any material particular, I/we may be regarded as attempting to gain, or gaining, a financial advantage dishonestly and as such will be liable to criminal prosecution for fraud under the Fraud Act 2006 (or equivalent law in Scotland) (for which the penalties include imprisonment or a fine or both), as well as to the forfeiture of all loan proceeds together with interest and court costs* I/We confirm I/We confirm that the information provided in this application is complete and accurate.* I/We confirm When you click 'Submit' you also agree to send your information to us at Bank of Ireland UK. The information you provide will be held by Bank of Ireland UK. We'll use it to process your request and help manage this account(s). By continuing, you confirm you're happy with this and that you've had a chance to read our BOIUK Privacy Notice* I/We confirm PhoneThis field is for validation purposes and should be left unchanged.