Apply for tax credit financing

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Request a

tax credit financing.

Company Information First Name
									
 Last Name
									
 Street
									
 Town
									
 Province
                                
 Country
                                
 Postal code
									
 Email
									
 Phone number
									
 Cellular number
									
 Representative's name
									
 Autochtone
						
							Oui

							Non
 Age
						
							40 ans ou moins

							plus de 40 ans
 Minorité visible
						
							Oui

							Non
 Personnes handicapés
						
							Oui

							Non

 Sector of activity
                                
 Number of years of operation
									
 Year-end
 Revenue for the last financial year
									
 Number of jobs - Part-time
									
 Number of jobs - Full-time
									
 Brief description of the company's activitie
									
 Shareholding and managementProvide the following information for all members of your team.

									Nom : 
Titre : 
Année(s) d'expérience(s) :
% détenu :
									
 Financial institution
                                
 Financial institution - Other
									
 Authorized line of credit
									
 Name of Account Manager
									
 Telephone
									
 Payroll service name
									
 Unpaid government debts
									
 Accountant
									
 Telephone
									
 Name of creditor
									
 Telephone
									
Financing Tax credit to finance
									
 Number of years of claim
									
 Last year claimed
									
 Amount claimed
									
 Amount contributed
									
 Amount of tax credits to be financed
									
 Fiscal year to be financed
									
 R&D preparer
									
 Responsible
									
 Telephone
									
 Have you been subject to scientific verifications in the past?
						
							Yes

							No
 Si oui, date de la dernière vérification
 Have you been subject to accounting audits in the past?
						
							Yes

							No
 Si oui, date de la dernière vérification
 Is the company a Canadian-controlled private corporation?(as defined in the Taxation Act)

							Yes

							No
 Is the company a Canadian-controlled public corporation?
						
							Yes

							No
 Is the company associated with other companies?(within the meaning of the Taxation Act / if so, attach the list and the organizational chart to your request)

							Yes

							No
 Is the company in arrears on any account with the Canada Revenue Agency or Revenu Québec?
						
							Yes

							No
 Si oui, de quelle nature et de quel montant
									
 Si oui, y a-t-il entente avec la perception ?
						
							Oui

							Non
 Is the company accountable to any federal or provincial agencies?
						
							Yes

							No
 Is the business affected by an ongoing litigation or notice of objection with Revenue Canada or Revenu Québec?(if so, attach the details to your request)

							Yes

							No
Government Information
 Provincial - Québec Enterprise Number (NEQ) *
									
 Identification number
									
 QST account number
									
 Payroll deduction account number
									
 Unpaid government debts
									
Fédéral
 Business Number
									
 GST remittance
									
 Payroll deduction account number
									
 GST account number
									
 Unpaid government debts
									
Documents to attach Financial statements of the external accountant for the last financial year
									
 Most recent interim financial statements
									
 Accounts receivable and accounts payable aging reports
									
 Copy of the last tax return if you have already claimed tax credits
									
Authorization to Disclose Information I authorize CAE Capital to use my email address for follow-up and information purposes
						
							Yes

							No
I authorize CAE CAPITAL to obtain or exchange personal or corporate information with any personal information agent or financial institution in order to establish or verify my financial situation.
 Name
									
 N.A.S
									
 Date of birth
 Referred by
									
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270 Sir Wilfrid Laurier Blvd, Suite 200
Beloeil, QC, J3G 4G7
450.446.3650
Contact Us

About

Who are we?
Team
Board of Directors
Media Contacts

Financing

Tax Credits Financing
Purchase Order Financing
Revolving Credit / Line of Credit
Grant Financing
Other Financing
Forms

Coaching

Free Pre-Start-Up Workshops
Support for Self-Employment (SSE)

Activities

Publications

News and Articles
Newsletter

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