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Business Health Test
Contact Name
*
Company Name
Contact number
*
Email Address
*
Liabilities
Bank
Does your business have an overdraft?
Yes
No
Does your business require more funding?
Yes
No
Have you obtained the funding you require?
Yes
No
Has the bank declined an increase in Overdraft?
Yes
No
Has the bank returned any of your payments?
Yes
No
Has the bank called for a decline in Overdraft or extra security?
Yes
No
Has the bank cancelled the existing Overdraft?
Yes
No
Has the bank instituted legal action against you?
Yes
No
Other funding arrangements
Are you funding your business with personal loans funded from credit cards?
Yes
No
Is your business being funded from other associated businesses?
Yes
No
Have you entered into an invoice discounting facility with a third party?
Yes
No
Have you made loans from "loan sharks" at very high interest rates?
Yes
No
Suppliers
Have suppliers increased their credit supply limits without insurance cover?
Yes
No
Has the credit insurance company refused to increase your limits?
Yes
No
Have your suppliers placed you on stop supply?
Yes
No
Have any of your suppliers placed you on terms via a letter of demand?
Yes
No
Have any of your suppliers issued a summons for payment?
Yes
No
Property Leases
Are you up to date with your lease for the property?
Yes
No
How many months are you behind in your lease payments?
- None -
1 Month
2 Months
3 Months
4 Months
Have your received a letter of demand from the landlord?
Yes
No
Have you received a summons from the landlord?
Yes
No
Instalment Sales ("ISAs") and Rental Agreements
Are you up to date with the payment of your rental assets and instalment sale payments?
Yes
No
How many months are you behind in payment for your rental assets and ISAs?
- None -
1 Month
2 Months
3 Months
4 Months
Have you received a letter of demand from the ISA or rental companies?
Yes
No
Have you received a summons from the ISA or rental companies?
Yes
No
Have they collected their assets?
Yes
No
SARS
Are you up to date with the payment of your PAYE,UIF and VAT?
Yes
No
Are you behind on filing your VAT, PAYE, UIF or tax returns?
Yes
No
How many months are you behind on paying SARS amounts?
- None -
1 Month
2 Months
3 Months
4 Months
Have you received a letter of demand from SARS?
Yes
No
Have you received a summons from SARS?
Yes
No
Has SARS garnished your bank account?
Yes
No
Leave this field blank
