Free Startup Financial Needs Assessment Form Template
Startup Financial Needs Assessment Form
Company Information
|
Field |
Information |
|---|---|
|
Company Name |
[Your Company Name] |
|
Industry Sector |
[Industry Sector] |
|
Contact Person |
[Contact Person] |
|
|
[Your Company Email] |
|
Phone Number |
[Your Company Number] |
|
Address |
[Your Company Address] |
|
Website |
[Your Company Website] |
|
Social Media Handles |
[Your Company Social Media] |
Financial Needs Assessment
|
Category |
Estimated Cost (USD) |
Funding Source (if any) |
|---|---|---|
|
Startup Costs |
$50,000 |
Bootstrap funding |
|
Product Development |
$20,000 |
Angel investor |
|
Technology Infrastructure |
$15,000 |
Personal savings |
|
Legal and Compliance |
$10,000 |
Venture capital |
|
Marketing and Branding |
$30,000 |
Crowdfunding |
|
Initial Inventory |
$5,000 |
Loan from family |
|
Operating Expenses |
||
|
Rent and Utilities |
$12,000 |
Revenue from sales |
|
Personnel Costs |
$40,000 |
Grant funding |
|
Marketing Expenses |
$25,000 |
|
|
Administrative Expenses |
$8,000 |
|
|
Research and Development |
$15,000 |
|
|
Other (Specify) |
$0 |
|
|
Total Financial Needs |
$220,000 |
Comments/Notes:
Declaration
I confirm that the information provided above is accurate to the best of my knowledge.
Signature:
Date:
[Your Company Name] assures confidentiality of the provided information and will only use it for the purpose of assessing financial needs and providing relevant assistance.
