Fitzgerald Murraine. Enclosures. RE: Certification as SDBE, MBE, FBE and DLSB in the New PEP. Dear Business Owner:

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Fitzgerald Murraine. Enclosures. RE: Certification as SDBE, MBE, FBE and DLSB in the New PEP. Dear Business Owner:"

Transcription

1 Robert C. Walker Chairperson Thomas J. Wahlrab Executive Director C I T Y o f D A Y T O N, O H I O HUMAN RE L AT IO NS CO UNCIL 371 West Second Street, Suite 100, Dayton, OH (937) / / / FAX RE: Certification as SDBE, MBE, FBE and DLSB in the New PEP Dear Business Owner: As you may be aware, the City of Dayton has enacted a new Procurement Enhancement Program (PEP) which becomes effective on July 1, The City of Dayton spends over $200 million annually on construction, supplies and services. We invite your company to become certified in the City s new PEP and to maximize the business opportunities that flow from having such certifications. We are excited about the business and contracting opportunities under the new PEP. The new PEP has certification and contracting opportunities for Small Business Enterprise (SBE), Minority Business Enterprise (MBE), Female Business Enterprise (FBE), and Dayton Small and Local Business Enterprise (DSLB) in the areas of construction, supplies, and services including professional services. SBE, MBE and FBE certifications are limited to companies located within the State of Ohio. Under the special DSLB program, certification is limited to companies located within the corporate limits of the City of Dayton. All four certification programs under the new PEP require that you and other disadvantaged owners meet the Personal Net Worth (PNW) criteria of $750, (excluding the value of your primary residence and your investment in the business). In order become certified in the new PEP, you must complete and notarize the enclosed PEP Certification Affidavit and the PEP Personal Net Worth Form. We have also included the PEP Certification Instructions Form listing the required supporting documents. Please review the certification criteria and instructions for each certification program and provide the necessary documentation to ensure the timely processing of your application. Generally, your company must meet the annual gross sales criteria and the disadvantaged owners must also meet the Personal Net Worth (PNW) criteria. We also encourage Joint Venture and Strategic Partnerships to become certified in the PEP. We urge you to complete and promptly return your Certification Application and supporting documentation to ensure your company s certification and participation in the new PEP on July 1, I may be reached at (937) Sincerely, Fitzgerald Murraine Fitzgerald Murraine, Supervisor Compliance and Special Programs cc: Thomas Wahlrab Catherine Crosby Enclosures

2 City of Dayton Procurement Enhancement Program (PEP) Certification Application Instructions Thank you for your interest in becoming a certified SBE, MBE, FBE, Dayton Local Small Business or HUD Section 3 company with the City of Dayton PEP. Mail or deliver original (notarized) application to: City of Dayton Procurement Enhancement Program (PEP) Human Relations Council (HRC) 371 West Second Street, Suite 100 Dayton, Ohio To speak with a Certification Specialist, please call or fax: (937) /1439 Voice * FAX (937) INSTRUCTIONS TO ALL SBE, MBE, FBE and DLSB APPLICANTS: 1. CERTIFICATION UNDER THE CITY OF DAYTON PEP IS GENERALLY LIMITED TO COMPANIES LOCATED IN THE STATE OF OHIO. 2. PLEASE READ THE CERTIFICATION APPLICATION AND CERTIFICATION CRITERIA COMPLETELY BEFORE SUBMITTING THE APPLICATION. 3. YOU MUST SUBMIT ALL REQUIRED DOCUMENTS - SEE CHECKLIST. 4. NO FAXED APPLICATIONS ACCEPTED. 5. APPLICATION MUST BE NOTARIZED AND MUST INCLUDE THE REQUIRED SUPPORTING DOCUMENTATION. 6. ALL INCOMPLETE APPLICATIONS WILL BE RETURNED. 7. PLEASE ALLOW 30 DAYS FOR PROCESSING. The HRC will certify the applicant or provide the applicant with written justification of denial, within thirty (30) days after the date that the HRC receives a satisfactorily completed application and documentation from the applicant. CHECKLIST OF DOCUMENTS NEEDED: Complete This Checklist To Ensure All Required Documents Are Included Please review the checklist below and use it as a guide to complete your application and organize the appropriate submission documents. Please make sure to include all supplemental documentation (as applicable) with your application. Failure to submit a complete and accurate application could result in your application being returned to you with no action taken. Please mail or deliver a complete application with required documents to the address listed above. Faxed applications will not be accepted. ALL SBE, MBE, FBE, and DAYTON SMALL AND LOCAL CERTIFICATION APPLICANTS MUST SUBMIT THESE DOCUMENTS: 1. Resume and background: Work experience and resume(s) that include places of ownership/employment and corresponding dates. 2. Equipment: List of equipment (leased or owned) along with signed lease agreements, vehicle titles/proof of ownership of equipment needed to operate your business. 3. Location: Signed lease for office/warehouse/storage space, deed, mortgage, payroll tax records, etc. 4. Tax returns: for the past 3 years (or life of firm if less than 3 years old). If no tax returns have been filed, a current Balance Sheet is acceptable. A new business must provide a current Balance Sheet. All financial documents will be kept Confidential to the extent permitted by law (tax returns and PNW). 5. Contracts: Copies of three largest contracts or purchase orders. 6. Other Certifications: MBE/DBE//FBE/HUB/SBA 8(a) or SBE letters, certifications held, or denials and decertifications. 7. Proof of citizenship or permanent residence (birth certificate, passport, voter registration card, green card or military ID). 8. Licenses: Architectural, Engineering, Surveyors, Attorney s, CPA s and other restricted professions must include a copy of the professional license for certification.

3 9. Personal Net Worth (PNW) Form: the eligible owner(s) must complete the enclosed PNW Form or provide a notarized personal net worth statement to verify that the owner does not exceed the $750,000 personal net worth limitation. All Information will be kept confidential. 10. Proof of Ethnicity (passport, green card, birth certificate). If any of these documents do not prove ethnicity, you will need to complete an Ethnicity Affidavit. 11. Employees. List of employees and their home zip codes for HUD Section Bonding and Insurance: provide copies of insurance and bonding. SUBMIT THIS ADDITIONAL INFORMATION ACCORDING TO YOUR BUSINESS STRUCTURE: SOLE PROPRIETORSHIP: 1. Business license (or professional license where business license is required Montgomery County Business License Office, Vendors license). PARTNERSHIP OR JOINT VENTURE: 1. Copy of Partnership or Joint Venture Agreement. 2. Business License (or professional license where business license is required). CORPORATION OR LLC: 1. Official Articles of Incorporation (from Secretary of State). 2. Both sides of all Corporate Stock Certificates and Stock. 3. Stock Transfer Ledger. 4. Shareholders Agreement. 5. Minutes of First Stockholder and Board of Directors meetings. 6. Corporate by-laws and any amendments. 7. Business License (or professional license where business license is required). CERTIFICATION CRITERIA FOR SBE, MBE and FBE: For the City of Dayton PEP Program To qualify for SBE, MBE or FBE Certification, a firm must meet the City of Dayton definition of an SBE, MBE or FBE and complete all sections of the certification application. 1. Geographic Restriction: The business enterprise must have its principal place of business within the State of Ohio. 2. Ownership Requirements: At least fifty-one percent (51%) of the interest in the Business Enterprise must be owned by one or more disadvantaged owner(s). A person shall be deemed a disadvantaged owner of all or a portion of a Business Enterprise if such person: a. Owns in his or her own name the legal and equitable interest in the Business Enterprise; b. Acquired the interest in a real and substantial arms-length transaction utilizing real and substantial consideration; c. The Personal Net Worth of the disadvantaged owner(s) should not exceed $750,000, excluding: (i) their combined equity in their primary residence; and (ii) the combined investment or interest in the applicant(s) Business Enterprise (value of the business); and 3. Ownership and control: The daily business operations of the Business Enterprise shall be owned, managed and controlled by one or more disadvantaged owner(s). We will make determinations regarding ownership and control by relying on some of the following factors: a. The disadvantaged owner(s) management and control is specifically demonstrated to be real, substantial and continuing and goes beyond the pro-forma ownership of the Business Enterprise as reflected in its ownership documents; b. The disadvantaged owner(s) possess the power to, and actually, direct the management and policies of the Business Enterprise; c. The disadvantaged owner(s) make both routine and major decisions on matters of management, policy and operations; and d. The disadvantaged owner(s) are not subject to formal or informal restrictions that are inconsistent with the customary discretion of majority owners.

4 In addition, one or more Disadvantaged Owners must: a. Hold the professional license or contractor license necessary for operation of each type of business for which the Business Enterprise seeks certification; b. Have substantial experience in the trade or industry which would be necessary to make routine and major decisions for the Business Enterprise; and c. Regularly hold themselves out to the public and sign important documents and financial instruments in a manner that is indicative of primary management and control of daily business operations and responsibility for routine and major decisions. 4. Citizenship Requirements: Owner(s) must be U.S. citizen(s) or permanent residents. 5. Actively in business: The Business Enterprise must be actively engaged in commerce and satisfy all of the following requirements: a. Formation of the Business Enterprise completed; b. Commencement of sustained business activity in the trade or profession described on the certification application; and c. Commencement of ownership, management and control of daily business operations by the identified disadvantaged owner(s). 6. Perform a commercially useful function: The Business Enterprise must be a for-profit business that performs a commercially useful function. A Business Enterprise does not perform a commercially useful function if it merely acts as a conduit by passing the scope of work for which it is scheduled to perform or supply on the contract to a non-certified firm. 7. Personal Net Worth Statement: The applicant business must provide sufficient financial statement documentation to verify that the disadvantaged owner(s) meets personal net worth criteria. 8. Copies of three largest contracts or other purchase order. 9. Threshold size: The annual sales volume of the Business Enterprise and the number of employees of the Business Enterprise cannot exceed the size standards set forth in the PEP Ordinance which shall be adjusted from time to time to mirror the SBA Size Standard Table below: For details on SBA size standards, please visit the SBA website at For purposes of the above standards, the annual receipts and number of employees of an applicant shall be determined in accordance with the definitions and methodology established by the Small Business Administration at 13 C.F. R et. seq., as amended, or successor regulation or classification system (the SBA Size Regulations ). CERTIFICATION CRITERIA FOR DAYTON SMALL AND LOCAL BUSINESS (DSLB): To qualify for DSLB Certification, a firm must meet the definition of a PEP SBE, MBE or FBE and be located within the City of Dayton corporate limits. DSLB must also complete the relevant section the PEP Certification application: 1. Geographic Restriction: Eligible SBE, MBE or FBE and must be located within the City of Dayton corporate limits. HUD SECTION 3 CERTIFICATION CRITERIA: (See attached HUD Section 3 Application)

5 CITY OF DAYTON HUMAN RELATIONS COUNCIL PROCUREMENT ENHANCEMENT PROGRAM (PEP) CERTIFICATION APPLICATION (All information will be kept confidential to the extent permitted by law) 1. Name of Firm: 2. Firm Address: (number & street, no P.O. boxes) 3. City: 4. State: 5. Zip Code: 6. Telephone Number: 7. Cell Number: 8. Fax: 9. Address: 10. Company Web site: 11. Business Type: Sole Proprietorship Franchise Partnership Corporation Joint Venture LLC Other (Specify) 12. Date Established: 13. Nature of Business: 14. Federal I.D. or Social Security Number: 15. NAICS Code(s): 16. List Name(s) and Attributes of Owner(s) Ethnic Group Gender % of Ownership M M M M F F F F Date of Obtaining Ownership 17. If owner(s) and/or family members of owner(s) have ownership in any other business, please list: Owner s Name Name of Company

6 18. Please indicate the PEP Certification(s) for which you are applying: SBE PROGRAMS Construction: (Average Annual Receipts of not more than $33.5 Million) MBE and FBE PROGRAMS Construction: (Average Annual Receipts of not more than $33.5 Million) Services: Average Annual Receipts not more than Services: Annual Receipts not more than $15.0 Million $15.0 Million Supplies: 100 or less employees Supplies: 100 or less employees Net Worth: $750,000 (Excludes ownership equity in the business and individual s primary residence) Net Worth: $750,000 (Excludes ownership equity in the business and individual s primary residence) DAYTON LOCAL SMALL BUSINESS CERTIFICATION Construction: (Average Annual Receipts not more than $15.0 Million) Specialty Trades: (Average Annual Receipts not more than $5.0 Million) Services Supplies: Net Worth: $750,000 (Excludes ownership equity in the business and individual s primary residence) HUD SECTION 3 Construction Supplies: Basis for Section 3 Application: Location of business Location of employees 19. Annual Gross Sales History for Three Years, Preceding the Year of Application: Year 1: Year 2: Year 3: Annual Sales: Annual Sales: Annual Sales: 20. Company s Contract Capacity: 21. Company s Bonding Capacity: 22. Disadvantaged Owner s Personal Net Worth (PNW) 23. (Please attach PNW Worksheets for each owner) Owner No1. Owner No See Certification Instructions Sheet for the list of supporting documents that must be submitted with this Certification Affidavit, as well as the criteria for the each PEP Program. 25. This firm is an independent business. The SBE/FBE/MBE/DLSB owners possess the power to control and direct the daily operations, management, finances and policies of this business enterprise. AFFIANT/OFFICER/OWNER Signature Sworn to before me and subscribed in my presence this TITLE IN COMPANY of NOTARY PUBLIC

7 HRC 1/2010 City of Dayton Human Relations Council Procurement Enhancement Program (PEP) Personal Net Worth Form (All information will be kept confidential to the extent permitted by Law) Complete this form for: (1) each proprietor, or (2) each limited partner and each general partner, or (3) each stockholder or (4) any person or entity with ownership in this MBE/SBE/FBE/DSLB. Name Business Phone ( ) Residence Address Residence Phone ( ) City, State, & Zip Code Business Name of Applicant/Borrower ASSETS (Do not include Personal Residence or Investment in the Business) (omit cents) Cash on hands & in Banks $ Savings Accounts $ IRA or Other Retirement Account $ Accounts & Notes Receivable $ Life Insurance-Cash Surrender Value Only $ (Complete Section 8) Stocks and Bonds $ (Describe in Section 3) Real Estate $ (Describe in Section 4) Automobile-Present Value $ Other Personal Property $ (Describe in Section 5) Other Assets $ (Describe in Section 5) Total.....$ (Omit Cents) LIABILITIES Accounts Payable $ Notes Payable to Banks and Others $ (Describe in Section 2) Installment Account (Auto) $ Mo. Payments $ Installment Account (other) $ Mo. Payments $ Loan on Life Insurance $ Mortgages on Real Estate $ (Describe in Section 4) Unpaid Taxes $ (Describe in Section 6) Other Liabilities $ (Describe in Section 7) Total Liabilities $ Net Worth = (Total Assets Total Liabilities) $ Total..... $ Section 1. Source of Income Contingent Liabilities Salary $ Net Investment Income $ Real Estate Income $ Other Income (Describe below)* $ As Endorser or Co-Maker $ Legal Claims & Judgments $ Provision for Federal Income Tax $ Other Special Debt $ Description of Other Income in Section 1. Section 2 Notes Payable to Bank and Others. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed.) Name and Address of Note holder (s) Original Balance Current Balance Payment Amount Frequency (monthly, etc.) How Secured or Endorsed Type of Collateral

8 Section 3. Stocks and Bonds. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed). Number of Shares Name of Securities Cost Market Value Quotation/Exchange Date of Quotation/Exchange Total Value Section 4. Type of Property Real Estate Owned. Exclude Primary Residence (List each parcel separately. Use attachments if necessary. Each attachment must be identified as a part of this statement and signed). Property A Property B Property C Address Date Purchased Original Cost Present Market Value Name & Address of Mortgage Holder Mortgage Account Number Mortgage Balance Amount of Payment per Month/Year Status of Mortgage Section 5. Other Personal Property and Other Assets. Exclude Investment in the Business (Describe, and if any is pledged as security, state name and address of lien holder, amount of lien, terms of payment, and if delinquent, describe delinquency). Section 6. Other Liabilities. (Describe in detail). I authorize the HRC to make inquiries as necessary to verify the accuracy of the statements made and to determine my eligibility for the PEP. I certify the above and the statements contained in the attachments are true and accurate as of the stated date(s). These statements are made for the purpose of either obtaining certification with the City of Dayton PEP. I understand FALSE statements may result in denial/removal of eligibility for certification and possible prosecution for fraud. Signature: Date: Social Security Number: Sworn to before me and subscribed in my presence this day of, 20. Seal Notary Public PLEASE NOTE: If you have questions, please contact Human Relations Council at (937) or

9

10

RE CERTIFICATION FOR TIER I EMERGING SMALL BUSINESS (ESB) OR SMALL BUSINESS (SB)

RE CERTIFICATION FOR TIER I EMERGING SMALL BUSINESS (ESB) OR SMALL BUSINESS (SB) City of Omaha Jean Stothert, Mayor Human Rights and Relations Department Omaha/Douglas Civic Center 1819 Farnam Street, Suite 502 Omaha, Nebraska 68183 0502 Phone No. (402) 444 5055 Fax (402) 444 5058

More information

RE: Disadvantaged Business Enterprise (DBE) Annual Affidavit of No Change

RE: Disadvantaged Business Enterprise (DBE) Annual Affidavit of No Change UUCP Utah Unified Certification Program UUCP Certifying Official See addresses below UUCP DBE ANNUAL UPDATE PACKET RE: Disadvantaged Business Enterprise (DBE) Annual Affidavit of No Change Dear DBE: Thank

More information

Office of Business Diversity and Civil Rights

Office of Business Diversity and Civil Rights Office of Business Diversity and Civil Rights Small Business Enterprise Verification Application 49 C.F.R. Part 26 All firms wishing to verify its status as a Small Business Enterprise (SBE) must complete

More information

Centinel Financial Corporation

Centinel Financial Corporation Centinel Financial Corporation SBA Loan Checklist (Startup Company) Enclosed is a checklist of items needed to evaluate your loan request. 1. Enclose a business plan for your proposed company, describing

More information

Southeastern Pennsylvania Transportation Authority

Southeastern Pennsylvania Transportation Authority Southeastern Pennsylvania Transportation Authority DBE Program Office Business Services Division Small Business Enterprise Verification Application 49 C.F.R. Part 26 All firms wishing to verify its status

More information

City & County of Denver Division of Small Business Opportunity (DSBO)

City & County of Denver Division of Small Business Opportunity (DSBO) City & County of Denver Division of Small Business Opportunity (DSBO) Renewal Application Disadvantaged Business Enterprise (DBE) (3 Year Renewal) (No Fee) Airport Concession Disadvantaged Business Enterprise

More information

SHORT FORM For Use by presently certified firms.

SHORT FORM For Use by presently certified firms. Economic Development Department Minority and Women-Owned Business Enterprise Certification Application SHORT FORM For Use by presently certified firms. M/WBE Certification Application, Short Form Rev.

More information

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION This checklist if provided to assist in gathering the necessary information needed for the initial evaluation of your loan request. Complete

More information

SBA Loan Checklist. Ownership Information. Site Information (For Real Estate Transactions Only) Business Information

SBA Loan Checklist. Ownership Information. Site Information (For Real Estate Transactions Only) Business Information SBA Loan Checklist Ownership Information Completed Credit Application Completed Personal Financial Statement (for each owner) Summary of Project Cost (form attached) 3 Years Personal Federal Tax Returns

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION This checklist will aid you in gathering the necessary information for the initial evaluation of your loan request. In order to process your application, we will need complete

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION 1. Applicant Name: Name of Business: Sole Proprietorship: S Corporation: Partnership: C Corporation: LLC/LLP: Mailing Address: Street Address: Business Telephone: Home Telephone:

More information

FIRST NORTHERN BANK. SBA Loan Application

FIRST NORTHERN BANK. SBA Loan Application FIRST NORTHERN BANK SBA Loan Application SBA Loan Department 1007 7th Street, Suite M102 Sacramento, CA 95814 (888) 999-4SBA or (916) 567-6270 Member FDIC M-26 (Rev. 8/07) FIRST NORTHERN BANK SBA Loan

More information

CITY OF CHARLOTTE SMALL BUSINESS ENTERPRISE CERTIFICATION APPLICATION

CITY OF CHARLOTTE SMALL BUSINESS ENTERPRISE CERTIFICATION APPLICATION CITY OF CHARLOTTE SMALL BUSINESS ENTERPRISE CERTIFICATION APPLICATION City of Charlotte Neighborhood & Business Services Charlotte Business INClusion c/o Certification Services 600 East Trade Street, Suite

More information

CITY OF WARREN REVOLVING LOAN FUNDS

CITY OF WARREN REVOLVING LOAN FUNDS T hank you for asking about the City of Warren Revolving Loan Funds. We are pleased that you are taking the initiative to open or expand your business. Owning a business takes dedication, hard work and

More information

Small Business Lending Small Business Capital LLC an SBA Authorized Direct Lender LOAN APPLICATION

Small Business Lending Small Business Capital LLC an SBA Authorized Direct Lender LOAN APPLICATION Small Business Lending Small Business Capital LLC an SBA Authorized Direct Lender LOAN APPLICATION This checklist has been provided to assist you through the process of gathering the necessary information

More information

Commercial Loan Application. The Corporation for Economic Development in Des. Company Information. Company Ownership. Affiliate Businesses

Commercial Loan Application. The Corporation for Economic Development in Des. Company Information. Company Ownership. Affiliate Businesses The Corporation for Economic Development in Des Commercial Loan Application Company Information Company name Address City State Zip Principal in charge Phone ( ) Fax ( ) Secondary contact person Phone

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION PROCEDURES Thanks you for your interest in Middleton Area Development Corporation s Loan Program. Our loan process is as follows: 1. Submit a complete application to Middleton

More information

INNOVATION FUND Loan Application

INNOVATION FUND Loan Application INNOVATION FUND Loan Application Department of Development 500 E. Main Street, Suite 1500, Norfolk, VA 23510 Phone: (757-664-4338 Fax: 757-441-2910 CREDIT REQUEST Amount Requested: Term Requested (# months):

More information

EQUIPMENT LOAN APPLICATION

EQUIPMENT LOAN APPLICATION EQUIPMENT LOAN APPLICATION Loan Features Up to $49,900 subject to credit approval Business will be the borrower and the owner will provide personal guarantee Loan proceeds must be used only for the purpose

More information

WBS FINANCIAL CORPORATION

WBS FINANCIAL CORPORATION Mergers & Acquisitions Investment Banking BUSINESS FINANCE APPLICATION PACKAGE Corporate: 15851 Dallas Parkway, Suite 600 Addison, TX 75001 Corporate: 972-308-8545 Corporate Fax: 972-308-8546 Business

More information

PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application

PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application PathStone Enterprise Center, Inc. 400 East Ave. Rochester, NY 14607 Phone: (585) 340-3705 Fax: (585) 340-3326 TDD: 800-545-1833 Web Site:

More information

LISC SMALL BUSINESS PRE-SCREEN FORM

LISC SMALL BUSINESS PRE-SCREEN FORM LISC SMALL BUSINESS PRE-SCREEN FORM Thank you for your interest in applying for a small business loan through the Local Initiatives Support Corporation (LISC). This intake form allows us to prescreen your

More information

WHAT DO I NEED TO SUBMIT IN ORDER TO BE CONSIDERED FOR A LOAN? In order to properly review your loan request, please submit the following items:

WHAT DO I NEED TO SUBMIT IN ORDER TO BE CONSIDERED FOR A LOAN? In order to properly review your loan request, please submit the following items: WHAT DO I NEED TO SUBMIT IN ORDER TO BE CONSIDERED FOR A LOAN? In order to properly review your loan request, please submit the following items: 1. Attached Business Loan Application 2. 2012 and 2013 Federal

More information

Loan Requirements Checklist

Loan Requirements Checklist Loan Requirements Checklist Purchase or Refinance Underwriting & Packaging Fee $425.00 Application Package Pages 4 through 8 Copies of account statements for: Personal Savings, Checking, Money Market,

More information

PRE - APPROVAL APPLICATION

PRE - APPROVAL APPLICATION PRE - APPROVAL APPLICATION MERCANTILE CAPITAL CORPORATION S SMARTCHOICE LOAN PROGRAM MERCANTILE CAPITAL CORPORATION 940 Centre Circle, Suite 3006 Altamonte Springs, Florida 32714 Phone: 407-786-5040 Fax:

More information

SBA Loan Checklist. Ownership Information. Site Information. Business Information

SBA Loan Checklist. Ownership Information. Site Information. Business Information SBA Loan Checklist Ownership Information Completed Credit Application Completed Personal Financial Statement (for each owner) 3 Years Personal Federal Tax Returns (for each owner) Management Profile (form

More information

Small Business Environmental Loan Program Application

Small Business Environmental Loan Program Application Small Business Environmental Loan Program Application Arkansas Department of Environmental Quality Public Outreach & Assistance Division Business Assistance Program 5301 Northshore Drive North Little Rock,

More information

MSUFCU Business Loan Application

MSUFCU Business Loan Application MSUFCU Business Loan Application Section 1 - Credit Requested Total Funds Needed Less Funds Provided by You - ( ) Less Funds Provided by Others - ( ) Total Loan Needed Section 2 - Business Information

More information

GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION

GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION A. Prior/Other Certifications Is your firm currently certified for DBE any of the following programs? (If Yes, check appropriate

More information

LISC SMALL BUSINESS LOAN INTAKE FORM

LISC SMALL BUSINESS LOAN INTAKE FORM Thank you for your interest in applying for a small business loan through the Local Initiatives Support Corporation (LISC). Please complete the following forms so that we may prescreen your loan request.

More information

BUSINESS LOAN APPLICATION COMPANY INFORMATION

BUSINESS LOAN APPLICATION COMPANY INFORMATION Business Name Borrowing Entity* COMPANY INFORMATION Key Contact E-Mail Address Address Mobile Phone # City / State / Zip Bus. Telephone # County Business Industry Tax ID Number BUSINESS LOAN APPLICATION

More information

Hard Money & Acquisition/Construction Loan Real Estate Checklist

Hard Money & Acquisition/Construction Loan Real Estate Checklist Hard Money & Acquisition/Construction Loan Real Estate Checklist Please submit the following to: processor@bluecloverfin.com OR fax to (404) 745-0473. Executive Summary - Please provide a detailed explanation

More information

Business Loan/Line of Credit Application

Business Loan/Line of Credit Application TFCU Business Loan/LOC Application - 1 Business Loan/Line of Credit Application Thank you for choosing Teachers Federal Credit Union to apply for your business term loan or business line of credit. This

More information

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant:

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant: 1 Dear Small Business Applicant: Thank you for contacting your Credit Union about a loan for your small business. We look forward to working with you to find financing that best meets your needs. To make

More information

U.S. Department of Transportation

U.S. Department of Transportation U.S. Department of Transportation Personal Net Worth Statement For DBE/ACDBE Program Eligibility As of OMB APPROVAL NO: EXPIRATION DATE: This form is used by all participants in the U.S. Department of

More information

BaltimoreMICRO - Revolving Loan Fund

BaltimoreMICRO - Revolving Loan Fund BaltimoreMICRO - Revolving Loan Fund sbrcbaltimore.com FACT SHEET Description and purpose Administered by the Baltimore Development Corporation (BDC), the purpose BaltimoreMICRO is to provide existing

More information

Business Planning Worksheets

Business Planning Worksheets Business Planning Worksheets Copyright 2003-2010 Lamar University SBDC Table of Contents Introductory Section... 1 Cover Sheet... 1 Executive Summary... 1 Narrative Section... 2 Description of the Business...

More information

CONVENTIONAL / SBA LOAN APPLICATION BUSINESS LOAN APPLICATION CHECKLIST

CONVENTIONAL / SBA LOAN APPLICATION BUSINESS LOAN APPLICATION CHECKLIST CONVENTIONAL / SBA LOAN APPLICATION BUSINESS LOAN APPLICATION CHECKLIST Please use this checklist as a guide to the documentation necessary to complete the processing of your business loan. If certain

More information

Belco Community Credit Union BUSINESS LOAN APPLICATION

Belco Community Credit Union BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Completed on / / APPLICANT INFORMATION Small Business Lending PH: 717-720-6408 Fax: 717-720-6257 449 Eisenhower Blvd. Harrisburg, PA 17111 Page 1 of 2 Applicant Name Credit Request

More information

QUALIFICATION REQUIREMENTS

QUALIFICATION REQUIREMENTS QUALIFICATION REQUIREMENTS COMMUNITY DEED RESTRICTED HOUSING PROSPECT HOMESTEAD QUALIFIED OWNER means a person who meets the following requirements at the time that he or she takes initial ownership interest

More information

BUSINESS LOAN APPLICATION Submit To: COUNTY OF MENDOCINO Attn: Economic Development Coordinator 501 Low Gap Road, Room 1010 Ukiah, CA 95482

BUSINESS LOAN APPLICATION Submit To: COUNTY OF MENDOCINO Attn: Economic Development Coordinator 501 Low Gap Road, Room 1010 Ukiah, CA 95482 BUSINESS LOAN APPLICATION Submit To: COUNTY OF MENDOCINO Attn: Economic Development Coordinator 501 Low Gap Road, Room 1010 Ukiah, CA 95482 1. Applicant Name: Name of Business: Sole Proprietorship: S Corporation:

More information

COMPANY INFORMATION. Address: City: County: State: Zip:

COMPANY INFORMATION. Address: City: County: State: Zip: MEMBER BUSINESS LOAN APPLICATION TYPE OF LOAN/LEASE: Business Vehicle (Fleet) Loan Equipment Financing Line of Credit SBA Loan Working Capital Loan Commercial Mortgage Amount Requested: Purpose/Use of

More information

S.B.A. LOAN APPLICATION

S.B.A. LOAN APPLICATION Member FDIC S.B.A. LOAN APPLICATION As the first Lender in the Dallas/Fort Worth area to achieve Preferred Lending Status from the U.S. Small Business Administration, our SBA Department is pleased to review

More information

(An affiliate of Diamond Financial Services of NJ) Approved Equipment (FF&E) Financing for Arooga s Grille House and Sports Bar

(An affiliate of Diamond Financial Services of NJ) Approved Equipment (FF&E) Financing for Arooga s Grille House and Sports Bar LEASING PROGRAM (An affiliate of Diamond Financial Services of NJ) Approved Equipment (FF&E) Financing for Arooga s Grille House and Sports Bar Types of Equipment Why FranchiseLeasing.com? Hardware/Software

More information

USDA IRP LOAN FUND PROSPERA BUSINESS NETWORK 2015 CHARLOTTE STREET, SUITE 1 BOZEMAN, MT 59718 406.587.3113

USDA IRP LOAN FUND PROSPERA BUSINESS NETWORK 2015 CHARLOTTE STREET, SUITE 1 BOZEMAN, MT 59718 406.587.3113 USDA IRP LOAN FUND Prospera s Intermediary Relending Program Revolving Loan Fund ( IRP Loan Fund ) provides financing to businesses located in Gallatin County and Park County. Prospera s IRP Loan Fund

More information

Commercial Loan Application. Business Structure LLC Corporation Partnership Sole Prop.

Commercial Loan Application. Business Structure LLC Corporation Partnership Sole Prop. 38541 Rhonswood, Northville, MI 48167 (248) 477-2503 Fax (248) 477-5963 www.nafgllc.com Commercial Loan Application Business Profile Legal Business Name/Borrower Tax Payer ID E-Mail Address D/B/A (if applicable)

More information

Grants State Bank. Requirements for Conventional Commercial Real Estate Loans

Grants State Bank. Requirements for Conventional Commercial Real Estate Loans Grants State Bank Requirements for Conventional Commercial Real Estate Loans The items listed below are required to process your loan with Grants State Bank (GSB). Please complete the applicable forms

More information

APPLICATION for NATIONAL CERTIFICATION as a WOSB/EDWOSB

APPLICATION for NATIONAL CERTIFICATION as a WOSB/EDWOSB APPLICATION for NATIONAL CERTIFICATION as a WOSB/EDWOSB (Woman Owned Small Business or Economically Disadvantaged Woman Owned Small Business) Instructions for downloading this WBE application: 1. If you

More information

Small Business Enterprises (SBE) Certification Application

Small Business Enterprises (SBE) Certification Application Small Business Enterprises (SBE) SBE Certification Program Information and Application Mission Statement: The Office of Business Opportunity is committed to creating a competitive and diverse Business

More information

Economic Development Loan Program

Economic Development Loan Program Gloversville Community Development Agency Economic Development Loan Program The Program The Gloversville Community Development Agency loan program was formed for the purpose of promoting economic development

More information

APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE

APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE APPLICATION FOR NATIONAL CERTIFICATION AS A VETERAN OWNED AND CONTROLLED BUSINESS Introduction We welcome your interest in NWBOC

More information

Thank You for Joining Us, The Webinar Will Begin Shortly.

Thank You for Joining Us, The Webinar Will Begin Shortly. Thank You for Joining Us, The Webinar Will Begin Shortly. Women Accessing Capital Training 130: Understanding Your Funding Sources Course Instructor: Michelle Hoffman, CPA CEO, Hoffman CFO Consulting The

More information

INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION

INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION BUSINESS OWNER S DETAILED PERSONAL FINANCIAL STATEMENT (Attachment A) PERSONAL FINANCIAL STATEMENT AFFIDAVIT

More information

Small Business Enterprise Certification Application 49 CFR Part 26

Small Business Enterprise Certification Application 49 CFR Part 26 Small Business Enterprise Certification Application 49 CFR Part 26 All firms wishing to be certified as a Small Business Enterprise (SBE) must complete this application and submit it to the Washington

More information

Universal Small Business Loan Application SERVICING

Universal Small Business Loan Application SERVICING Universal Small Business Loan Application SERVICING HILLSDALE, JACKSON, LENAWEE, LIVINGSTON, MACOMB, MONROE, OAKLAND, WASHTENAW, AND WAYNE COUNTY CITY OF DETROIT APPLICANTS SHOULD APPLY THROUGH THE SMALL

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION One Commerce Park P. O. Box 160 Shallowater,Texas 79363 Phone - 806.832.4525 Fax - 806.832.5849 EMAIL ADDRESS - MARK@FSBSHALLOWATER.COM Page 9 of 23 Commercial Loan Application:

More information

Women-Owned Business Certification

Women-Owned Business Certification omen-owned Business Certification Enhancing Contracting Capibilities omenowned hy Become Certified? omen are changing the face of America s economy. Their businesses are increasing in number, range, diversity

More information

LISC SMALL BUSINESS LOAN INTAKE FORM

LISC SMALL BUSINESS LOAN INTAKE FORM Thank you for your interest in applying for a small business loan through the Local Initiatives Support Corporation (LISC). Please complete the following forms so that we may prescreen your loan request.

More information

(Insert full name of applicant company here)

(Insert full name of applicant company here) PALM BEACH COUNTY OFFICE OF SMALL BUSINESS ASSISTANCE APPLICATION FOR CERTIFICATION Please Read This Page Prior To Filling Out Application AFFIDAVIT PALM BEACH COUNTY VENDOR ID # The undersigned does hereby

More information

SBA LOAN APPLICATION. Prequalification Meeting

SBA LOAN APPLICATION. Prequalification Meeting SBA LOAN APPLICATION This checklist has been provided to assist you through the process of gathering the necessary information for the initial evaluation of your loan request. Complete information will

More information

SMALL BUSINESS ENTERPRISE NEW PROGRAM APPLICATION CUYAHOGA COUNTY OF OHIO

SMALL BUSINESS ENTERPRISE NEW PROGRAM APPLICATION CUYAHOGA COUNTY OF OHIO SMALL BUSINESS ENTERPRISE NEW PROGRAM APPLICATION CUYAHOGA COUNTY OF OHIO Office of Procurement and Diversity Rev. 09/14 1 IMPORTANT INFORMATION FOR APPLICANT Cuyahoga County certifies Small Business Enterprises

More information

Small Business Lending Center Microenterprise Loans. Loans from $500-$10,000

Small Business Lending Center Microenterprise Loans. Loans from $500-$10,000 Small Business Lending Center Microenterprise Loans Loans from $500-$10,000 Rates and Terms: Fixed Rates 8.75%-10%, for up to six years 7% for up to 10 years for Energy Efficiency Projects (see Loan Manager

More information

The Florist Credit Union:

The Florist Credit Union: The Florist Federal Credit Union BUSINESS LOAN APPLICATION I. GENERAL INFORMATION Applicants Name / Borrower (individual business owner or business name): Tax ID Number: Mailing Address: Contact Person:

More information

SBA LOAN APPLICATION

SBA LOAN APPLICATION SBA LOAN APPLICATION Please note that this application may not be submitted online at this time. Please contact: Robyn Drago Texas Capital Bank One Riverway, Suite 150 Houston, TX 77056 832-308-7039 robyn.drago@texascapitalbank.com

More information

Owner Eligibility Requirements are the same for all business structures. One document must be a photo I.D. for identity verification purposes.

Owner Eligibility Requirements are the same for all business structures. One document must be a photo I.D. for identity verification purposes. Documentation Required for WBENC WBE Certification Please provide all documents listed. If a document is not being submitted, please provide an explanation detailing the reason(s) it is being omitted and/or

More information

Westwater Financial, Inc 8979 Conde Ln., Suite A Windsor, CA 95492 (707) 419-3070

Westwater Financial, Inc 8979 Conde Ln., Suite A Windsor, CA 95492 (707) 419-3070 Westwater Financial, Inc 8979 Conde Ln., Suite A Windsor, CA 95492 (707) 419-3070 SMALL BUSINESS LOAN CHECKLIST $5000-$10,000 Loan Applicant s Name: Date Completed Application Received: 1. Small Business

More information

Small Business Programs:

Small Business Programs: INTERNAL SERVICES DEPARTMENT (ISD) SMALL BUSINESS DEVELOPMENT Small Business Enterprise Certification Eligibility Requirements Small Business Programs: Small Business Enterprise Goods and Services are

More information

Business Loan Application Information Requirements

Business Loan Application Information Requirements Business Loan Application Information Requirements Completed Loan Application. (Form provided) 1626 6 th Avenue North Lewiston, Idaho 83501 Phone: (208) 746-0015 Fax: (208) 746-0576 Personal Financial

More information

See page 7 for Certification fees

See page 7 for Certification fees About Certification Many corporations, especially those in the National Minority Supplier Development Council Network, have special programs designed to assist minority owned firms to meet with their needs.

More information

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION LOAN REQUEST Business Term loan Commercial Line of Credit Commercial Real Estate Amount Requested $ Proposed Collateral and Value: Term/Month Business Legal

More information

BUSINESS EXPRESS LENDING LOAN REQUEST. Thank you for your interest in Fox Chase Bank. In this document you will find:

BUSINESS EXPRESS LENDING LOAN REQUEST. Thank you for your interest in Fox Chase Bank. In this document you will find: BUSINESS EXPRESS LENDING LOAN REQUEST Thank you for your interest in Fox Chase Bank. In this document you will find: Commercial Loan Application Personal Financial Statement Form Please complete these

More information

APPLICATION for NATIONAL CERTIFICATION as a WOMEN BUSINESS ENTERPRISE

APPLICATION for NATIONAL CERTIFICATION as a WOMEN BUSINESS ENTERPRISE APPLICATION for NATIONAL CERTIFICATION as a WOMEN BUSINESS ENTERPRISE Instructions for downloading this WBE application: 1. If you are reading this, then you have successfully opened this application from

More information

Tennessee Uniform Certification Program

Tennessee Uniform Certification Program Tennessee Uniform Certification Program Member Agencies Tennessee Department of Transportation Metropolitan Knoxville Airport Authority Chattanooga Metropolitan Airport Authority Memphis Shelby County

More information

San Francisco Bay Area Rapid Transit District

San Francisco Bay Area Rapid Transit District San Francisco Bay Area Rapid Transit District Small Business Entity (SBE) Certification Application To access the BART SBE List visit: www.bart.gov/ocr P a g e 1 Dear Business Owner, Thank you for your

More information

MWSBE/PDBE Certification Program Information and Application

MWSBE/PDBE Certification Program Information and Application Minority/Women/Small/Persons with Disabilities Business Enterprises (MWSBE and PDBE) Certification Application MWSBE/PDBE Certification Program Information and Application Mission Statement: The Office

More information

MICROLOAN APPLICATION CHECKLIST (Loans $50,000)

MICROLOAN APPLICATION CHECKLIST (Loans $50,000) checklist. INSTRUCTIONS Please complete this application and provide the information requested on the application checklist. Confirmation of receipt of a request will be made within approximately 5 business

More information

Greene County, New York

Greene County, New York N:\Economic Development\E D L\Policies and Procedures\Forms and Instructions\Application Package March 2007\Master loan application (3-07).doc Greene County, New York MASTER LOAN APPLICATION FORM (Quantum

More information

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship

More information

Corporation, a copy of the file stamped Articles or Certificate of Incorporation

Corporation, a copy of the file stamped Articles or Certificate of Incorporation Thank you for choosing Frost for your business credit needs. We are committed to helping you determine the best financing option for your business. To assist us, we ask that you complete and submit the

More information

City of Tuscaloosa SMALL BUSINESS REVITALIZATION LOAN PROGRAM APPLICATION

City of Tuscaloosa SMALL BUSINESS REVITALIZATION LOAN PROGRAM APPLICATION City of Tuscaloosa SMALL BUSINESS REVITALIZATION LOAN PROGRAM Community Development Block Grant Disaster Recovery APPLICATION Disaster Recovery Division Office of the Mayor 2201 University Boulevard, Tuscaloosa,

More information

INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET

INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET This instruction sheet is intended to provide guidance on how to complete the Attachment B: Personal Financial

More information

Iowa Small Business Loan Support Program Application

Iowa Small Business Loan Support Program Application ISBLSP Eligibility Requirements: The Borrower represents that: (a) The Borrower is an entity with 500 or less employees; the loan proceeds must be used for a business purpose. A business purpose includes,

More information

SAN FRANCISCO COMMUNITY COLLEGE DISTRICT SMALL BUSINESS AND SMALL LOCAL BUSINESS ENTERPRISE CERTIFICATION APPLICATION

SAN FRANCISCO COMMUNITY COLLEGE DISTRICT SMALL BUSINESS AND SMALL LOCAL BUSINESS ENTERPRISE CERTIFICATION APPLICATION SAN FRANCISCO COMMUNITY COLLEGE DISTRICT SMALL BUSINESS AND SMALL LOCAL BUSINESS ENTERPRISE CERTIFICATION APPLICATION Eligible California businesses can be certified as Small Business Enterprise (SBE)

More information

CITY OF DAYTONA BEACH COMMUNITY DEVELOPMENT DEPARTMENT SMALL BUSINESS DEVELOPMENT LOAN PROGRAM. Fact Sheet

CITY OF DAYTONA BEACH COMMUNITY DEVELOPMENT DEPARTMENT SMALL BUSINESS DEVELOPMENT LOAN PROGRAM. Fact Sheet CITY OF DAYTONA BEACH COMMUNITY DEVELOPMENT DEPARTMENT SMALL BUSINESS DEVELOPMENT LOAN PROGRAM Fact Sheet Service Area Loan Amount Loan Access Use of Funds Eligible Borrower Ineligible Use of Funds Repayment

More information

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 CFR PART 26 UNIFIED CERTIFICATION APPLICATION

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 CFR PART 26 UNIFIED CERTIFICATION APPLICATION DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 CFR PART 26 UNIFIED CERTIFICATION APPLICATION ROADMAP FOR APPLICANTS 1 Should I apply? o Is your firm at least 51%-owned by a socially and economically disadvantaged

More information

City of Milwaukee Office of Small Business Development. Minority, Woman & Small Business Enterprise Certification Application

City of Milwaukee Office of Small Business Development. Minority, Woman & Small Business Enterprise Certification Application City of ilwaukee Office of Small Business Development inority, Woman & Small Business Enterprise Certification Application City of ilwaukee Department of Administration Business Operations Division Office

More information

Important! Please read carefully before beginning your Standard Verification application.

Important! Please read carefully before beginning your Standard Verification application. Important! Please read carefully before beginning your Standard Verification application. 1. Please make sure you have selected the right application type. The Standard Verification Application is for

More information

Community Enterprise Investments, Inc. BUSINESS LOAN PROGRAMS Information Sheet

Community Enterprise Investments, Inc. BUSINESS LOAN PROGRAMS Information Sheet Community Enterprise Investments, Inc. BUSINESS LOAN PROGRAMS Information Sheet CEII provides small business loans for start-up and expansion. The service area for this program is the following Florida

More information

ValueBank Texas Commercial Loan Application

ValueBank Texas Commercial Loan Application ValueBank Texas Commercial Loan Application Business Information: Business Name Full Street Address City County State Zip Primary Contact Phone ( ) Fax ( ) Secondary Contact Phone ( ) Fax ( ) Type of Business

More information

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT In order to evaluate the legitimacy of each MBE/FBE applicant, certain relevant information must be provided initially,

More information

Capital Solutions 504 Loan Application Checklist

Capital Solutions 504 Loan Application Checklist Capitalsolutions@charter.net (205) 969-0133 Capital Solutions 504 Loan Application Checklist I. Loan Application Loan Application II. Business Financial Documents 3 Year Financial Statements 3 Year Federal

More information

CONTRACT BONDS * Bid * Payment * Performance

CONTRACT BONDS * Bid * Payment * Performance ALAMO SURETY BONDS Phone (210) 930-5550 2361 Austin Hwy Fax (210) 930-3255 San Antonio, TX 78218 bondinfo@alamobonds.com To qualify for bonding credit, the surety company underwriter will need to determine

More information

Bank Business Loan Application Page 1 of 2

Bank Business Loan Application Page 1 of 2 Bank Business Loan Application Page 1 of 2 Section 1 Business Information Company Name DBA or Franchise (if applicable) Phone Fax E-Mail Street Suite # Website City State Zip Code Date Company Founded

More information

Please forward by fax the completed application, any attachments, or questions to 877-529-0184 or info@gmafactor.com

Please forward by fax the completed application, any attachments, or questions to 877-529-0184 or info@gmafactor.com Please forward by fax the completed application, any attachments, or questions to 877-529-0184 or info@gmafactor.com All Fields MUST be filled in 100% Please include a Bio or Resume GMA Factor Toll Free:

More information

State of Delaware. Office of Supplier Diversity Certification Application. Complete application and mail, email or fax to:

State of Delaware. Office of Supplier Diversity Certification Application. Complete application and mail, email or fax to: State of Delaware Office of Supplier Diversity Certification Application Complete application and mail, email or fax to: Office of Supplier Diversity (OSD) 100 Enterprise Place, Suite 4 Dover, DE 19904-8202

More information

ARKANSAS SMALL BUSINESS PROVISION CERTIFICATION APPLICATION

ARKANSAS SMALL BUSINESS PROVISION CERTIFICATION APPLICATION SMALL BUSINESS PROVISION TITLE 49 CODE OF FEDERAL REGULATIONS PART 26 ARKANSAS SMALL BUSINESS PROVISION CERTIFICATION APPLICATION 10324 Interstate 30, P. O. Box 2261 Little Rock, Arkansas 72203-2261 Natasha

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor is required regardless of

More information

PERSONAL FINANCIAL STATEMENT 7(a) / 504 LOANS AND SURETY BONDS OMB APPROVAL NO.: 3245-0188 EXPIRATION DATE: 01/31/2018 U.S. SMALL BUSINESS ADMINISTRATION As of, SBA uses the information required by this

More information

PERSONAL FINANCIAL STATEMENT 7(a) / 504 LOANS AND SURETY BONDS

PERSONAL FINANCIAL STATEMENT 7(a) / 504 LOANS AND SURETY BONDS PERSONAL FINANCIAL STATEMENT 7(a) / 504 LOANS AND SURETY BONDS OMB APPROVAL NO.: 3245-0188 EXPIRATION DATE: 01/31/2018 U.S. SMALL BUSINESS ADMINISTRATION As of, SBA uses the information required by this

More information

Residential Builders New Application

Residential Builders New Application State of Arkansas CONTRACTORS LICENSING BOARD Residential Builders New Application $100.00 Filing Fee - NON-REFUNDABLE MAIL TO: CONTRACTORS LICENSING BOARD 4100 RICHARDS ROAD NORTH LITTLE ROCK, ARKANSAS

More information