Apply for Business Funding Application
Please complete the following form to apply for support and funding from the CICD. A complete loan application requires submittal of the following documents as applicable.
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PLEASE NOTE: Once the application process is started, it cannot be saved. You must complete it in its entirety.
CONTACT INFORMATION
SUMMARY OF PROPOSED PROJECT
PROPOSED SOURCES OF FUNDS
PROPOSED SOURCES OF FUNDS
% of Project Costs
Term
Interest Rate
Dollar Amount
BANK
CICD
EQUITY FROM OWNER
OTHER
PROPOSED USES OF FUNDS
% of Project Costs
Dollar Amount
LAND OR BUILDING
EQUIPMENT
WORKING CAPITAL
OTHER USES
GUARANTORS
Please UPLOAD a list of all GUARANTORS, addresses and his/her NET WORTH outside of business.
OFFICERS, DIRECTORS AND PARTNERS
Please UPLOAD a list of all OFFICERS, DIRECTORS AND PARTNERS, SALARIES and PERCENTAGE of his/her OWNERSHIP of business.
CURRENT AND PROJECTED EMPLOYMENT
NUMBER OF EXISTING JOBS
ANTICIPATED JOBS
PROPOSED SITE INFORMATION IF APPLICABLE
LAND OR SITE INFORMATION
NUMBER OF ACRES
SITE ACCESS
UTILITY ACCESS
SITE IMPROVEMENTS
BUILDING INFORMATION
SIZE/SQUARE FOOTAGE:
EAVE HEIGHT:
DIMENSIONS:
EQUIPMENT INFORMATION
WHY IS THE LOAN NECESSARY? PLEASE DESCRIBE.
PLEASE UPLOAD YOUR PERSONAL FINANCIAL STATEMENT
Click HERE to download a template of your PERSONAL FINANCIAL STATEMENT for your use.
PLEASE UPLOAD YOUR PROJECTED INCOME STATEMENT
PLEASE UPLOAD YOUR PROJECTED BALANCE SHEET
PLEASE DESCRIBE THE PURPOSE AND DEFINITIONS OF YOUR COMPANY
PLEASE DESCRIBE THE HISTORY OF YOUR COMPANY
PLEASE LIST YOUR COMPANY'S SHORT-TERM AND LONG-TERM GOALS
PLEASE UPLOAD YOUR MARKETING PLAN
Please upload your marketing plan or use the box below to describe the following:
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Is there a need or want?
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Why will you succeed?
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Who is your target market?
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Demographics for Your Products or Services
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Competition Description and Analysis
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Advertising Plan
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Pricing Models
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Location Strategy and Advantage
PLEASE UPLOAD ANY ADDITIONAL DOCUMENTS FOR YOUR APPLICATION
- Please either download credit authorization form and upload or sign the document electronically below -
DOWNLOAD COPY OF PRINTABLE CREDIT AUTHORIZATION FORM
PLEASE UPLOAD SIGNED CREDIT AUTHORIZATION FORM
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If You Sign Electronically, Please Upload a State Issued Picture ID.
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PERMISSION TO REVIEW YOUR CREDIT REPORT
