Downtown Business District Authority

Loan Application

Section 1: Business Information
Business Owner(s):
Your Name (required)

Social Security Number

Address

City

State

Zip

Birth Date

Your Name

Social Security Number

Address

City

State

Zip

Birth Date

Business Phone

Home Phone

Mobile Phone

Your Email (required)

Legal Business Name

Doing Business As

Business Address

City

State

Zip

Describe Your Product or Business

Business Status
new (under 12 months)existing (over 12 months)

Date Business Was Established

Number of Employees (including owner(s))

Full Time

Part Time

Have you met all the legal requirements necessary to establish your business?
yesnonotsure

Federal Tax ID Number (if you have one)

Type of Business Organization
partnerships corporationsole Proprietorshipc corporationnot yet establishedother

Is Your Business For Profit?
yesno

Section 2: Business Plan Information

Have You Completed a Business Plan
yesno

When and by whom was the Business Plan prepared?

If you have not completed a Business Plan, would you like assistance in preparing one?
yesno

Section 3: Financing Information

Purpose of Loan Request

Have You Applied for Other Lending
yesno

If yes from whom?

Type of Funding

What is the status of your application?

How did you hear about UDBDA?

Total amount of loan request:
$

I would like to pay off the loan in
months

Proposed collateral:
Business AssetsMortgageCo-SignerOther

Amount and source of personal (non-loan) funds that you have invested or plan to invest in the business/project:
$

Source (savings, credit card, personal loan, other)

Please send a $100 application fee made payable “Fay-Penn Economic Development Council. Application will not be processed until payment is received.