Microloan Application

GCPCDC Microloan Application

Borrower’s Name

First Last

Phone

DOB

Federal Tax ID

Social Security Number

Borrower’s Address:

Street Address City State / Province / Region ZIP / Postal Code

Company’s Address:

Street Address City State / Province / Region ZIP / Postal Code

Web Address

Amount Requested

Is the Project Contingent upon Receiving this Loan:

Yes

Principal Officer’s Ownership

Name & Title

Percent of Ownership

Social Security Number:

Name & Title

Percent of Ownership

Social Security Number:

Information on existing business

Type of business

Service

Date of Loan Needed

Start-up Date

Use of Funds

Structure

Name of Bank

Bank Address

Street Address City State / Province / Region ZIP / Postal Code

Number of Employees

Retained Employees if applicable

Average Wage per hour

Other existing financials accounts

Mortgage Lender

Loan Date

Auto Lender

Loan date

Description of Proposed Project

Total Cost of Project

Use of Funds

Please submit to the Greencastle/Putnam County Development Center office at 2 S. Jackson Street, Greencastle, IN 46135 ~ 765.653.2474 or email at kristin@gcpcdc.com

All Applications will require a history credit check, a $100 processing fee if awarded, and a cash flow statement.