ETRDC Business Lending
Loan Application
Company Information Company Name* Address 1* Address 2 City* State* Zip* Contact Information Principal In Charge* Work Phone* Work Fax Email* Secondary Contact Work Phone Work Fax Email Company Data Business Type* Date Established* Type of Entity* Proprietorship Partnership LLC Corporation Yrs Business Incorporated* Number of Current Employees* Estimated Number of New Employees Within the Next Two Years Due to Loan* Financial Information Real Estate (Land and Building)* New Construction / Expansion / Repair* Improvements to Leased Property* Construction Contingency* Acquisition and / or repair of machinery and equip* Acquisition and / or repair of fixtures* Inventory Purchase* Working Capital (including loan fees)* Acquisition of existing business* Architect Fees* Engineering Costs* Appraisal fees* Environmental Fees* Interim Interest* Checklist Business Financial Statements (last 3 years) Federal Tax Returns (last 3 years) Sole Proprietorship - Fictitious Business Name Statement (filing and proof of publication with county records) Corporation – Articles of Incorporation, Corporate Bylaws and Stock Certificates Partnerships (General, Limited or Limited Liability) – Partnership Agreement (with all exhibits and State Registration, if any Limited Liability Company – Articles of Organization Form (LLC-1) and Operating Agreement Trust – Trust Agreement with all exhibits Real Estate Purchase Agreement Personal Tax Returns (last 3 years) Personal Financial Statement (form attached) Personal History Statement (form attached) Verification Have you or any officer of your company ever been involved in bankruptcy or insolvency proceedings? If yes, please provide details below. YesNo Are you or your business involved in any pending lawsuits? If yes, please provide details YesNo Do you or your spouse or any member of your household, or anyone who owns, manages, or directs your business or their spouses or members of their households work for the Small Business Administration, Small Business Advisory Council, SCORE, ACE, any Federal Agency, or the participating lender? If yes, please provide the name and address of the person and the office where employed YesNo Do you buy from, sell to, or use the services of any concern in which someone in your company has a significant financial interest? If yes, please provide details YesNo Does your business presently engage in export trade? YesNo Do you have plans to begin exporting as a result of this loan? YesNo