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CITY OF BELGRADE REVOLVING LOAN FUND APPLICATION APPLICANT BUSINESS NAME OF COMPANY: CODE: ADDRESS: TELEPHONE NUMBER: NUMBER: CONTACT PERSON: ADDRESS: TELEPHONE NUMBER: NUMBER: BUSINESS PLAN INFORMATION 1. NUMBER OF YEARS IN 2. FORM OF BUSINESS ORGANIZATION: SOLE PROPRIETORSHIP PARTNERSHIP______; CORPORATION_______; 3. BUSINESS DESCRIPTION AND PROJECT PLAN (PROVIDE A BUSINESS PLAN AND PROJECT DESCRIPTION WITH SPECIAL EMPHASIS ON MARKETING STUDIES AND STRATEGY). 4. ATTACH A COMPLETE SET OF FINANCIAL STATEMENTS (BALANCE SHEETS; PROFIT AND LOSS STATEMENTS; CASH FLOW STATEMENTS; AND RECONCILIATION OF NET WORTH STATEMENTS FOR THE THREE MOST RECENT YEARS OF OPERATION; AND PROJECTED BALANCE SHEETS; PROFIT AND LOSS STATEMENTS; AND CASH FLOW STATEMENTS FOR THREE YEARS). 5. COMPLETE THE ATTACHED BUDGET FORM AND INCLUDE ALL SOURCES AND USES OF FUNDS PROPOSED FOR THE PROJECT. INCLUDE A NARRATIVE RATIONALE OF THE BUDGET COSTS. ---PAGE BREAK--- 6. PROJECTED FINANCING AND COLLATERAL POSITIONS A. PROPOSED FINANCING (INCLUDE NEW EQUITY): SOURCE PRINCIPAL RATE TERM PAYMENT/YR. B. PROPOSED COLLATERAL POSITIONS: SOURCE COLLATERAL VALUE POSITION 7. ATTACH LETTERS OF COMMITMENT FROM PROPOSED SOURCES OF NEW FUNDS, INCLUDING THE BUSINESS OWNERS. PROJECTED TIMETABLE 1. 2. COMPLETION 3. HIRING 4. HIRING THRESHOLDS 1. COST PER LMI FTE BE LESS THAN $20,000.00) 2. PERCENTAGE OF BENEFIT TO LEAST 51%) 3. DEBT TO EQUITY TO EXCEED 5:1) 4. RATIO OF MATCHING FUNDS COMMITTED:___________(AT LEAST 1:1) 5. TOTAL AMOUNT OF NEW EQUITY FUNDS ---PAGE BREAK--- HIRING AND TRAINING PLAN 1. NUMBER OF EXISTING FULL TIME EQUIVALENT (FTE) 2. NUMBER OF FTE JOBS TO BE 3. NUMBER OF FTE JOBS TO BE 4. NUMBER OF FTE JOBS TO BE CREATED FOR LOW & MODERATE INCOME PERSONS 5. HIRING AND TRAINING 6. LETTER OF COMMITMENT TO HIRING 7. PERSONAL 8. AUTHORIZATION FOR RELEASE OF CREDIT CERTIFICATION AS THE RESPONSIBLE AUTHORIZED AGENTS OF WE HEREBY SUBMIT THIS APPLICATION. THE INFORMATION SUBMITTED IN THIS APPLICATION IS, TO THE BEST OF OUR KNOWLEDGE, TRUE AND ACCURATELY REPRESENTS THE PROPOSED PROJECT. WE UNDERSTAND THAT ADDITIONAL INFORMATION AND DOCUMENTATION WILL BE REQUIRED. WILL ACCEPT RESPONSIBILITY FOR COMPLIANCE WITH APPLICABLE CDBG REGULATIONS AND TO THE HIRING OF LOW AND MODERATE INCOME PERSONS AS SPECIFIED IN THIS APPLICATION. SIGNATURE TYPED NAME & TITLE DATE