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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br />I. CONTACT INFORMATION <br />Legal Name of Business: <br />Project Site Address: <br />City /State /Zip <br />Contact Person(s) <br />Business Phone <br />Home Phone <br />Check One: <br />Social Security No. <br />Federal ID # <br />Email <br />Proprietor Corporation Partnership <br />State ID # <br />II. NATURE OF LOAN REQUEST <br />Which Micro-Loan Program are you applying for? <br />Industrial Incentive Program <br />Downtown Revitalization Financing Program <br />Energy Efficiency Improvement Program <br />Amount Requested: $ Total Project Cost: $ <br />Type of project: <br />New construction fox a start up business. <br />New construction fox an existing business. <br />On site expansion <br />Equipment purchase <br />Remodeling: (circle one) Commercial /Retail /Industrial <br />Refinancing existing debt <br />Other <br />Fax <br />Micro Loan Fund Applicarion Page 9 of 15 <br />Amended March 2011 DI~1FT <br />