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<br />ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br /> <br />I. CONTACT INFORMATION <br /> <br />Legal Name of Business: <br /> <br />Address: <br /> <br />City / State / Zip <br /> <br />Contact Person(s) <br /> <br />Business Phone <br /> <br />Home Phone <br /> <br />Check One: <br /> <br />Proprietor <br /> <br />Social Security No. <br /> <br />Federal ID # <br /> <br />II. NATURE OF LOAN REQUEST <br /> <br />Which Micro-Loan Program are you applying for? <br /> <br />Industrial Incentive Program <br />Rehabiliation Financing Program <br /> <br />Amount Requested: $ <br /> <br />Fax <br /> <br />Email <br /> <br />Corporation <br /> <br />State ID # <br /> <br />Total Project Cost: $ <br /> <br />Type of project: <br />New construction for a start up business. <br />New construction for an existing business. <br />On site expansion <br />Equipment purchase <br />Remodeling: (circle one) Commercial/Retail / Industrial <br />Other <br /> <br />Micro Loan Fund Application <br />Amended May 2006 <br /> <br />Partnership <br /> <br />Page 9 of 14 <br />