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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br />1. CONTACT INFORMATION <br />Legal Name of Business: <br />Address: <br />City /State /Zip <br />Contact Person(s) <br />Business Phone <br />F <br />Home Phone <br />Check One: Proprietor Corporation Partnership <br />Social Security No. <br />Federal ID # <br />State ID # <br />II. NATURE OF LOAN REQUEST <br />Which Micro-Loan Program are you applying for? <br />Industrial Incentive Program <br />Rehabiliation Financing Program <br />Amount Requested: $ Total Project Cost: $ <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 />Micro Loan Fund Applicarion Page 9 of 14 <br />Amended May 2006 <br />