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ELK RIVER ECONOMIC DEVELOPMENT <br />MICRO LOAN FUND APPLICATION <br /> <br />I. CONTACT INFORMATION <br /> <br />Company: <br /> <br />Ad&ess: <br /> <br />City- / State / Zip <br /> <br />Contact Person(s) <br /> <br />Business Phone <br /> <br />Fax <br /> <br />Home Phone <br /> <br />Email <br /> <br />Check One: __ Proprietor __Corporation ~ Parmership <br /> <br />Social Securit37 No. <br /> <br />Federal ID # <br /> <br />State ID # <br /> <br />Il. NATURE OF LOAN REQUEST <br /> <br />Which Micro-Loan Progam are you applying for? __ Supplemental Financing Pro,am <br /> __ Redevelopment Financing Program <br /> __ Industrial Incentive Pro,am <br /> <br />Amount Requested: $. <br /> <br />Total Project Cost:. <br /> <br />T)~pe of project: <br /> __ New construction for a start up business. <br /> __ New construction for an e:dstmg business. <br /> On site expansion <br /> __ Equipment purchase <br /> __ Remodeling: (drde o,e) Cmrmaercial / Retail / Industrial <br /> Off, er <br /> <br />Please ~ve a brief summary of your business and its products or service: <br /> <br /> <br />