Sba Form 1244 - U.s. Small Business Administration Application For Section 504 Loans Page 2

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U.S. SMALL BUSINESS ADMINISTRATION
APPLICATION FOR SECTION 504 LOAN
PART B
Certified Development Company
Date of Application
I.
Contact Person
Telephone No.
II. Borrower's Name
Employer ID Number
Name of Small Business Concern (SBC) if other than Borrower
EPC
Yes:
No:
Name of Principal in charge of the SBC
Telephone No.
SBC's Address
Street Address of Project (if different)
City
County
State/Zip Code
City of Project
County of Project
State/Zip Code
Relocation
III.
Corp., Yrs Chartered
Location
Check appropriate description
Existing Business
Partnership, No. Partners
1 - Urban
New Business
Proprietorship
LLC
Yes
No
2 - Rural
Check if applicable:
Type of Business
NAICS Code Date Established
Minority Code
Woman-owned
Veteran-owned
Service Disabled Veteran-owned
IV. A. Name(s) of Participating Lender(s)
Amount:
Contact Person
Telephone No.
B. Name of Other Sources (including any other Federal sources)
Amount:
C. Name of Interim Lender (if different from IV.A.)
Amount:
Contact Person
Telephone No.
V. Please explain the purpose and Economic Impact of the Project
SBA USE ONLY
Approved by D.O.
Date
Funding Approved
Date
SBA Form 1244 (09-16) Previous editions obsolete
Page 2 of 13

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