Sba Form 1244 - U.s. Small Business Administration Application For Section 504 Loans Page 3

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VI. A. Impact on Jobs

B. CDC's overall portfolio job ratio as of the date of the last

Annual Report

1. Pre-project Employment

Economic Development Objectives

Community or Area Development

2. Number of jobs to be created in the next

Public Policy Goals (check one or more below)***

two years

Energy Efficiency Goals

3. Number of jobs to be retained because of

Rural development

project

_____

Reduce energy use by 10%

Business district revitalization

4. Total jobs to be created and retained (2 + 3)

_____

Sustainable building design

Expansion of exports

5. Debenture Amt./$65,000

Minority-owned business

(504 projects only)

Renewable energy

_____

Enhanced economic competition

production

Changes necessitated by Federal

______

Reduces unemployment

Yes

6. Does Project meet job requirement of 1 job

budget cutbacks

in labor surplus areas

per $65,000?

7. If small manufacturing, does Project meet

Business restructuring from Federally mandated policies affecting the

Yes

environment, employee safety or health.

job requirement of 1 job per $100,000?

Veteran-owned business

Woman-owned business

VII.

Proposed Uses of Funds

Amount Requested

VIII.

Debenture Pricing (504)

Requested

A. SBA Share (

%) of Project Cost

A. Land (and purchase of existing

B. Administrative Costs

building, if applicable):

1. SBA Guarantee Fee (Ax______%)

B. Building (new construction,

2. Funding Fee (Ax0.0025)

remodeling, L/H improvement, etc.):

3. CDC Processing Fee (Ax_____%)

C. Machinery & equipment (purchase,

4.Closing Costs

installation, etc.):

5. Total (B1 through B4)

D. Debt to be refinanced

6. Underwriters Fee*

7. Total (B5 plus B6)

E. Professional fees (appraiser, architect,

legal, etc.):

C. Total Debenture Amount (A plus B7, rounded up to

next thousand)

F. Other Expenses (eligible business

D. Balance to Borrower (C minus (A + B7)

expenses, construction contingency,

interest on interim financing, etc.):

G. TOTAL PROJECT COST (Not

including 504-related fees)

IX. Sources of Funds (504 projects only)

Dollar Request

% Project Cost

Maturity

Interest Rate

Lien Position

A. Net Debenture (VIII.A.)

XXX

Gross Debenture (VIII.C.)

XXX

B. Private Sector

C. Other Financing (specify)

D. Borrower Injection

E. CDC Injection

F. TOTAL PROJECT FINANCING**

100.00%

XXX

Source of Equity Injection

* Underwriters fee calculated as follows: For 20 year Debentures, the sum of a. and b.5 divided by 0.99600; round this number up the next highest

thousand; multiply this number by 0.00400. For 10 year Debentures, the sum of a. and b.5 divided by 0.99625; round this number up to the next highest

thousand; multiply this number by 0.00375.

** This does not include 504-related fees and costs.

***The public policy goals refer to the public policy goals referenced in section 501(d)(3)(A) through (K) of the Small Business Investment Act. Applicants

are eligible for a higher debenture if they can show the project achieves an applicable energy public policy or small manufacturing goal.

SBA Form 1244 (09-16) Previous editions obsolete

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