Austin CDC Revolving Loan Fund
Loan Fund Application
Date:_____________
Business Name:_______________________________________________________________________________
____________________________________________________________________________________________
(Street address) (City) (State) (Zip code)
Business Phone: ( )_________________Fax: ( )______________ Cell: ( )______________
Tax Identification Number (TIN/EIN) :__________________________________
Email Address: _____________________________ Website Address: ____________________________
Applicant(s)/Owner(s): (if multiple, attach information on all).
Name: _____________________________ TxDL#:_______________ SSN#:______________ Ownership%:_____Title:_________
Name:______________________________ TxDL#:_______________ SSN#:______________ Ownership%:_____Title:_________
Supplemental Contact Information: (Not living in same residence)
Name: _____________________________ Relationship:____________________________
Phone: ( )____________Address:_______________________________________________________________
Business Owner(s): ______Male _____ Female (if more than one, put appropriate amount in each blank)
Ethnicity (optional): _____Asian _____Anglo _____African American _____Hispanic ___ Native American ____Other
(Specify:____________________)
Estimated Loan Request: Working Capital $ ____________
Equipment $ ____________
Real Estate $ ____________
Other $ ____________
Total: $ ____________
Estimated Owner Cash Contribution: $ ____________
I (we) authorize PeopleFund and/or its agents to make any investigations of credit either directly or through any agency which has credit information. I understand that there are normal costs associated with loan underwriting. At a minimum all approved loans are subject to: 1) 2% Origination Fee, 2) $325 Loan Document Preparation Fee, 3) $60 UCC Search/Filing Fee. (This list does not enumerate all fees, only minimal fees. Loans collateralized with vehicles or Real Estate are subject to other standard fees which may be significant). I agree to inform PeopleFund immediately of any matter which may cause significant changes in my financial condition. I allow PeopleFund staff to share my business information with PeopleFund Board and investment committee.
If approved, all PeopleFund clients are required to enroll in auto-debit loan payment withdrawal.
I acknowledge PeopleFund is a federally funded organization and that fraud can be prosecuted as a criminal offense.
Applicant(s) Signature: _______________________ , _______________________ , ____________________
2921 E. 17th Street, Building D, Suite 1 σ Austin, TX 78702 σ (512) 472-8087 σ Fax (512) 472-8191
BUSINESS INFORMATION
Business Structure: ____Proprietorship ____General Partnership ____ Corporation ____S-Corp. ________L.L.C. ________ L.P.___Entity To Be Formed
Years of operation under current ownership: ______years _____new business
Last year’s Revenues: $___________________ Current Revenues: $______________________
What are your average annual expenses? _________
Do you or your company have any tax liens and/or judgments?
Have or your company have any tax liens and/or judgments?
Have you ever filed Bankruptcy? ____ If yes, which type? ___ Ch. 7 ___ Ch. 11 ___ Ch. 13 (Check One)
Date of last Bankruptcy:___________________
Explain:__________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Are you/your company currently under any litigation?
Explain:
Number of Employees: Current ____Full-time ____Part-time After loan ____Full-time _____Part-time
Primary Business Bank:____________________________ Contact & phone:_________________________
How did you find out about us? Name___________________________ Organization______________________
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