COVID-19 Enterprise Loan Fund Preliminary Application
New Castle Henry County Economic Development Corporation (Indiana)
Logo
Name of Business
Your answer
Type of Business
Main Contact (Name, Telephone, E-mail)
Your answer
Provide Names of all Business Owners
Your answer
Address of Business
Your answer
Type of Business (describe product or service and customers)
Your answer
When was the Business Established?
Your answer
Number of Employees
Your answer
Average Wage of Employees (excluding benefits)
Your answer
Describe Benefit Package Offered to Employee
Your answer
Amount Requested and Proposed Use of Funds (Maximum $12,000)
Your answer
List All Other Business Debts
Your answer
Is Business Current on All Taxes
Will Business Owner(s) sign Personal Guarantee for Loan?
Describe Collateral Offered to Secure Loan
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of New Castle Henry County Economic Development Corp.. Report Abuse