LCEDC LOAN APPLICATION FORM
APPLICANT INFORMATION
Applicant(s): ______________________________________________________________________
Location of Project:_________________________________________________________________
Telephone: ____________________ Fax:___________E-Mail: _____________________________
Type of Business:
Applicants principal representative: __________________________________________________
Title: _____________________________________________________________________________
Address: __________________________________________________________________________
Telephone: ________________________ E-Mail: ____________________________
Ownership%: _______________________
PROJECT DESCRIPTION (Please attach a Business Plan)
Brief Description: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
USE OF FUNDS (project costs...if more space is needed, attach additional page)
Land
Building
Construction / Renovation
Machinery / Equipment
Furniture / Fixtures
Leasehold Improvements
Working Capital
Total Costs: ________________
Applicant(s): ______________________________________________________________________
Location of Project:_________________________________________________________________
Telephone: ____________________ Fax:___________E-Mail: _____________________________
Type of Business:
Applicants principal representative: __________________________________________________
Title: _____________________________________________________________________________
Address: __________________________________________________________________________
Telephone: ________________________ E-Mail: ____________________________
Ownership%: _______________________
PROJECT DESCRIPTION (Please attach a Business Plan)
Brief Description: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
USE OF FUNDS (project costs...if more space is needed, attach additional page)
Land
Building
Construction / Renovation
Machinery / Equipment
Furniture / Fixtures
Leasehold Improvements
Working Capital
Total Costs: ________________
STREET ADDRESS CITY ST ZIP
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___ Sole Proprietor
___ Corporation
___ Corporation
___ Partnership
___ LLC
___ LLC
I. A
I. B
II.
III.
Note: You must submit the required items
listed on the HOW WE HELP page!
listed on the HOW WE HELP page!
LCEDC / 212 WEST OKLAHOMA / GUTHRIE, OK 73044 / 405.282.0060 / kaywade@logancountyedc.com
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