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:  ________________
STREET ADDRESS                                                                                       CITY                     ST        ZIP
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
____________________________________________________________________________________________________________
______________________________________________________
___ Sole Proprietor
___ Corporation
___ Partnership
___ LLC
I. A
I. B
II.
III.
Note: You must submit the required items
listed on the HOW WE HELP page!
LCEDC  /  212 WEST OKLAHOMA  /  GUTHRIE, OK 73044  /  405.282.0060 /  kaywade@logancountyedc.com
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