Loan Application Please fill this Loan Application form in its entirety. Failure to complete and submit form will result in loss of data and delays in processing. Loan Application 0% Complete1 of 6 Business Information Company/Business Name * Company/Business Number Principals Name * Phone * Email * Name Phone Name Phone Postal Address Street Address Business Phone Business Fax Web Address Email Address Business Structure Please select Sole Propietorship Partnership Incorporation To be Incorporated Business Type Please select Construction Forestry Fishing Hospitality Manufacturing Retail/Service Tourism Transportation Loan Information Please enter the dollar amount of the loan that you are requesting. * (Enter amount without comma or period) Over how many years? (max 5) 1 2 3 4 5 Please provide a brief description on how the dollars will be used. Fund will be used for: Equipment $ Working Capital $ Inventory $ Other $ Other $ Jobs Created Full Time Part Time Jobs Maintained Full Time Part Time Next If you are human, leave this field blank.