• Small Business Fund Application
  • Small Business Fund Application
    • Small Business Fund Application
    • Business Name*
       
      Business Address*
       
       
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      • OK
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      *  
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      *
      Owner Name/Primary Contact
      First name*
       
      Last name*
       
      Email address*
       
      Name of Owners with 20% equity or more
      Owner 1
      First name
      Last name
      Owner Address
      • AA
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      • GA
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      • IA
      • ID
      • IL
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      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
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      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 2
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 3
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 4
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Business phone*
        x
      Cell phone*
       
      Rent or Own Business Property?*
      *
      Monthly Rent/Mortgage*
       
      EIN/SSN*
       
      Date Business Established*
      March 2023
      March 2023
       SMTWTFS
      92627281234
      10567891011
      1112131415161718
      1219202122232425
      132627282930311
      142345678
       
      Primary Industry (NAICS)*



















      *
      Ownership Structure*
      *
      If Other, please specify
      Number of Employees (Full Time Equivalent)*
       
      What type of loan are you requesting?*
      *
      Reason and Purpose for Loan*
       
      Amount Requested*
       
      Do you have collateral that can be used to secure this loan?*
      *
      If Yes, please list collateral that can be used to secure this loan
       
      Please download the Income and Expense Report below. Complete both worksheets for personal and business income and expenses. Once completed, please upload the file for review.*Please click here for additional information.
      Click Here to download the Income and Expense Report
      *
      Please provide driver’s license for all owners.*Please click here for additional information.
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      Please provide a copy of your most recently filed taxes*Please click here for additional information.
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      Please list any current loans/credit cards or debts*
       
      Have you filed for bankruptcy within the last ten (10) years?*
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      Are there any outstanding judgments entered against you?*
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      Are you presently a party to any lawsuits?*
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      Are there any local, state or federal tax liens filed against you?*
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      Are you current with all municipal services, i.e. water, sewer?*
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      Please indicate which represents you*
      If Other, please specify
      Are you current with all local, state, and federal taxes?*
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      I understand that making a false statement on this form is a violation of law and could result in criminal prosecution, significant civil penalties, and a denial of the loan.*
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      I am authorizing a credit bureau review*
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      I understand a $50.00 application fee is required and my application will not be reviewed until fee is received.*

      Checks should be made out to: "Erie County Redevelopment Authority" with "Small Business Fund Application" on the memo line.
      Checks must be sent to:
      Erie County Redevelopment Authority
      ATTN: Ethan Bennett
      1314 Griswold Plaza, Suite 200
      Erie, PA 16501
      *
      Signature*
       
      Please verify that you are a real person*