A. BUSINESS INFORMATION
If there is a separate borrowing company involved in your financing application, please fill out the information requested below. If there is NOT a separate borrowing company involved, proceed to the next section.
B. BORROWING COMPANY INFORMATION
C. FINANCING REQUEST
D. OPTIONAL DEMOGRAPHIC INFORMATION
This section is optional. You may respond to some of the items below, all of the items, or none of them.
E. CERTIFICATION, AUTHORIZATION & SIGNATURE.
The information provided in this application is confidential and will only be viewd by Impact Loan Fund staff.