Commercial Rent Reimbursement Grant Program Application and Checklist
Panama City Community Redevelopment 501 Harrison Ave Room #206 Panama City, FL. 32401 (850) 872-7230
Commercial Rent Reimbursement Grant Program Guidelines
SECTION 1. APPLICANT INFORMATION
Applicant Name
*
First Name
Last Name
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Phone Number
*
Applicants phone number
Applicant Email
*
example@example.com
SECTION 2. BUSINESS INFORMATION
Business Name
*
Please provide the businesses legal name
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
Please enter a valid phone number
Business Website
Please provide business website if applicable
Type of Business
Please provide what type of business this is
Business Information
*
New Business
Existing Business/relocating to new CRA area
Opening Date of Business
-
Month
-
Day
Year
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Previous Business Location (if applicable)
Please list previous business location (if applicable)
SECTION 3. PROPERTY OWNER INFORMATION
Name of Property Owner
*
Please list the property owners name
Property Owner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number
*
Please enter a valid phone number
Date of Execution on Lease
*
-
Month
-
Day
Year
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Months Left on Lease
*
Please list the number of months left on the lease
Conflicts of Interest
Please list any conflicts of interest
By signing below, I affirm I have read and understand the Rules & Guidelines for the CRA Commercial Rent Reimbursement Grant Program and agree to the terms therein. I understand I am required to submit all supporting documentation found in the CRA Commercial Rent Reimbursement Grant Program Checklist; applications missing documentation are considered incomplete and will not be accepted or considered. CRA’s acceptance of complete application is for review and consideration, and in no way is a guarantee of approval for the CRA Commercial Rent Reimbursement Grant offered by the City of Panama City, Community Redevelopment Agency (CRA).
*
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Applicant Printed Name
*
Date
*
-
Month
-
Day
Year
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SECTION 4. APPLICATION CHECKLIST
1. Copy of Business License
*
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2. Copy of Drivers License
*
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3. Temporary Certificate of Occupancy or Certificate of Occupancy
*
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Please upload a temporary certificate of occupancy or certificate of occupancy
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4. Business plan including executive summary
*
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Please upload a business plan including an executive summary
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5. A list of jobs to be created and filled, including job descriptions and pay range
*
6. A full list of all current employees (for existing businesses)
*
7. Copy of executed multi-year lease agreement (See lease terms for lease requirements)
*
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Please upload a copy of the lease
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8. W-9 completed and signed (required to receive funds)
*
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Please upload a copy of the W9
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