• KSBCI 2.0 Loan Enrollment Form

  • INSTRUCTIONS 

    All applicants should familiarize themselves with the information regarding the incentive programs for which application is made as well as other applicable program requirements and the KSBCI Guidelines. Information regarding the KSBCI program is located at:

    https://ced.ky.gov/Entrepreneurship/KSBCI

    If you are seeking to utilize the KSBCI program to enhance the availability of credit for your small business customers, you must notify Kentucky Innovation within the Kentucky Cabinet for Economic Development. A project manager will be assigned to assist you with your project and determine the incentives for which the project may qualify. No applications will receive consideration without the signature of an agent of the Cabinet.

    The online application should be completed and submitted, including the signatures and the required attachments.

    If you need assistance with the application, email cedsbsd@ky.gov or call (502) 564-7670.

    JOTFORM

    This applicaiton has a "save" feature, found at the bottom of each page. If you have already provided your email address you will receive an email from Jotform allowing you to continue your application at a later time.

    This application is encrypted, meaning the information included on the applicaiton is only accessible to designated individuals within the Cabinet for Economic Development.

     

    REQUIRED ATTACHMENTS  

    The following must be submitted through, or in conjunction with, this online application:

    1. Signed Certification of Application
    2. Signed Lender Incentive Disclosure Statement
    3. Signed Lender Use of Proceeds Conflicts Form
    4. Signed Lender Sex Offender Form
    5. Signed Borrower Incentive Disclosure Statement
    6. Signed Borrower Use of Proceeds Conflicts Form
    7. Signed Borrower Sex Offender Form
    8. A copy of the loan application, credit analysis, and other relevant loan documents

    If this application includes a Guarantor that is an entitiy, please submit the following as well:

    1. Signed Entity Guarantor Use of Proceeds Conflcits Form
    2. Signed Entity Guarantor Sex Offender Form

  • Lender Information

  • Format: (000) 000-0000.

  • Borrower Information

  • Format: (000) 000-0000.
  • Is the Borrower Registered with the Kentucky Secretary of State?*

  • Click this link to check for Borrower Registration with the Kentucky Secretary of State

  • Click this link to search for the NAICS Code

  • Legal Entity Type of Borrower*
  • Please indicate whether the KSBCI-supported loan supports a business that makes climate-aligned investments. For more context, please hover your cursor over the question.*
  • Climate Change Impact: Please indicate whether the KSBCI-supported loan supports a small business in a community facing local job losses or business revenue declines due to physical or transition impacts from climate change, including shifts in energy production.*
  • Annual Gross Revenue: Please provide the Borrower’s annual gross revenues for the fiscal or calendar year prior to the closing of the loan. This may be the most recent year for which taxes were filed.*
  • Net Income: Please provide the Borrower’s net income for the fiscal or calendar year prior to the closing of the loan or investment. This may be the most recent year for which taxes were filed.*

  • KSBCI Demographics Forms: Please share the following links with the Borrower. The Borrower is encouraged to fill out both the Applicant and Principal Owner Demographic Surveys. All Principal Owners are encouraged to fill out the Principal Owner Demographic Survey.

    • KSBCI 2.0 Applicant Demographics
    • KSBCI 2.0 Principal Owner Demographics
  • Have you shared the KSBCI 2.0 Demographic Survey links with the Borrower?*
  • Is the Borrower Owned and Controlled by Socially and Economically Disadvantaged Individuals (SEDI)? Please reference the Borrower Socially and Economically Disadvantaged Individuals (SEDI) Certification Form linked at the end of this section for more context.*
  • Is the Borrower a Disaster Relief Affected Business (DRAB)? Hover over this question for more context.*
  • Is the Borrower a Very Small Business (VSB)? Hover over this question for more context.*

  • If you answered "yes" to the SEDI, DRAB, or VSB questions above - please download the appropriote document(s) using the links provided and upload completed versions in the appropriote sections:

    1. Borrower Socially and Economically Disadvantaged Individuals (SEDI) Certification Form
    2. Borrower Disaster Relief Affected Business (DRAB) Certification Form
    3. Borrower Very Small Business (VSB) Certification Form
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  • Co-Borrower Information

  • Please add the information of any Co-Borrowers

  • Guarantor Information

  • Please add the information of any Co-Guarantors

  • Project Information

  • Click this link to find the CDFI Viewer.

  • KSBCI 2.0 Program for the Project*
  • Does this Project Contain any Government/Public Financing?*
  • Does this Project Contain any Refinancing of Existing Debt?*
  • Does this Project Involve the Purchase of Goodwill?*
  • Does this Project Contain any Passive Real Estate Investments?*

  • Loan Information

  • Sources of Funds*
    Rows
  • Use of Funds*
    Rows
  • Loan Amount*
  • Amount Requested from KEDFA*
  • Expected Closing Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Loan Type*
  • Loan to Value Prior to KSBCI 2.0 Support (%)*
  • Loan Annual Percentage Rate (APR)*
  • Interest Rate Variability*
  • Maximum interest rate permitted under the loan (not including fees, penalty interest, or other charges).*
  • Total Origination Charges*
  • Does this request for KSBCI assistance follow the guidelines for requesting KSBCI assistance submitted by your lending institution at the time of lender registration in the KSBCI 2.0 program?*

  • Required Application Document Uploads

  • Required Application Documents Download Links

  • Please download the following documents using the links provided and upload completed versions in the appropriote sections:

    1. Certification of Application
    2. Lender Incentive Disclosure Statement
    3. Lender Use of Proceeds Conflicts Form
    4. Lender Sex Offender Form
    5. Borrower Incentive Disclosure Statement
    6. Borrower Use of Proceeds Conflicts Form
    7. Borrower Sex Offender Form

    If this application includes a Guarantor that is an entity, please download the following documents using the links provided and upload completed versions in the appropriote sections:

    1. Entity Guarantor Use of Proceeds Conflicts Form
    2. Entity Guarantor Sex Offender Form

  • Certification of Application

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  • Lender Incentive Disclosure Statement

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  • Lender Use of Proceeds Conflicts Form

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  • Lender Sex Offender Form

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  • Borrower Incentive Disclosure Statement

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  • Borrower Use of Proceeds Conflicts Form

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  • Borrower Sex Offender Form

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  • Entity Guarantor Use of Proceeds Conflicts Form

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  • Entity Guarantor Sex Offender Form

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  • Loan Documents

    Additional files necessary to process the application; such as the loan application, credit analysis, and loan approval. You can upload more than one file.
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