OMCF Nano Loan Application

OMCF Nano Loan Application

OMCF General Business Participant Application
Applicant Information
Proposed or Existing Business Legal Name*
Applicant Full Name*

First NameLast Name
Business Phone Number*
Email Address*
youremail@youremail.com
Current Number of Employees*
Primary Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Will this business be located or incorporated in one of the targeted communities in Marion County, FL listed below?*

City of OcalaSilver Springs ShoresWest OcalaMarion OaksOther - Non-Targeted Area or City
CDFI FUND CIMS MAPPING TOOL

This mapping tool was created by CDFI FUND to provide prospective applicants with the ability to search by address, census tract, and other geographic areas of interest to determine program eligibility for the BEA, CDFI, CMF, ERP, NACA, and NMTC programs. Use the search bar to type an address and view eligibility information on the map.

VISIT CDFI FUND CIMS MAP TOOL

STEPS:
1. CLICK LINK BELOW
2. INPUT HOME ADDRESS into Search Bar at top left
3. CLICK ON BLDG IMAGE AT ADDRESS
4. RECORD 11-digit NUMBER (Write Down or COPY/CTRL-C)
5. INPUT 11-digit NUMBER in Field on next question
EXAMPLE: Census Tract FIPS 12083001102
Please provide your 2020 CDFI Census Tract Number
2020 CDFI Census Label Number
Business Description*
Plan for Funds*
Name & Home Address for ALL OWNERS of business
Additional Information
Have you read "Who owns the Ice House?" and/or completed the online entrepreneur mindset course associated with the book?*

YesNo
If YES above, please share your thoughts about the book/course & if you'd recommend it to other future entrepreneurs?
Did you participate in & graduate from the FastTrac Business Ideation Program as facilitated by the Ocala Metro CEP Business Creation Team?*

YesNo
If YES above, please share your thoughts on the course, online portal, resource partners and/or CEP Partner companies which participated in your course. Would you recommend this course from the CEP for others?
What is your short-term business plan to start your business here locally?*
Have you filed your taxes for YEAR?*

I haven't filed my YEAR taxes yetYes, I have filedNo, I don't file taxes
Please upload your most recent tax return

Cancelof
U.S Department of Housing & Urban Development (HUD) Survey

All information you provide about you and your family household is considered private data. We will use your private data only as it is required for the administration and management of this program.
Total Number people living full time in Household*
Income Category
Race/Ethnicity*

White (Non-Hispanic)Hispanic or LatinXBlack or African AmericanAsian / Asian AmericanAmerican Indian or Alaska NativeIndianOther
Age *
Gender*

MaleFemaleN/A
Do you identify as LGBTQI?*

YesNoPrefer Not to Answer
Are you a Veteran or Active Duty Military?*

YesNo
Are you currently Homeless?*

YesNoPrefer Not to Answer
Are you a Female Head of Household?*

YesNo
Are you Severely Disabled?*

YesNo
If YES above, please describe
I'M NOT A ROBOT*
Signature*

Clear
Should be Empty:

OMCF Nano Loan Application

Applicant Information

Additional Information

U.S Department of Housing & Urban Development (HUD) Survey