REVOLVING LOAN PROGRAM
INTEREST FORM
Applicant Name
*
Date
*
/
Month
/
Day
Year
Date
Project Address
*
Contact Name
*
Phone
*
Mailing Address
*
Email
*
example@example.com
Is the applicant the owner of the site to be improved?
*
Yes
No
If "No," a Property Consent Form must be completed.
1. Description of the project (reason for the need for the funds)
*
2. Explanation for amount you are requesting
*
Estimated total project costs
*
LOAN REQUEST
*
Applicant Signature
*
Date
*
/
Month
/
Day
Year
Date
Continue
Continue
Should be Empty: