City of Camden Urban Enterprise Zone
Camden Strong Macro Capital Improvement Program
All fields require a response.
Part A - Business Information
Please identify the name of the business, street address, block and lot of the business below.
Business Name
NJ Tax ID Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Block Number
Lot Number
Section 2 - Business Overview
Please provide the following information in as much detail as possible with respect to the business.
Business Name
Type of Business
e.g. restaurant, manufacturing, retail
Business Ownership Type
e.g. sole proprietorship, LLC, partnership
Number of employees
Number of employees who are Camden residents
Number of years in operation
Part B - Project Information
Section 1 – Project Description Please provide the following information in as much detail as possible with respect to the project:
Nature of the project
i.e. what the applicant will be using the funds for
Breakdown of project costs
Provide additional attachments as necessary
Breakdown of Project costs attachment upload section
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Sources and uses of funding
Provide additional attachments as necessary
Sources and uses of funding attachment upload section
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Estimated number of additional jobs created
Part C – Eligibility Questionnaire and Required Documents
Are you a UEZ member?
Yes
No
Are you up to date on all property tax and utility payments?
Yes
No
Do you have any outstanding license or inspection violations?
Yes
No
Do you operate a registered, licensed and permitted use at named premises?
Yes
No
Are there liens of the property/business?
Yes
No
Please provide forward looking/projected operating financial statements for the project
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Are there any liens on the property/business
Yes
No
If you answered Yes to the question above, please upload the lien documents.
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Please provide an up to date credit report for the principal owner of the business if applicable.
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Please provide audited financial statements or the most recent tax returns for the business/principal owners as applicable.
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Please provide a commitment letter from your lender providing funding for the proposed project evidencing support for the loan/project and an understanding of the lien the City will place on the property if applicable.
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Please provide proof of UEZ Membership
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Please provide proof of property taxes paid up to date
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Please provide proof of utilities paid up to date
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Please provide proof of all required business licenses.
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Please provide proof of all required business licenses.
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