Ocala Metro Catalyst Fund Nano Loan Application

OMCF Nano Loan Application

This form collects required information for individuals applying for a $2,000 Nano Loan with an 8% interest rate and an 18-month repayment term, and the information provided will be used for loan eligibility, compliance, and program reporting purposes only.
I understand this application is for a Nano Loan with the terms listed above.

YesNo
Proposed or Existing Business Legal Name:
Borrower/Business Owner Name:

First NameLast Name
Business Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Employer Identification Number (EIN)
Please enter your EIN as it appears on IRS documentation. If you do not have an EIN, please enter “N/A.”
Borrower's Annual Income:
Include income from all sources before taxes.
Business Owners Annual Income:
Income you personally received from the business (salary, draws, or distributions).
Business Ownership Percentage:
Enter a percentage (example: 100%, 50%, 25%).
Business’s Annual Gross Revenue (2025):
Total revenue before expenses.
Current Number of Employees:
Business Physical Address (No PO Boxes)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Entity Structure:

Sole ProprietorshipLLC – Single MemberLLC – Multi MemberCorporation (S-Corp / C-Corp)PartnershipNonprofitOther
Will this business be located or incorporated in one of the targeted communities in Marion County, FL listed below?

Silver Springs ShoresMarion OaksWest OcalaOther - Non-Targeted Area or City
Business Ownership Classification (Select all that apply):

Woman-owned businessMinority-owned businessVeteran-owned businessNone of the above
Business Description:
Plan For Funds:
Is your business certified as a DBE (Disadvantaged Business Enterprise)?

YesNoIn progress
Have you read "Who owns the Ice House?" and/or completed the online entrepreneur mindset course associated with the book?

YesNo
Did you participate in & graduate from the FastTrac Business Ideation Program as facilitated by the Ocala Metro CEP Business Creation Team?

YesNo
Do you identify as LGBTQI?

YesNoPrefer Not to Answer
Are you currently Homeless?

YesNo
Are you a Female Head of Household?

YesNo
Are you Severely Disabled?

YesNo
Do you consider your household to be low-income or economically controlled?

YesNoUnsure/Prefer not to answer
Please upload the required documentation, if applicable, including your Florida incorporation document, state-issued photo ID, IRS EIN documentation, two years of business or personal tax returns, the most recent two months of bank statements, and one letter of recommendation from a local business owner, community resource partner, or CEP business partner.

Cancelof
Should be Empty:

OMCF Nano Loan Application