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Format: (000) 000-0000.
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- Do you have any obligations (pending bankruptcy, divorce proceedings, tax liens, etc) or delinquencies that will impact your finances in the next 12 months?
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- Are you currently receiving a loan or other financial assistance from a non-profit or community based organization?*
- Are you a Tabor 100 member?*
- Are you a Byrd Barr Place Client?*
- Check all that apply:*
- Industry Sector:*
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- Will this loan help you retain jobs?*
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- Should be Empty: