City of Camden Urban Enterprise Zone
Camden Strong Micro 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
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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.
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 equipment, inventory cost and material cost
*
Provide additional attachments as necessary
Estimated time to complete the project
*
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
Do you have a Certificate of Occupancy?
*
Yes
No
Do you have any outstanding license or inspection violations on any business owned in the city of Camden?
*
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
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 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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