Applicant Information
Name
*
First Name
Last Name
Business Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant's Home Address
Business location information will be input further into the application.
Street Address 1
*
Street Address 2
City
*
State
*
Please Select
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District of Columbia
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Zip Code
*
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Business Information
Federal Tax ID Number (IRS EIN) or Social Security Number
*
Tennessee Secretary of State Business Control Number
*
Knox County Business License Number
*
In what month and year did you start the business?
*
Do you have an existing bank account strictly for your business?
*
Yes
No
Does your business have a Dun & Bradstreet (DUNS) number?
*
Yes
No
Planned or current business location (businesses MUST be located in Knox County, Tennessee, to qualify)
*
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Business Plan
*
Business Plan (optional file upload)
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Describe the financial condition of the business, including monthly revenues/sales and expenses (applications with a balance sheet and income statement will have an advantage)
*
Financials (optional file upload)
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Number of full-time employees
Number of part-time employees
Number of contractors
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Loan amount requested
*
Loans are available up to $5,000. Please enter a number above without dollar signs or decimals.
Describe how this loan will be used
*
What business strategies do you plan to implement in order to repay the loan?
*
Signature
*
Use your finger or cursor to sign your name.
Today's Date
*
-
Month
-
Day
Year
Date
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