TIP Application

Camden County Joint Development AuthorityTargeted Investment Program (TIP) Application
1. APPLICANT INFORMATION
Applicant Name:

First NameLast Name
Phone:
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person:

First NameLast Name
Title:
Contact Phone Work:
Format: (000) 000-0000.
Mobile:
Format: (000) 000-0000.
E-mail:
example@example.com
Name of Business:
Years in Business
2. PROJECT SUMMARY
Total Project Cost:
Total TIP loan requested:
Location of Project:
Project Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Target Zone:
3. LOCAL ORDINANCE AND PROGRAM INFORMATION:

(Please indicate below whether the applicant has secured the approval for the following items;

Rows	YES	NO	N/A	Column 5	Column 6
Zoning Approval
Sign Ordinance
Historic Preservation Ordinance
Tree Ordinance
Site Plan Approval
Design Guidelines

SECTION B—PROJECT SPECIFIC INFORMATION
Please provide a description of the project for which you are seeking TIP loan funds, making sure to be as specific as possible and to address each of the following items.
1. Required—Please attach a letter that articulates why the loan being requested is a strategic investment in the target area.
2. Provide a brief description of the project and the proposed use of funds:
3. Briefly describe how the project relates to the revitalization strategy of the target area:
4. Describe the specific problem/issue that this project will address:
5. Describe the proposed activities to be undertaken that will address this problem/need:
6. One of the goals of the program it to enhance the vitality and sense of place of the downtown and central business districts of the target areas. Describe how this project will help to achieve that goal:

7. Impact Measures. Describe the project's potential short- and long-term impact using the following

Rows	Short-Term	Long-Term
Projected # of new jobs created
Project # jobs retained
Project Total Capital Investment ($)
# of blighted structures improved
Other

8. Location Map. Please attach a map of the property/project area within the target area. (To the extent possible, please provide photos of the front, side, backs, and interior of the project location.)
9. Project Participants. List the public and/or private parties and individuals to be involved in the project and include a short description of their role (i.e. project manager, private lender, funding contributor or fund raiser, developer, etc.)
Participant 1 Name

First NameLast Name
Participant 1 Role
Participant 2 Name

First NameLast Name
Participant 2 Role
Participant 3 Name

First NameLast Name
Participant 3 Role
Participant 4 Name

First NameLast Name
Participant 4 Role
Participant 5 Name

First NameLast Name
Participant 5 Role

10. Project Activity Schedule. (Please provide a realistic timetable for completion of the project.

Rows	Activity	Estimated Completion Date
A
B
C
D
E

SECTION C-SOURCES AND USE OF FUNDS

Project Budget. (Lists the source and use of funds for the project.

Rows	Item	Project Cost	Sources of Funds
1
2
3
4
5
6
7
8

2. Total Project Funding:
Total TIP loan requested:
3. Explain how funds will be repaid to the Authority.

SECTION D – CERTIFICATION
I certify that the information contained in this application is true and correct to the best of my knowledge. I further understand that the Camden County Joint Development Authority has the right to request additional information as needed.
Signature of Applicant
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Applicant

First NameLast Name
I affirm that the City and/or Downtown Development Authority is aware of this application and the proposed project appears to be consistent with the revitalization strategies for the defined target area.
Signature of City Official
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of City Official

First NameLast Name
Title of City Official
For Authority Use Only:
Date Received:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Received by (signature):
Name:

First NameLast Name
Title:

Credit Authorization
In connection with ____________________________________________________'s application to the Camden County Joint Development Authority (Authority) Target Investment Program (TIP) for financial assistance, I authorize the Authority, or its agent, the Coastal Area District Development Authority (CADDA), to make inquiries as necessary to verify the accuracy of the statements made and to determine my creditworthiness. I further authorize the Authority or CADDA to receive information, documents, credit reports, summaries,etc. received by other lenders in connection with any financial assistance I am pursuing as part of a complete financing package for the applicant.
Authorized Signature
By:
Name: (print or type)

First NameLast Name
Title:
Company:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Georgia Law requires that "all state, county, municipal records, except those which by order of a court of this state or by law are prohibited from being open to inspection by the general public, shall be open for personal inspection of any citizen of this state at a reasonable time and place, and those in charge of such records shall not refuse this privilege to any citizen" (O.C.G.A. 50-18-70). This means that past and current records on the use of Camden County Joint Development Authority (Authority) funds are required to opened for public inspection. However, certain proprietary information which is required by the Authority to be included in an application and must be supplied by a business in order to compete and which constitutes a "trade secret" (O.C.G.A. 10-17-140 et seq.; 16-8-13(a) (4)) is exempt from disclosure under O.C.G.A. 50-18-70. IF YOU CONSIDER FINANCIAL OR CREDIT INFORMATION SUBMITTED AS A PART OF A TARGETED INVESTMENT PROGRAM FUND APPLICATION THAT MAY BE VIEWED BY THE AUTHORITY A "TRADE SECRET", PLEASE INDICATE BY SIGNING BELOW.
Authorized Signature
By:
Name: (print or type)

First NameLast Name
Title:
Company:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

CAMDEN COUNTY JOINT DEVEOPMENT AUTHORITY
TARGETED INVESTEMENT PROGRAM
SUPPORTING DOCUMENTATION REQUIREMENTS
Items listed below are usually critical for most projects. Other document may be requested or required during the underwriting review or prior to disbursement of Targeted Investment Program (TIP) funds.
- Purchase Option, Sales Agreement, Warranty Deed or Lease Agreement for any real estate needed to undertake the project.
- Evidence of marketable title (with outstanding liens, mortgages and encumbrances noted) and a plat for any real estate to be financed.
- Plans, Specifications, Rendering or Architectural Drawings that have been approved by the appropriate local regulatory agency.
- Cost Estimates for all proposed construction/renovation and other project activities.
- Financial commitment letter(s) from participating financial institution(s) and public agencie who are engaged in supporting the proposed project. The letter(s) should indicate the amount, rate, term, and any contingencies associated with the financing.
- Commitment letter(s) from participating business(es) or tenant(s). The letter(s) should indicate the number of full-time jobs to be created/retained and the amounts of any private investment that will occur as a result of the project.
- List of available collateral with prior liens noted.
- Financial Statements (Property Owner, Small business, DDA's) should provide balance sheets and income statements for the past three years. Copies of personal and business federal tax returns may also be requested by the Authority. Downtown Development Authorities should provide copies of their most recent available audited financial statements only if they are the ultimate recipient of the TIP loan.
- Proposed Use Certification from the appropriate local government that certifies the project will comply with all applicable land-use, environmental, an dother applicable local lasws as well as any special requirements involving community improvements districts, specail tax districts, or redevelopment areas.
- Confirmation of current business license (if the applicant is a small business) from the appropriate City agency verifying a current business license.
- Confirmation of receipt and adherence to any design guidelines, covenants, and restrictions from the property owner, small business, or downtown development authority
Should be Empty:

Camden County Joint Development AuthorityTargeted Investment Program (TIP) Application

1. APPLICANT INFORMATION

2. PROJECT SUMMARY

3. LOCAL ORDINANCE AND PROGRAM INFORMATION:

SECTION B—PROJECT SPECIFIC INFORMATION

SECTION C-SOURCES AND USE OF FUNDS

SECTION D – CERTIFICATION

For Authority Use Only:

Credit Authorization

Authorized Signature

Authorized Signature

CAMDEN COUNTY JOINT DEVEOPMENT AUTHORITY

TARGETED INVESTEMENT PROGRAM

SUPPORTING DOCUMENTATION REQUIREMENTS