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Preliminary Application for Revolving Loan Funds

Business Name

First Name

Email

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

County Location (Must be located in one of the counties below)

Clay

Craighead

Crittenden

Cross

Greene

Lawrence

Lee

Mississippi

Phillips

Poinsett

Randolph

St. Francis

Current Job Status

Employed

Unemployed

If yes to employed, where?

Are you a veteran owned business?

Yes

No

Is this a woman owned business?

Yes

No

Is this a minority owned business?

Yes

No

Description of Business (including age of business)

Loan Amount Estimated

# of Employees before loan

# of Employees projected 1 year after the loan

Use of Loan Proceeds

Land Acquistion

New Consruction/Expansion/Repair

Purchase of Machinery & Equipment

Inventory Purchase

Working Capital

Collateral Available

Have you contacted a bank?

Yes

No

How did you hear about EAPDD Financial Services?

I hereby certify that the information contained in this initial application is true and correct. By completing this initial application, you authorize EAPDD to share the information with other agencies.

Thanks for submitting!

QUICK LINKS

Data Library

Economic & Community Development

Environmental Services/Waster Hauler Permits

Financial Services

LMI Data - 2020

WIOA

ADDRESS

P.O. Box 1403

2905 King Street

Jonesboro, AR 72401

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