Step 1 of 5 20% Date MM slash DD slash YYYY Legal Name of Applicant Business*DBA, if applicableOther related business entities, if applicableMailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Does the business have an alternative address besides the mailing address?* Yes No Alternative Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact Name* First Last Primary Contact Phone*Primary Contact Email Address* Business DetailsIs the business located within the city limits of Kansas City, MO?* Yes No Type of Business*Years in business*Number of employees, including full- and part-time*Please enter a number from 1 to 20000.List any owners of 20% or more of the businessNamePercentage ownership Current status of business* Open Partial closure / limited activity Fully closed Your business does not meet one or more requirements for the Microloan program. If you believe this is incorrect, please contact the team at EDCLCmicro@edckc.com or 816-897-0208. Businesses must be currently open for business and located in Kansas City, MO. Financial information for the last two fiscal years as listed on Federal business tax returns*Total Sales / Gross ReceiptsNet IncomeTotal Operating ExpensesPayroll Expenses Personal Annual Income* Amount of loan requested*Purpose of financing*Please provide as much detail as possibleExamples of information we may request after initial review include financial statements, personal and business tax returns, and organizational documents.* I certify that the information provided here is accurate to the best of my knowledge, and that I may be required to provide documentation to confirm these details if I qualify.. Examples of information we may request after initial review include financial statements, personal and business tax returns, and organizational documents.Your NameThis field acts as your typed signature.Date MM slash DD slash YYYY Terms I agree to the terms.The execution of this application constitutes your authorization to share your data with the EDC Loan Corporation and Prospect Business Association. This information will not be sold or used for commercial purposes.
