GrowthZone Template

Grow Wabash County Micro Loan Fund

Grow Wabash County will be offering Micro loans with the intention of expediting the review process for loan requests on a scale between $500 - $5,000. Loan requests for over $5,000 will be available as well, but will be subject to additional terms and requirements through our traditional revolving loan fund program. Due to limited funding available, we will select businesses that we feel will most benefit from this funding.

This institution is an equal opportunity provider and employer

Email Address *

Business Legal Name *

Business DBA Name *

Business Tax I.D. Number *

Date of Business Establishment *

Business Owner Name

Title

First Name *

Last Name *

Suffix

Additional Business Owners

Title

First Name

Last Name

Suffix

Business Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Business Mailing Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Business Phone Number

Number of Employees

Full Time Employees *

Part Time Employees *

Amount of funds requested

If you are interested in a loan exceeding $5,000, indicate here and a Grow Wabash County team member will contact you directly.

Please contact me.

Briefly explain how these funds will be used. *

I give permission for Grow Wabash County to run a credit check. *

Yes No

I am willing to sign an affidavit, saying that I am current with all taxes. *

yes no

Please list all business debt. *

(To Whom Owed, Original Amount and Date, Present Balance, Term of Loan, Interest Rate, Monthly Payments etc..) Use N/A if none.

Are you a Grow Wabash County Investor/Member? *

yes no