Social Security Number
Federal ID Number
Postal Zip Code
Projected Yearly Sales
Yearly household income?
Residents in Household
Have you completed a Business Plan?
Have you attended a MicroLoan Business Plan Workshop?
By whom was your Business Plan prepared?
Preparer's phone number
Total requested loan amount
Purpose of loan
How much collateral you will pledge?
What is the value of the equipment owned?
What is the value of the inventory held?
Personal funds available to invest in business/project?
What is the source of funds?
Have you contacted a bank for financing?
Bank Phone Number
Who referred you to The Joshua Tree Foundation?
Reference persons phone number
Please enter your full legal name
Date of Application
Please read the following and sign the Application Form below. All owners, officers,
or partners must sign this application. If you have any questions, please call us
at (001) 614-704-2824.The information in this Loan Application is provided for the
purpose of applying for funds under the MicroLoan Program. The information is accurate
to the best of my knowledge. I understand that personal and/or business information
may be requested pursuant to this Loan Application and I hereby give my consent for
such information to be provided to Dakota Certified Development Corporation. I also
understand that the MicroLoan Program retains the sole decision as to whether this
Loan Application is approved, disapproved, or modified. It is my right to accept
or decline the loan amount, rate and terms approved by the Program.
I AUTHORIZE The Joshua Tree Foundation to obtain a credit report on me through the
credit reporting agency of its choice.
By pressing submit you agree to the terms and conditions as previously stated.