Orange County NC Website
27 <br />Cnnfidential <br />orange County Small Business Loan Application <br />Loan Request <br />Amount of Loan Requested What will you use the loan for (include cost breakdown)? <br />$ <br />What collateral do you have available to secure this loan? <br />Business Information <br />Legal Name of Business DBA Name (if different from Legal Name) <br />Street Address (physical address, not a PO) City /County State Zip <br />Mailing Address (if different from Street address) City /County State Zip <br />Annual Sales Federal Tax ID Number Business Phone Number <br />Date Established Current Owner Since Number of Employees <br />Business is: Terms of Lease Business Location <br />❑ Owned Years ❑ Mall ❑ Shopping Strip ❑ Office Building ❑ Commercial <br />❑ Leased Months ❑ Home ❑ Other (identify) <br />Type of Organization Industry Category <br />❑ Sole Proprietorship ❑ C Corporation ❑ S Corporation ❑ Manufacturing ❑ Retail ❑ Agricultural <br />❑ General Partnership ❑ LLC ❑ Other ❑ Wholesale ❑ Service ❑ Other <br />Briefly describe the product sold or service offered by our business: <br />Who are your major customers (at least two names): <br />Page 1 of 4 <br />