SBA 7A Community Advantage Loan Application

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Company Name

Does the company utilize a DBA or trade name? If so, what is it?

Current Address

Street Address City ZIP Code

Business Phone

Fax

Website

Primary Contact

Cell Phone

Office Phone

Preferred Contact Method

Is this a new business?

Yes

When did you open?

Is the business part of a franchise, licensing, dealership, or jobber agreement?

Yes

What is the name of the franchisor?

Number of Current Full-Time Employees

Number of Current Part-Time Employees

Anticipated New Full-Time Jobs Over Next 2 years

Anticipated New Part-Time Jobs Over Next 2 years

Average # of Weekly PT Hours

Name	Title	Ownership %	Actions

There are no Owners.

Name of Entity	Ownership Percentage	Actions

There are no Entries.