Application Instructions:


1) Please read detailed eligibility requirements listed below

2) Fill out the form completely:
Section 1 - OPERATING COMPANY
Section 2 - ELIGIBLE PASSIVE COMPANY
Section 3 - AFFILIATE COMPANY
Section 4 -OWNER OF 20% OR MORE OF THE OC AND/OR EPC
Section 5 - SUBMIT


Sections 1-4, proceed to Section 5
to submit application. (Additional owner and affiliate forms are listed below Section 5.

3) Press Submit, and NSBFC will contact you shortly after the application has been received and reviewed

504 Loan Program

Information Required to Screen for Eligibility

THE APPLICANT WILL PROVIDE:

  • A description of the project
  • Estimated Total Project Costs including estimates on new construction, renovation, machinery from qualified contractor, architect or supplier
  • Purchase Agreement or Offer to Purchase for any real estate involved in the project
  • Business Federal Tax Returns (FTR’s) for up to the last three years
  • An Business Interim Statement less than 45 days old
  • Operating Projections, if available
  • Personal Financial Statements of individuals owning more than 20% of the company less than 45 days old
  • Current and Projected Employee Numbers
  • Appraisals where applicable. Approval can be made contingent upon an appraisal that supports estimated collateral values. The cost of appraisals can be financed as part of the project costs.
  • Environmental Reports where applicable. The cost of Environmental Reports can be financed as part of the project costs.

PRIVATE SECTOR LENDER WILL PROVIDE

  • A copy of lender’s loan proposal or commitment letter
  • A letter stating that comparable loan terms would not be available to the borrower in this market or under lender’s current underwriting policy

SECTION I


OPERATING COMPANY(OC)
(Owner/occupant of real estate and/or owner/user of equipment)

Name of OC:
Phone:
Federal Tax ID# (EIN):
Current Address  
Street:
City:
State:
Zip:
 
New Property Address  
Street:
City:
State:
Zip:
   
OWNERSHIP  
Name: Percent:
Name: Percent:
Name: Percent:
Name: Percent:
Name: Percent:
Name: Percent:
  Total -----
Must Eq
100%
   
   
PROJECT COSTS  
Land (and purchase of existing building, if applicable)
Building (new construction, remodeling, leashold improvement,etc)
Machinery & Equipment (purchase, installation)
Professional Fees (appraiser, architect, legal, etc)
Other Expenses (contigency, interest on interim financing, etc.)
Total Project Cost (not including 504-related fees)
   
   

SECTION 2

ELIGIBLE PASSIVE COMPANY(EPC)
(owner of real estate)

EPC Name    
Phone    
Fax    
Federal Tax ID    
Address    
City    
State    
Zip    
       
OWNERSHIP      
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
    Total
must eq 100%
SECTION 3      
 


AFFILIATE COMPANY(S)
(any OTHER company in which any owner of the OC
and/or EPC holds an ownership interest -
exclude publicly held companies)

    
Affiliate Name    
Phone    
Fax    
Federal Tax ID    
Address    
City    
State    
Zip    
       
       
OWNERSHIP      
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
    Total
must eq 100%

Click here to enter additional Affiliate Company(s)

SECTION 4

OWNER OF 20% OR MORE OF THE OC AND/OR EPC
Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
   
  Click here for additional 20% owner forms




SECTION 5

 

  




Name of person submitting form

Click Submit to send your application to NSBFC





























Additional Affiliate Company #2

Affiliate Name    
Phone    
Fax    
Federal Tax ID    
Address    
City    
State    
Zip    
       
       
OWNERSHIP      
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
    Total
must eq 100%

Return to Section 4

Additional Affiliate Company #3

Affiliate Name    
Phone    
Fax    
Federal Tax ID    
Address    
City    
State    
Zip    
       
       
OWNERSHIP      
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
Name Percent
    Total
must eq 100%


Return to Section 4

Additional 20% Owner #2

 

Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth

Return to Section 5

Additional 20% Owner #3

Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth

Return to Section 5

Additional 20% Owner #4

Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth

Return to Section 5

Additional 20% Owner #5

Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth

Return to Section 5

Additional 20% Owner #6

Name
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
Spouse:
Phone
Fax
Social Security #
Current Address
City
State
Zip
Previous Address
City
State
Zip
Date of Birth
Place of Birth
 


Return to Section 5



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