CORONAVIRUS SMALL BUSINESS SUSTAINABILITY AND RECOVERY LOAN PROGRAM

Email:*

Name:*

Name of Company Principal:

Company’s Legal Name (As listed in Florida Sunbiz): *

Company FEIN:

Company Street Address:

Company Street Address 2:

City:

State:

Zip:

Phone Number:

Cell Phone Number:

Number of full time employees:

For which City of Hallandale Beach CRA Loan Program are you applying? *

Business Employment Bridge Loan Program

Emergency Business Cash Infusion Program

Is your business located within the City of Hallandale Beach CRA? *

Yes

UPLOAD APPLICATION FILES HERE:

UPLOAD COPY OF COMPLETED BUSINESS LOAN APPLICATION SURVEY*

UPLOAD PROFIT LOSS FINANCIAL STATEMENT*

UPLOAD BALANCE SHEET STATEMENT FOR MOST RECENT QUARTER OR MONTH*

UPLOAD 2018 FLORIDA BUSINESS TAX RETURNS*

UPLOAD 2019 FLORIDA BUSINESS TAX RETURNS *

UPLOAD COPY OF YOUR BUSINESS LEASE AGREEMENT OR MORTGAGE STATEMENT FOR BUSINESS LOCATION*

UPLOAD HALLANDALE BEACH CURRENT BUSINESS LICENSE*

UPLOAD COPY OF YOUR FLORIDA DRIVER'S LICENSE OR GOVERNMENT ISSUED ID*

UPLOAD COMPLETED AND SIGNED IRS W-9 FORM*

UPLOAD APPLICANT OWNER’S PERSONAL FEDERAL TAX RETURNS FOR 2018*

UPLOAD APPLICANT OWNER’S PERSONAL FEDERAL TAX RETURNS FOR 2019*

UPLOAD COPY OF YOUR COMPANY’S FLORIDA SUNBIZ ARTICLES OF INCORPORATION*

UPLOAD YOUR COMPLETED AND SIGNED LOAN APPLICATION*

NAME OF BANK WHERE YOU HAVE YOUR BUSINESS ACCOUNTS:*

BANK CONTACT NAME:*

BANK CONTACT PHONE:*

BANK ABA ROUTING NUMBER FOR ELECTRONIC FUNDS DISBURSEMENT:*

BANK ACCOUNT NUMBER FOR ELECTRONIC FUNDS DISBURSEMENT:*

By clicking SEND, I agree that I have completed and signed my loan application. I have reviewed my submission for accuracy and confirmed all required documentation has been uploaded. I understand applications for loans through this program will be considered as long as the designated funding remains available.

CORONAVIRUS SMALL BUSINESS SUSTAINABILITY AND RECOVERY LOAN PROGRAM

UPLOAD APPLICATION FILES HERE:

Our mission is to enhance quality of life by eliminating and preventing blighted conditions through the facilitation of community partnerships, business growth, job creation and neighborhood revitalization.