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Please note that only businesses located within the City of Schenectady will be eligible for these funds.
Not to exceed $10,000
If you do not have a DUNS number, please write "none" into the space
Check all that applies
Enter N/A if self-employed and it's a one person business.
Please upload your most recent tax form that applies to your business
Upload document indicating if there are co-owners for the business
If you have LLC and/or business license or both, please upload
If you are a certified MWBE business please upload certification document. If you do not have a MWBE, please indicate "no MWBE"
Please explain how COVID-19 negatively impacted the business(e.g. employee layoffs, no sales, fewer customers, etc.)
Benefit Persons of Low/Moderate Income: (at least 51% of project beneficiaries will be of low and/or moderate income).
Prevention/Elimination of Slums/Blight: (Provide applicable data with application)
Cost to adapt business model and to sustain or re-open during COVID-19
The authorized representative of the Applicant must certify in good faith to all of the below by checking each box or by initialing next to each of the statements.
I/we attest that to the best of my/our knowledge, the information contained in this application is correct and true. I/we am/are aware that the filing of a false instrument in connection with this application may constitute an attempt to defraud the Community Loan Fund of the Capital Region, Inc., HUD, and the City of Schenectady, and may be illegal under the laws of the State of New York.
If applicant is a sole proprietorship, LLC or partnership, sign and date below:
This field is not part of the form submission.
* indicates a required field