Business Loan Application

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Confirm Eligibility
The following questions will determine your eligibility to apply for business financing from the Center for Rural Affairs. If you have questions, please contact us.






Based on your responses above, you are not eligible for a loan from the Center for Rural Affairs. If you believe this is a mistake or circumstances will change and you would still like to apply, please contact us. 



$


List loan purposes/uses by $ amount per use. You may add up to 4 uses. The total amount of all uses should add up to the loan amount requested. 
Use


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Primary Contact





10 digits, no dashes

10 digits, no dashes

















Personal Net Income (Per Month)

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$

$

$

$
Personal Expenses (Per Month)

$

$

$

$

$

$

$

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$

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Potential qualified co-borrowers are:

1. Co-owners of the business: Those with ownership of 20% or more of the business or all partners, in case of partnerships, are required to be on the note.

2. Other members of the household whose income can strengthen cash flow.

Co-Borrower





10 digits, no dashes

10 digits, no dashes

















Co-Borrower Personal Expenses (Per Month)

$

$

$

$

$

$

$

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$

$
Co-Borrower Personal Net Income (Per Month)

$

$

$

$

$
Business Information





10 digits, no dashes






















10 digits, no dashes
Employment & Jobs

Number only, no "-"

Number only, please do not enter a range

Current positions that will be cut if financing is not secured. Only enter a number, not a range.
Business Income (Per Month)

$

$

$
Business Expenses (Per Month)

$

$

$

$

$

$

$
Business Assets
Please list all of the assets owned by the business. 

Examples: Cash, Equipment, Vehicles, Furniture, Real Estate
Business Asset



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$

Please list any personal assets you would like considered as collateral for this loan. 
Personal Asset



$

Business Liabilities
Please list all of the existing business debt.

Examples: Credit card debt, Accounts Payable, Loans, mortgage
Business Liability




$

$

$
Calculates from 'Balance' field.

Acknowledgement and Agreement

By clicking on submit, I attest that all of the information on this application is true. I authorize Center for Rural Affairs Inc. to investigate and verify the above information, and contact any references regarding this application. I also authorize Center for Rural Affairs Inc. to perform a credit check, which may include obtaining consumer and/or commercial credit reports and to exchange information about credit experience with other creditors from time to time, as authorized by law. The release of all information by Center for Rural Affairs Inc., in any manner, is hereby authorized whether such information is of record or not and I hereby release all persons, agencies, firms, companies, etc., from any damages resulting from such information. I understand that Center for Rural Affairs Inc. will retain this application whether the loan is approved or denied.

All applicants must sign, including all co-borrowers listed in the application.




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