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<br />CITY OF RAMSEY <br />ECONONOCDEVELOPMENT <br />REVOLVING LOAN FUND APPLICATION <br /> <br />I. . GENERAL BUSINESS INFORMATION <br />Name of Business: '5 /Jr'l it)' '" ff,/,-,oy?j.f <br />Address: 6'1&1 II wy /0 <br />City; r< tJ/YVVj~( State: 11 IV <br />. <br /> <br />Contact Person: ;::rCt-1'l jL Yo...YYL~d:Y;; tJt4r . Telephone: <br />. <br /> <br />Zip: 553 tJ:? <br />6/ J- -- j., rtJ ~ 717/ <br /> <br />II. EXHIBIT CHECKLIST <br /> <br />Indicate if Attached (x) or Not Applicable (N/A) <br />All Exhibits must be signed and dated by Business. <br /> <br />AlrtU-t..eJ 1. A history and description of the business. Exhibit I <br /> <br />,v 2_ <br />1/ 3_ <br />II 4. <br />4fl 5. <br />A~~/6. <br />f/ 7. <br /> <br />A statement detailing the exact uses of the loan proceeds. Exhibit I[ <br /> <br />A balance sheet and income statement for the previous three years. <br />Signed and dated. Exhibit III <br /> <br />A current balance sheet and a current income statement not more than 90 <br />days old. Exhibit IV <br /> <br />The names of affiliates and/or subsidiary finns last fiscal year end financial <br />statements. Exhibit V <br /> <br />Resumes of the principals involved in day to day management. Exhibit VI <br /> <br />A schedule which contains the original date and amount, present balance <br />owed, interest rate, monthly payment, maturity and security for each loan or <br />debt that your business currently has outstanding. Please indicate whether <br />the loan is current or delinquent. Exhibit VII <br /> <br />;f A- 8- If your business is a franchise include a copy of the Franchise Agreement <br />and the Franchisor's FTC Disclosure Statement. Exhibit VIII <br /> <br />10 <br />