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10 <br /> EXHIBIT A <br /> BUSINESS ASSISTANCE APPLICATION <br /> A. APPLICANT INFORMATION <br /> Name of Corporation/Partnership <br /> Address <br /> Primary Contact <br /> Address <br /> Phone Fax E-mail <br /> Type of business assistance requested(select one): <br /> ❑ Tax Abatement ❑Tax Increment Financing ❑Revolving Loan Fund ❑Other <br /> Have you been,or are you currently, involved in any bankruptcy proceedings or lawsuits related to <br /> other development projects with which you have been involved? If yes,please provide an <br /> explanation. <br /> ❑ Yes ❑No <br /> On a separate sheet,please provide the following: <br /> • Brief description of the corporation/partnership's business, including history, principal product <br /> or service,etc. Attach as Part 1. <br /> • List names of officers and shareholders/partners with more than five percent (5%) interest in <br /> the corporation/partnership. Attach as Part 2. <br /> • Brief description of the proposed project. Attach as Part 3. <br /> • A but for analysis and narrative. Attach as Part 4. <br /> • Completed Revolving Loan Fund Application.Attach as Part 5 if required. <br /> Attorney Name <br /> Address <br /> Phone Fax E-mail <br /> Contractor Name <br /> Address <br /> Phone Fax E-mail <br /> Engineer Name <br /> Address <br /> Phone Fax E-mail <br /> Architect Name <br /> Address <br /> Phone Fax E-mail <br />