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Loan Application
Donations under construction.
Center for Business Development
Loan Application/Solicitud
I. Personal Information/Información Personal
Name /Nombre:
Date/Fecha:
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2021
2022
Gender/Genero:
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Male/Hombre
Female/Mujer
DOB/Fecha de Nac:
01
02
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05
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07
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02
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1921
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1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
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1941
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1945
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1951
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1964
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1966
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1991
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2001
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2004
2005
2006
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
SSN:
Home Address/Domicilio:
City/Ciudad:
State/Estado:
--Choose One--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
North Carolina
North Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code/Código Postal:
Mailing /Correspondencia:
City/Ciudad:
State/Estado:
--Choose One--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
North Carolina
North Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code/Código Postal:
Home Phone/Teléfono:
Cell/Celular:
E-mail/Correo Ele:
Ethnic Origin/Origen Étnico:
Hispanic/Hispano
African Ame/ Afro Ame
Other/Otro
White/ Blanco
Nat Ame/ Nativo Ame
Legal Status/Estatus Legal
US Citizen/Ciudadano de EEUU
Permanent Resident/Residente Permanente
Work Permit/Permiso de trabajo
Other/Otro
Place of Birth/Lugar de Nacimiento:
II. Employment Info/Información de Empleo (if applicable/si aplica):
Name of employer/ Nombre del empleador:
Employer Address/Dirección del Empleador:
City/Ciudad:
State/Estado:
--Choose One--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
North Carolina
North Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip Code/Código Postal:
Phone / Nombre de Tel:
Job Type/Tipo de trabajo:
Full Time/Tiempo Completo
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Full TIme
Part TIme
Salary/Salario
III. Loan Request or Services/Peticiódn del Prédstamo o Servicios
Loan amount/Cantidad de préstamo: $ :
Purpose of loan/Proposito del préstamo: :
Have you ever applied for a business or farm loan? / Alguna vez aplico para préstamo para negocio o rancho/huerta?:
Applied/Aplico:
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Yes/Si
No/No
Where? / Donde? :
Approved/Aprobado:
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Approved/Aprobado
Denied/Negado
Reason/Razon::
Workshop/Taller: :
Other/Otro: :
IV. Business/Negocio-Farm/Rancho o Huerta (if applicable/si aplica):
Name/Nombre: :
Address/Dirección: :
Phone Number/Nombre de Tel:
Email/Correo Ele::
* Disclosure:By submitting this form I certify that the information provided above is true and accurate. I authorize RCDR to obtain a copy of my credit report for my loan application request and access a background check if necessary. *Declaración: Al enviar este formulario Yo certifico que la información proporcionada es verdadera y correcta. Yo doy permiso a RCDR de obtener una copia de mi reporte de crédito para la solicitud de un préstamo y obtener un reporte de antecedentes si se es necesario.