City of Saint Peter Covid19
Micro Loan Program
Loan Application
Appli
cant: ________________________________________________
Address: ________________________________________________
________________________________________________
Phone #:
_________________ E-Mail: ______________________
Ownership: ________________________________________________
Owners Address: ________________________________________________
________________________________________________
________________________________________________
Business Information
Busi
ness Name: ________________________________________________
Address: ________________________________________________
Saint Peter, MN 56082
Phone #: ________________________________________________
E
-Mail: ________________________________________________
Tax I.D. #: ________________________________________________
Business classification: (Choose One)
_____ Cocktail Lounge _____ Restaurant _____ Club / Lodge
_____ Ret
ail Sales _____ Cultural Services _____ Hotel / Motel
_____ Studio / Gallery _____ Fitness / Health Club _____ Public Assembly
_____ Salon / Spa / Barber _____ Birthing Center
Yes
No
_____% If yes, the percentage of the residence utilized for daycare / childcare services?
Medical Office
Daycare Childcare In home - Circle Yes or No:
Utility Information
Utility Service Provider
Elec
tric: City of Saint Peter
Water
/ Sewer: City of Saint Peter
Natur
al Gas: CenterPoint Energy
Cable / Internet: __________________________________
Phone: __________________________________
Garbage Service: __________________________________
Monthly Expenses
Rent /
Mortgage: $________________________________
City Utilities: $________________________________
Natural Gas: $________________________________
Cable / Internet: $________________________________
Phone: $________________________________
Garbage Service: $________________________________
MONTLY TOTAL: $________________________________
MONTHLY TOTAL x 4: $________________________________
(Maximum Loan Amount)
In-Home
Daycare: x % of residence
occupied by daycare services: $________________________________
LOAN REQUEST: $________________________________
Applicant Signature: _________________________________ Date: _________
*Submit photo copies of the lease / mortgage statement as well as the monthly utility billings
with this application.
click to sign
signature
click to edit