Fillable Community Development Corporation Assistance Inquiry Form Requested Assistance (Town of Zionsville)

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Community Development Corporation Assistance Inquiry Form Requested Assistance (Town of Zionsville)

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Community Development Corporation
Assistance Inquiry Form
Business Name:
Address:
Primary Contact:
Contact’s Phone Number & email:
Requested Assistance Amount: $
In the following table, please list all other County, State, and/or Federal programs to
which the business has applied for Covid-related financial assistance:
Program
Date of
Application
Amount of
Request
Current Status:
Granted, Denied,
Pending, Other
Please provide a brief description of the reason for the requested assistance
and how the monies would be utilized (Provide additional pages as needed.):
This form and any additional materials you choose to submit should be emailed to
communitydevelopment@zionsville-in.gov or mailed to:
Community Development Corporation
Attn: Wayne DeLong
10855 Creek Way
Zionsville, IN 46077
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Community Development Corporation Assistance Inquiry Form Requested Assistance (Town of Zionsville)

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Completed 25 January 2021

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