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EASTERN SHAWNEE TRIBE OF OKLAHOMA (Eastern Shawnee Tribe of Oklahoma)

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U.S.A. forms for Eastern Shawnee Tribe of Oklahoma

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Revised August 2017
EASTERN SHAWNEE TRIBE OF OKLAHOMA
SMALL BUSINESS LOAN APPLICATION
COVER PAGE
Complete and submit this form electronically to the Grants Director via email at
tlowery@estoo.net or the Grants Coordinator at mlowery@estoo.net
NAME BUSINESS NAME DATE
ADDRESS:
DELIVERY ADDRESS LINE 1: _____________________________________________
DELIVERY ADDRESS LINE 2: _____________________________________________
CITY, STATE, ZIP: _____________________________________________
TRIBAL AFFILIATION: (INCLUDING OWNER, SPOUSE, AND/OR BOARD MEMBERS)
_____________________________________________________________________________________
_____________________________________________________________________________________
TRIBAL ROLL NUMBER: (IF KNOWN) _______________
CDIB CARD: _____ YES _____ NO
IF “NO”, PLEASE EXPLAIN: ___________________________________________________________
_____________________________________________________________________________________
TYPE OF FUNDS NEEDED: _____ SMALL BUSINESS STARTUP _____ SMALL BUSINESS EXPANSION
LOAN REQUEST: _____ $1 – 10,000 _____ $10,001 – 20,000 _____ $20,001 – 25,000
PURPOSE OF LOAN: (EXPLAIN THE NEED FOR THE LOAN AND HOW THE FUNDS WILL USED FOR THE SMALL BUSINESS)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
TIMELINE INFORMATION:
DURATION OF LOAN _____ 24 MONTHS _____ 36 MONTHS _____ 48 MONTHS _____ 60 MONTHS
EMPLOYMENT:
NUMBER OF JOBS RETAINED: _____
NUMBER OF JOBS CREATED: _____
NOTE: A COPY OF A FULLY COMPLETED “SMALL BUSINESS LOAN COVER PAGE” AND “CREDIT
APPLICATION FORM” WILL BE PRESENTED TO THE SMALL BUSINESS LOAN REVIEW
COMMITTEE FOR DISCUSSION AS WELL AS APPROVAL OR DENIAL OF THE LOAN REQUEST.
PLEASE KEEP A COPY OF THE LOAN COVER PAGE FORM FOR YOUR RECORDS.
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EASTERN SHAWNEE TRIBE OF OKLAHOMA (Eastern Shawnee Tribe of Oklahoma)

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Completed 20 July 2020

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