Application: Part A & Credit Report Request Form

ELIGIBILITY

You own and operate a legal business in rural N.C. or plan to do so.
You are at least 18 years of age.
Your credit shows a successful repayment history. We use a credit score of 575 as a guideline, but there is not a required minimum.
You do not have any active judgments, foreclosures, or federal obligations in default.

LOAN DETAILS

We offer loan amounts of up to $20,000 for startup businesses—less than one year of revenue—and up to
$50,000 for existing businesses.
We offer a combination of business planning and technical assistance personalized to you.
We give a special emphasis to serving rural, low-income, female, and minority borrowers.
Loan decisions are typically made within 15 days of receiving the full application and loans are funded within 30 days.

Personal Information

Full Legal Name:

First Name *

Middle Name *

Last Name: *

Street Address: *

City: *

State *

Zip: *

County: *

Social Security Number: *

Date of Birth (MM/DD/YYYY) *

Primary Phone Number: *

Secondary Phone Number:

Drivers License Number: *

Email Address: *

Is there a co-applicant? *

Yes

Co-applicant's Name: *

Co-Applicants Email * 🛈

Note: Anyone with 20% or more ownership MUST be a co-applicant. Co-applicants must fill out and submit a seperate pre-application.