Do not hit the back button at the top of your screen, you will lose your progress in the application.
For questions please contact: Priscilla Green, Department of Development, at 757-509-2587 or email@example.com
To save the progress of your application and return to it later, scroll to the bottom of the application and click the "Save For Later" button.
Information about the Business
Business Owner Information
Please provide the following information for each officer, director, and owners of the business.
Proposed Use of Funds
Please round up to the nearest dollar. Do not use symbols, commas or decimal points. Do not leave any fields blank. Enter a 0 for items not being requested.
Upload documents by choosing "Choose File" or "Browse". Select your document, select "Open", and then select "Upload".
Required Application Attachments
All documents are required unless noted otherwise.
Upload documents by choosing "Choose File" or "Browse". Select your document and select "Open", and then select "Upload".
Public Information Disclosure
The undersigned understands and agrees that all information furnished in connection with this loan application
involves the use of public funds and as such may be made public, pursuant to the statutes of the United States
of America and the Commonwealth of Virginia.
The undersigned authorizes the City of Hampton or the City of Newport News and/or its designee to verify any and all information
furnished in connection with this loan application to include, but not limited to salary, mortgages, deposits, loans
and to obtain a credit report. Authorization is also given to furnish to the Peninsula Industrial Finance Corporation
any and all information that has been provided by you in connection with this loan application. Everything that has
been stated in the application is correct to the best of my knowledge. I understand that any willful misrepresentation
on this application and any other loan related documents could result in a requirement to repay loan funds and/or a violation
of a Local, State and/or Federal code.
You will not be able to view or edit your application once you click "Finish and Submit".