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 greenpa@nnva.gov
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.




No Owners Added.

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".


Building Rehab $
Equipment Purchase (Machinery and Tools) $
Working Capital (to include initial inventory and supplies) $
Marketing $
$
TOTAL $


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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".



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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.

Authorization

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.




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