USDA Loan Submission Form

Only fill in those items that apply to your loan request.
Last Name
City, State, Zip
Fax Number
Construction — Ground Up?
Preferred Contact Mode
Best Time to Call
Industrial Acquisition Loan?
Purchase/Refinance Land & Building?
Requested Loan Amount
Funding Time-Frame?
Subject Property Value
Requested Loan Term?
Purchase Equipment?
Detailed Loan Scenario
First Name
Purchase/Refinance Amount?
Business Acquisition?
Purchase Inventory?
Balance on Loan (if Refinance)
Construction — Renovation?
Business Name
After Repair Value (if necessary)
Working Capital? (explain)
Loan Type Requested?
Property Under Contract?
Industrial Construction Loan?
USDA Loan Submission Form
Purchase of Machinery?
Marketing Facility?
Working Capital (explain if applicable)
Processing Facility?
Purchase of Supplies? (explain)
Existing Co-op? (expain)
Purchase of Equipment?
Start-up Co-op?
Pollution Control and Abatement?
Startup Costs (explain if applicable)
Industrial Rehab or Development Loan?
Referring Party Full Contact Info

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