Small Business Loan Gap Financing Program

Somerset County Business Partnership Small Business Loan Submission Worksheet

The Somerset County Business Partnership and the Small Business Development Center are collaborating on a new initiative that will help expand Somerset County small businesses. This is a resource of financing that might not otherwise be available to small businesses. The following financial institutions are participating to ensure a broader program; Affinity Federal Credit Union, Commerce Bank, Financial Resources Federal Credit Union, PNC Bank, Raritan Valley Community College's Small Business Development Center, Skylands Community Bank, Union County Economic Development Corporation, Unity Bank and Yardville National Bank.

Print the application and fax it to 908-722-7823 or fill it out online.

Please provide the following information about you:

Borrower Name
Address
City
State/Province
Zip/Postal Code
Telephone
E-mail
Loan Request Amount
Use of Proceeds
Business start up/operation history (who, what and how)
New Business Startup	Yes No
Brief Resume
Personal Financial Information
Credit History (Commentary Paragraph on special situation or past problems including and liens)
Personal Net Worth (Composition of Net Worth, i.e. Real Estate)
Available Collateral
Personal	$
Business	$

Repayment Ability (Monthly Payment):	$

Additional Comments
In the event that the application does not qualify for a loan where it was presented, I hereby give permission for the lender to submit my application to the Somerset County Business Partnership's Small Business Gap Financing Loan Program.
Yes No