Loan Inquiry Form - Community Capital New York

Community Capital New York offers small business loans from $1,000 to $250,000. Please fill out this questionnaire to see if you may be qualified. A loan officer will contact you shortly. Please note: We are certified by the U.S. Small Business Administration, or SBA, to provide loans in the following counties in New York and Connecticut: Westchester, Bronx, Putnam, Rockland, Orange, Dutchess, Sullivan, Ulster, and Fairfield.

All fields with * are required.

"*" indicates required fields

Name*

First Last

Email Address*

Phone Number*

Are you at least 21 years old?*

Thank you for your interest in Community Capital New York. Unfortunately, we can only offer loans to business owners who are 21 and older.

Where is your business located?*

Thank you for your interest in Community Capital New York. Unfortunately, your business is located in a county where we are not currently certified by the SBA to offer loans.

For further assistance in your community, please visit the SBA's Access to Capital page and the Opportunity Finance Network's online CDF locator to find Community Development Financial Institutions in your local area.

Specify the location

Please note: we are certificated by the SBA to provide loans in only the following counties: Westchester, the Bronx, Putnam, Rockland, Orange, Dutchess, Sullivan, Ulster, and Fairfield County, CT.

Business Name

Business Address

Street Address Address Line 2 City State ZIP Code

Please note: We are certified by the SBA to provide loans in the following counties in New York and Connecticut: Westchester, Bronx, Putnam, Rockland, Orange, Dutchess, Sullivan, Ulster, and Fairfield.

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Is your business: a gas station, a home oil delivery service, involved in real estate, a lender, a private club, or in the adult entertainment industry?**

What industry is your business in?*

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What Industry is your Business in?

Please note that we cannot lend to gas stations, home oil delivery services, real estate businesses, lenders, private clubs, and the adult entertainment industry?

What Industry?

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Industry

Community Capital New York is unable to provide loans to your type of business.

Brief Business Description

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Brief Business Description

How much loan capital do you need?*

Purpose of Loan*

What is the purpose of the loan?

Legal Structure of Your Business

Have you had a bankruptcy in the last 24 months?*

Do you have any unresolved liens, judgments, collections or charge-offs?*

Please explain any unresolved liens, judgments, collections or charge-offs

Are you current on your child support payments?*

Are you a US citizen or have legal residency?*

Do you have a work permit?

Yes

When does the permit expire?

How did you hear about Community Capital NY?*

How did you hear?

Would you like to join the Community Capital New York mailing list?*

Would you like to select a Loan Officer?

J R Dorsainvil

Erika Fermin

Lisbel Rosario

No preference

Phone

This field is for validation purposes and should be left unchanged.

Thank you for completing the loan inquiry form. Please check your email inbox for a confirmation message. If you do not see it within a few minutes, be sure to check your spam or junk mail folder, as emails may sometimes be filtered there