Loan Inquiry Form - Community Capital New York

Community Capital New York provides loans from $1,000 to $250,000. To start, please fill out this questionnaire to see if you are eligible. A loan officer will get in touch with you shortly. 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.

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Name*

First Last

Email Address*

Phone Number*

Are you at least 21 years old?*

Business Name*

Where is your business located?*

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 Address*

Street Address Address Line 2 City State ZIP Code

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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*

How much loan capital do you need?*

Purpose of 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?*

Are you current on your child support payments?*

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Are you a US citizen or have legal residency?*

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

Comments

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