Loan Inquiry

SOUTH CAROLINA COMMUNITY CAPITAL ALLIANCE

LOAN INQUIRY FORM

All information provided herein is deemed confidential and will not be shared

1. BORROWER INFORMATION

Organization Name: (if applicable)

Contact Name and Title:

Street Address:

City:

State:

Zip Code:

County:

Telephone Number:

Fax Number:

Email Address:

2. BORROWER TYPE


Other:

3. BUSINESS OR PROJECT INFORMATION

(Please include address where your business or project is or will be located, if applicable)

Name: (if applicable)

Street Address:

City:

State:

Zip Code:

County:

Description:

4. LOAN INFORMATION

Loan Amount Needed:

Description of Use of Proceeds:

Description of Collateral: (if applicable)

5. LOAN TYPE

6. LOAN PURPOSE (Select All That Apply)


Other:

7. LOAN TERM NEEDED

8. LOAN IMPACTS

Located in Low to Moderate Income Census Tract?

Located in USDA Designated Food Desert?

Located in USDA Designated Rural Community?

Will Employ Low to Moderate Income Individuals?

Will SERVE or HOUSE Low to Moderate Income Individuals?

Estimated Number of JOBS to be Created/Retained:

Estimated Number of UNITS to be Created/Rehabilitated:
 30% AMI
 50% AMI
 80% AMI
 120% AMI

9. ADDITIONAL INFORMATION

Description: