Business Loan Interest Questionnaire

Tell Us About Yourself

Contact Name

Contact Email Address

Contact Phone Number

Are you an owner or authorized representative of the applicant business?

Yes

If you are not the owner, please confirm you are an authorized representative by listing your role in the business:

Manager

CEO

Preferred Language:

English

Tell Us About Your Business

Business Name (Official)

Business Name (Common name or DBA, if applicable)

Business Owner(s) Name(s) for each 20% or more ownership share owner

Business Location - Street Address

Business Location - ZIP Code

Business Address Type

Commercial Building

Postal Service Address

Home Address

Primary Business Activity

Number of Full-time Employees

Number of Part-time Employees

Tell Us About Your Business’s Funding Needs

What loan amount is your business seeking?

What is the intended use of funds?

Expanding capacity of a small business

Tenant improvements

Manufacturing equipment

Other capital investment

Safety equipment

Working capital

Refinancing existing debt

Technology upgrades

Tell us how this funding will help your business.

Certifications

The following certifications list items that will be required for loan processing:

I certify that the business has an active business tax certificate (license) issued by the City of San Diego.

I certify that the business has an ACORD insurance certificate listing Commercial General Liability insurance.

I certify that the business has an ACORD insurance certificate listing workers’ compensation insurance.

I certify that I have read the full program details on the City's website, including the eligibility checklist and list of required documents..

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.