Collateral Assistance Program - Loan Enrollment

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Borrower Personal Information 











Company Information
















Potential Economic Impact Information







Note: Full-time is more then 2,000 hours per year; part-time is less then 2,000 hours per year; created or retained jobs must be within New Mexico.


Loan and Lender Information
















Numbers only

Project Sources and Uses











Refinance Information




Supplemental Documents

Accompanying this application please provide the following supplemental documents on the project: 1. Lending institution's Credit Memo/Analysis 2. Business financial statements (PL, Cash Flow and Balance Sheet) for the past three years including an interim statement dated within 90 days of application *Personal tax-returns from the owner/s may be requested in lieu of financial statements for start-ups. 3. Business plan 4. Financial projections for the project up to the next 3 years. 5. Please provide any additional material which would help prove the viability of the project to the CAP Review Board. (Please combine any additional info into a single PDF or email each separately to the address below) Please upload below. Please send questions to edd-finance@state.nm.us.






Affirmation

The checkbox and fields below affirms that the borrower certifies that the information in this Loan Enrollment Form and Eligibility Questionnaire is true and accurate to the best of their knowledge and belief.  

A copy of this application will be sent to the Lender entered on this form.