Forward Community Investments Loan Inquiry Form
I am seeking financing for
Please select...
A nonprofit or community organization
Real estate development
My small business
Contact Details
First Name
Last Name
Job Title
Phone
Email
Organization/Business Legal Name
Organization/Business Address
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
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California
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Connecticut
Delaware
District Of Columbia
Florida
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Hawaii
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Louisiana
Maine
Maryland
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Michigan
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Mississippi
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Nevada
New Hampshire
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New Mexico
New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
County
Are you seeking financing for a project at this address or somewhere else?
Please select...
This location
Somewhere else
I'd just like to submit a general inquiry for now
Project or Property Address
Project/Property Street Address
Project/Property City
Project/Property State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Project/Property Zip Code
Project/Property County
Project Address
Project or Property Street Address
Project or Property City
Project or Property State
Project or Property Zip
Project or Property County
Organization/Business Information
Date Organization Established
MM/DD/YYYY. If specific date is not known, please enter an approximate date.
Number of Current Employees
Most Recent Annual Revenue
$
Most Recent Annual Net Income
$
Briefly describe your organization's mission
Limit: 5000 characters
Tell us about your company, including details about your mission/vision as a business owner, commitment to your community, and key strengths
Limit: 5000 characters
Describe how your organization benefits Low-to-Moderate Income (LMI) individuals through its programs and services
Limit: 2000 characters
Briefly describe the specific expansion of programs/services that your project would achieve with financing from FCI
Limit: 2000 characters
Loan Request Details
Loan Amount Requested
$
Purpose of Loan
Please select...
Real Estate Purchase
Buildout of Owned Space
Buildout of Leased Space
Equipment Purchase
Working Capital
Debt Refinance
Other
Do you own property that could be pledged as collateral to secure the loan?
Please select...
Yes
No
Total project cost
$
How many full-time jobs do you expect to be able to create with this request?
How many part-time jobs do you expect to be able to create with this request?
Tell us about how this request will provide growth opportunities for your business
(i.e. details regarding anticipated increased sales, decreased expenses, increased capacity, etc.)
Are you able to make a minimum 10% equity contribution to fund your project?
Please select...
Yes
No
Type of real estate project
Please select...
New construction
Rehabilitation
Other
Briefly describe the proposed real estate project
100 words or less
Tell us about yourself, including your mission/vision as a developer, commitment to your community, and key strengths
2000 character limit
Have you participated in any formal real estate development training programs such as ACRE or WHEDA's training program?
Please select...
Yes
No
Please describe any relevant/transferable real estate experience
255 character limit
Additional Business Information
Do you work with an accountant or CPA for audited financials and/or tax preparation?
Please select...
Yes
No
Accountant Name
Accountant Email Address
Accounting Firm Name
Do you have an existing business banking relationship?
Please select...
Yes
No
Bank Name
Bank Contact Name
Bank Contact Email Address
General Information
How did you hear about FCI?
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Contacted by FCI staff
Learned of FCI at event
News/Media coverage
Received email from FCI
Referral
Returning FCI client
Social Media
Web/Internet search
Please let us know who put you in touch with us!
Referrer Name
Event Name
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