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CITY OF LITTLE CANADA <br />APPLICATION FOR BUSINESS ASSISTANCE FINANCING <br />GENERAL INFORMATION: <br />Business Name: <br />Address: <br />Date: <br />Type (Partnership, etc.): <br />Authorized Representative: <br />Description of Business: <br />Phone: <br />Legal Counsel: <br />Address: <br />FINANCIAL BACKGROUND: <br />1. Have you ever filed for bankruptcy? <br />Phone: <br />2. Have you ever defaulted on any loan commitment? <br />3. Have you applied for conventional financing for the project? <br />4. List financial references: <br />a. <br />b. <br />c. <br />5. Have you ever -used business assistance financing before? <br />If yes, what, where and when? <br />-95- <br />