Revolving Loan Application

Before submitting your application, please review this checklist below
- Revolving Loan Application
- Personal and company financial statement
- Start up business plan with three year’s pro forma projections
- Personal and company tax returns for the past two years
- Evidence of any personal current financial investment into project
- Conceptual design illustration & detailed description
- Project timeline
- Three written cost estimates of proposed project costs
- Copy of Lease & written approval from Landlord
- Evidence that the Historic District Commission has approved the concept plan
- Articles of Incorporation
- Credit report dated no more than 1 month prior to Application submission
Applicant Information
Today's Date
MM slash DD slash YYYY
Applicant Name
First Last
Applicant Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicant Phone #
Applicant Email Address
Taxpayer I.D. Number
Co-Applicant Name
First Last
Co-Applicant Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Co-Applicant Phone #
Co-Applicant Email Address
Co-Applicant Taxpayer I.D. #
Business Information
This Loan is Being Requested for the Following General Purpose (check one)
- To provide funds for a new business in Salisbury
- To provide funds for the expansion and/or renovation of an existing business in Salisbury
Name of Existing Business or Proposed New Business:
Legal Entity Name & Organization Type:

Attach a copy of articles of incorporation or partnership agreement, if applicable. (For all partners or corporate officers, attach a list of the names, addresses, telephone numbers, social security numbers, and percent of ownership)
Describe the nature of the business and describe the product(s) and/or services offered:
Desired Open Date:
MM slash DD slash YYYY
Do you have experience in this type of business?
- Yes
- No
If yes, please indicate nature of said experience or attach a resume for review:
Property Information
Address of Existing Business or Proposed New Business
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Does Business Owner Lease or Own the Building
- Lease
- Own
- Other
If other is selected, please explain:
Property Owner's Name:
First Last
Property Owner's Phone #:
Property Co-Owner's Name:
First Last
(If applicable)
Property Co-Owner's Phone #:
(If applicable)
Number of Stories in Building:
Ground Floor Square Feet:
Total Building Square Feet:
Assessed Market Value:
Approved Market Value:
Number of Residential Units in Building:
Project Information:
Description of Financed Project Details:
Have you received necessary approvals from City departments?
- City Infrastructure & Development
- Salisbury Historic District Commission
Applicant Personal Investment:
(provide confirmation of personal investment)
Other Committed Project Financing:
(provide confirmation of financing)
Requested Revolving Loan Amount:
(may only be up to $100,000)
Total Project Cost
Please briefly explain how assisting business or proposed new business would benefit the City, including the provision of needed services:
Proposed number of new jobs created within 6 months
Proposed number of new jobs created within 2 to 4 years
In the space below, please offer any additional information or justification for the requested assistance:
Please provide a timeline of your proposed project with specific milestones you anticipate reaching
How Did You Hear About This Opportunity?
Personal Financial Statement
This is:
- An individual statement
- A joint statement (all assets and liabilities listed in this statement are joint unless otherwise indicated)
Person 1 Name:
First Last
Person 1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Person 1 Phone #
Person 2 Name
First Last
Person 2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Person 2 Phone #
Post Body

Authorization. I authorize the City of Salisbury, Maryland to request and review all data you deem appropriate about me, including credit reports from agencies, now and for all future reviews, extensions, or renewals of credit extended to me or others or for collection of loans. Upon request, you will tell me if a credit report was requested, and, if so the name and address of the credit-reporting agency furnishing the credit report. To request the information, I should call or write your office to which I am submitting this application. Ownership of Assets. I am sole owner of all assets listed in this statement. Except as disclosed in this statement, no one else has any interest in or claim on these assets, and none of the assets listed has been assigned, pledged, or mortgaged. Certification and Reliance. I certify that the information herein is complete and true as of the date opposite my signature, or as of _____/_____/_____. I understand that the City of Salisbury may rely upon this information from time to time in extending credit to others or myself and may continue to so rely until (i) I notify the City of Salisbury in writing of any material adverse change in such information; or (ii) the City of Salisbury is provided with new financial statements. I will promptly notify the City of Salisbury in writing of any material adverse change in (i) any information contained herein or a financial statement supplied to the City of Salisbury in the future; or (ii) my financial condition. All Amounts Due. If I owe the City of Salisbury any debt, they have the right to call for immediate payment of that debt if (i) I become insolvent, bankrupt, incompetent or die or go out of business; (ii) anything contained in this financial statement is false; (iii) I break any written promise I make to the City of Salisbury; or (iv) a change occurs that the City of Salisbury reasonably believes may materially affect my ability to pay any such debt.
Today's Date
MM slash DD slash YYYY
Borrower's Signature
First Last
Co-Borrowers Signature
First Last
Personal Financial Statement*
Drop files here or

Max. file size: 256 MB.
Please download, fill out, and upload the Personal Financial Statement

Revolving Loan Application

Applicant Information

Business Information

Property Information

Project Information:

Personal Financial Statement