Business Start-Up AssistanceBusiness Startup AssistanceInterest Free Loan Application"*" indicates required fields1Borrower + Loan Information2Co-signer InformationLegal name of Borrower*This is the name the government recognizes the business by. It is on the articles of organization, tax documents, etc. If business is not yet officially incorporated, list the date by which it will be (not longer than 60 days from loan date). Borrower is responsible to notify Gemach in writing of the legal business name by that date. First Last Email Address*The best email to reach the Borrower. Phone Number*The best number to reach Borrower.Address of Borrower*This is the Borrower’s place of residence. In the event this address changes, the Borrower will immediately notify the Gemach in writing. The Borrower must reside in Metropolitan Detroit, Michigan at all times of the loan. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Legal name of the business*This is the name the government recognizes the business by. It is on the articles of organization, tax documents, etc. If business is not yet officially incorporated, list the date by which it will be (not longer than 60 days from loan date). Borrower is responsible to notify Gemach in writing of the legal business name by that date.Tax ID number (or EIN/employer ID) of business*This number is provided by the government. If the business has not been officially organized yet, list the date by which it will be officially organized (not longer than 60 days from loan date). The Borrower will be responsible to notify the Gemach in writing of the tax ID or EIN number by that date.Address of the business*The address the business is registered at, as recognized by the government. If the business has not been officially organized yet, list the date by which it will be officially organized. The Borrower will be responsible to notify the Gemach in writing of the business address by that date. In this instance, the Gemach will communicate with the Borrower at his/her/its address listed above. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Industry of the business*For example: Healthcare, automotive, construction, etc.Description of the business*Describe what the business will do, including but not limited to the products and/or services it will provide, and to whom it intends to provide those products and/or services.Attach an overview of the total planned business expenditure*The total startup costs for the business. The total of all the costs should add up to the total expected startup cost listed below. It is necessary to detail the costs in different areas of the business; for instance: Advertising, employee wages, legal fees, cost of materials, etc. It is not necessary to list costs of specific items; for instance: Newspaper ads, internet and phone, staplers, etc.Max. file size: 256 MB.Describe where the loan dollars are expected to be applied within the total expenditure provided in response to the above question. Also, describe what the Borrower will annually provide to the Gemach to account for all the loan dollars to demonstrate they were applied toward the business over the life of the loan.*Where are the dollars from the loan expected to be used among what was provided in response to the prior question? What will be provided to the Gemach each year to show that the loan amounts are accounted for as applied toward the business, and were not used for another cause? Note that the expected use of the funds may differ from the actual use of the funds, but the funds must be shown to have been applied entirely toward the business.Total expected startup cost*This should align with the total of all costs provided above.Loan amount sought*The loan amount cannot be more than 60% of the total expected startup cost.What will the Borrower provide once a year to the Gemach to show it is IY”H still in operation?*Attach a Business Plan*For background and assistance on producing a Business Plan, see https://learn.sba.gov/learning-center-plan/learning-center-how-to-write-a-business-plan, https://www.bplans.com/, and https://www.score.org/greaterknoxville/resource/article/business-plansMax. file size: 256 MB.Verify Borrower has completed the required readings* Why Recordkeeping is Vital and How to Do itClick here to review the articlerequired readings2* 10 Bookkeeping Basics You Can’t Afford to IgnoreClick here to review the articlerequired readings3* 3 Basic Financial Statements You Need to Keep Track of Your MoneyClick here to review the articlerequired reading4* 12 Month Cash Flow StatementClick here to review the articleAttach a statement of financial need*The loans of the Gemach are only for those who have a financial need for a loan. A ‘statement of financial need’ speaks to why you have a financial need for a loan, and is relied on to qualify you for the loan. By way of example, the statement can list the reasons why you are having trouble getting the necessary funds together; why you are seeking aid.Max. file size: 256 MB.The Cosigners must agree to immediately make any payments that are not fully satisfied in a timely manner by the Borrower. This includes quarterly payment amounts, the full outstanding amount of the loan in the event the Borrower fails to meet an obligation in the Loan Agreement, and any court or Beis Din costs – and the Gemach’s reasonable expenses - necessary to enforce missed obligations. Cosigners cannot be the Borrower’s spouse, child, son-in-law, or daughter-in-law. The two Cosigners on a single loan cannot be spouses. Cosigners cannot be a Rabbi with an administrative role in a communal institution. Cosigners must be at least 25 years of age, cannot have an outstanding loan of their own with the Gemach, or have a past loan with the Gemach that experienced a default. After the submission of this application, you will receive an email with the Cosigner Acknowledgement forms for each Cosigner.Cosigner 1Legal name First Last Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relation to borrower*Cosigner 2Legal name First Last Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relation to borrower*Signature of Borrower*Date signed* MM slash DD slash YYYY By clicking “Submit,” you agree that you are adopting the following as your “Electronic Signature” in accordance with the E-Signature Act and Michigan’s Uniform Electronic Transactions Act: 1) clicking “Submit” in connection with any application; 2) by writing your signature via a mouse, finger, or stylus; and 3) by any other method permitted by us to express consent or agreement to an application or document. In addition, you agree that your Electronic Signature shall have the same effect as if you had signed the Document or electronic record in ink. Further, by applying your Electronic Signature, Borrower acknowledges that the terms of this Application will be integrated into any loan agreement they enter into with the Detroit Economic Gemach, the information is true, accurate, and complete as the date submitted.CAPTCHA