Bond Financing Application

Applicant/Contact Information
Name of Business*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last
Contact Title*
Contact Phone*
Contact Email*
Name of owner of Project (if different)
Address of Owner of Project (if different)
Street Address Address Line 2 City State ZIP Code
Name of Lessees of Project (if different)
Address of Lessees of Project (if different)
Street Address Address Line 2 City State ZIP Code

Project Information
Describe the Applicant (and if applicable the owner and the lessees). Include a brief history of the Applicant, its principal products and its consumers*
Briefly describe the Applicant's key management personnel (and if applicable the owner and the lessees)*
Amount of Bond Issue*
Address of Project Site*
Street Address Address Line 2 City State ZIP Code
Briefly Describe the Project*
Land Acquisition Estimated Cost
Acquisition Size (acres)
Building Acquisition Estimated Costs
Acquisition Size (square feet)
Building Construction Estimated Cost
Construction Size (square feet)
Building Renovation Estimated Cost
Renovation Size (square feet)
Equipment Acquisition Estimated Costs
Will the equipment be new or used?
Other Description
If the project type is other, please provide a detailed explanation on the estimated costs of the project
Describe the effect the project has on the environment*
Estimated Project Start Date*
MM slash DD slash YYYY
Estimated Project Completion Date*
MM slash DD slash YYYY
Please provide all known names of contractors and subcontractors of the project

New Hampshire Employment Impact
Current Number of New Hampshire Employees*
Estimated Number of New Hampshire Jobs Maintained*
Estimated Number of New Hampshire Jobs Created*
Applicant is equal opportunity employer*
- Yes
- No
- N/A
Owner is equal opportunity employer*
- Yes
- No
- N/A
Lessee is equal opportunity employer*
- Yes
- No
- N/A
Describe the types of jobs created or preserved, their wage and salary levels, and, if applicable, when the jobs will be created

Please provide any other information of which you believe the BFA should be aware in considering this application
File
Max. file size: 50 MB.
Please include any documents that are relevant to the opportunity
Phone
This field is for validation purposes and should be left unchanged.

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