Bond Financing Application Step 1 of 5 20% Project TypeWhat type of project are you inquiring about?* Land/Building Acquisition New Construction Renovation Equipment Acquisition Other Check all that apply Applicant/Contact InformationName of Business* Address* Street Address Address Line 2 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 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 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 Name of Lessees of Project (if different) Address of Lessees of Project (if different) Street Address Address Line 2 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 Project InformationDescribe 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 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 Briefly Describe the Project*Land Acquisition Estimated CostAcquisition Size (acres)Building Acquisition Estimated CostsAcquisition Size (square feet)Building Construction Estimated CostConstruction Size (square feet)Building Renovation Estimated CostRenovation Size (square feet)Equipment Acquisition Estimated CostsWill the equipment be new or used?NewUsedBothOther DescriptionIf the project type is other, please provide a detailed explanation on the estimated costs of the projectDescribe 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 ImpactCurrent 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 FileMax. file size: 50 MB.Please include any documents that are relevant to the opportunityPhoneThis field is for validation purposes and should be left unchanged.
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