CAP Application Step 1 of 6 - Qualifying Questions 0% 1. Is this a New Hampshire based business?*YesNo2. Was the prior year revenue less than $5,000,000?*YesNo3. Does the business have under 500 employees?*YesNo4. Will proceeds of the loan be used for business purposes?*YesNo5. Has the business been operating more than 2 years under the current management?*YesNoBusinesses which have not been in operation for at least two years under the current management will require 20% cash equity from non-borrowed sources.6. Is the loan being used to refinance existing debt held by your lending institution?*YesNo7. Does the existing debt held by your institution already have a CAP credit enhancement?*YesNo Save and Continue Later Congratulations - this looks like a good fit for a CAP credit enhancement. Would you like to enroll the opportunity?*YesNo All CAP enrollments are contingent upon BFA final review.Congratulations - this looks like a good fit for a CAP credit enhancement. Would you like to enroll the opportunity?*YesNo All CAP enrollments are contingent upon BFA final review.It doesn't look like this opportunity qualifies for a CAP credit enhancement, due to the following:The applying business needs to have an operating location in New Hampshire.The applying business must have reported revenue in the prior year less than $5,000,000.The applying business must have less than 500 employees.The proceeds of the loan must be used for business purposes.Refinancing of existing debt held by your lending institution is not eligible for the CAP program, unless the debt being refinanced was already previously enrolled in CAP.Please call the Business Finance Authority at (603) 415-0190 if you would like to discuss your options.Thank you for considering your a BFA CAP credit enhancement. Please call (603) 415-0192 if you have any questions. Save and Continue Later Lender InformationLender Name* First Last Email* PhoneTitle*Lending Institution*Loan NumberLoan InformationLoan Type*Term LoanLine of CreditLength of Loan*Expected Closing Date* Date Format: MM slash DD slash YYYY Total Gross Principal Amount*Please upload internal credit writeupAccepted file types: pdf, xls, doc, docx, xlsx.CAP Enrollment CoverageAmount Eligible for Coverage*CAP Coverage Amount Requested*The principal amount of the loan you are requesting to enroll in CAP.Please enter a number from 0 to 200000.CAP Loan Coverage %*Existing CAP Line of Credit InformationOriginal line of credit amount enrolled in CAP*Total coverage increase (LOC)*Computation of CAP Line of Credit Reserve Payments and Security Deposit:Choose total lender/borrower percentage*3%4%Amount of NEW loan proceeds to be covered*Total reserve fund payment*Lender portion*Borrower portion*BFA matching deposit*Existing CAP Term Loan InformationPrevious covered loan amount at the time of enrollment*Term Loan balance immediately prior to refinancing*Total coverage increase*Computation of CAP Term Loan Reserve Payments and Security Deposit:Total Lender/Borrower Percentage*3%4%Amount of NEW loan proceeds to be covered*Total reserve fund payment*Lender Portion*Borrower portion*BFA Security Deposit*Computation of New CAP Loan Fees:Choose Total Lender/Borrower Percentage*3%4%Total Reserve Fund Payment*Lender Portion*Borrower Portion*BFA Matching Deposit* Save and Continue Later Borrower InformationBorrower Legal Name*Year Business Started*Borrower's Prior Year Gross Revenue*Please enter a number from 0 to 5000000.Borrower's Address* Street Address Address Line 2 City ZIP / Postal Code NAICS Code / Industry*Borrower's County*BelknapCarrollCheshireCoosGraftonHillsboroughMerrimackRockinghamStraffordSullivan Save and Continue Later Employment InformationCurrent Number of NH Employees (Full Time)Current Number of NH Employees (Part Time)Estimate of Jobs Maintained (Full Time)Estimate of Jobs Maintained (Part Time)Estimate of Jobs Created (Full Time)Estimate of Jobs Created (Part Time) Save and Continue Later Additional Amount (if any) Contemporaneously Loaned to BorrowerBy executing this Loan Filing Form and submitting this Loan for enrollment, the Lender hereby makes the representations and warranties required to be made under Paragraph 4 of the Lender Participation Agreement, including: The Lender has not made the Eligible Loan in order to place, under the protection provided by the Program, prior debt that is not covered under the Program and that is or was owed by the borrower to the Lender or to an Affiliate of the Lender. The Lender has not made the Eligible Loan as a refinancing of a loan (other than an existing Enrolled Loan) previously made to the Borrower by the Lender or an Affiliate of the Lender. The Lender is not attempting to enroll the unguaranteed portions of SBA guaranteed loans. The Lender has disclosed to the Borrower information concerning the Program as set forth on the Notice to Borrower. No Principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911)). For the purposes of this Certification, Principal means the following: if sole proprietorship, the proprietor; if a partnership, each managing partner and each partner who is a natural person and holds 20% or more ownership in the partnership; and, if a corporation, limited liability company, association or development company, each director, each of the five most highly compensated executives or officers of the entity, and each natural person who is a direct or indirect holder of 20% or more of the ownership stock or stock equivalent of the entity. The Lender is in compliance with the requirements of 31 C.F.R. § 1020.220, customer identification requirements for banks. PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.