Financing Request

Please note: Our loan products allow us to provide loans for businesses in New York City's five boroughs.

Financing Amount Requested

Purpose of Loan

Have you received a loan from BCNA in the past?

Please note: Some loan requests may require additional guarantors.

How did you hear about BCNA?

Please provide name of referral

Personal Information

First Name

Last Name

E-mail Address

Phone #

Present Address

City

State

Zip Code

What is your preferred language?

Level of English

None Little Conversational Proficient

Present gross household income ?

Spousal income (if any)

Monthly Mortgage/Rent

Employment Status

Full-Time Part-Time Unemployed

Are you working at your business?

Full-Time Part-Time Not Started

If you are starting your business, will you keep your job?

Estimated Personal Assets (Total) ?

Estimated Personal Liabilities (Total) ?

Business Information

Business Name

Industry

Business Description

Business Address

City

State

Zip Code

Phone

Business Legal Structure

Years in Business

Projected Revenue this year

Revenue last year

Is your business profitable?

Yes No

Do you plan to invest any money into your business?

How much do you plan to invest?

Do you have existing business debt?

Outstanding Business Debt

Monthly Payment (Debt Payment)

Other loan sources for which you have submitted applications

Credit Request Authorization

I authorize the Business Center for New Americans or its authorized agents to obtain Consumer Credit report(s) or information on the person(s) identified in this request and during the outstanding term of the loan if approved.

Please confirm that you have read and agree to credit authorization by entering your FIRST and LAST name.

Any loan application that results from this inquiry will not be considered complete without a non-refundable application fee of $25.00 for loans up to $3,000 and $50 for loans over $3,000, plus $15.00 per credit report.

Financing provided by BCNA's Micro Loan Fund requires a 2% closing fee and must be repaid on a monthly basis with a fixed interest rate of 8.25% for loans amounts up to $10,000 and 10% for loan amounts over $10,000.