Loan Inquiry

Your first step is to submit the inquiry form below. This form registers your interest with us and allows for follow-up. The inquiry is not a formal application.

Once submitted, you will be able to download the application form, instructions and more information about the required supporting documents needed. Our lending department can only act on fully completed application packages.

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Please tell us about yourself: (* denotes required fields)

First Name *	Last Name *
Business Physical Address	Business Physical Address 2
City	State Zip
Phone *	Fax
Website	Email *

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Business Info

Business Name

Town where your business is or will be located * Please Select... Andover Ansonia Ashford Avon Barkhamsted Beacon Falls Berlin Bethany Bethel Bethlehem Bloomfield Bolton Bozrah Branford Bridgeport Bridgewater Bristol Brookfield Brooklyn Burlington Canaan Canterbury Canton Chaplin Cheshire Chester Clinton Colchester Colebrook Columbia Cornwall Coventry Cromwell Danbury Darien Deep River Derby Durham East Granby East Haddam East Hampton East Hartford East Haven East Lyme East Windsor Eastford Easton Ellington Enfield Essex Fairfield Farmington Franklin Glastonbury Goshen Granby Greenwich Griswold Groton Guilford Haddam Hamden Hampton Hartford Hartland Harwinton Hebron Kent Killingly Killingworth Lebanon Ledyard Lisbon Litchfield Lyme Madison Manchester Mansfield Marlborough Meriden Middlebury Middlefield Middletown Milford Monroe Montville Morris Naugatuck New Britain New Canaan New Fairfield New Hartford New Haven New London New Milford Newington Newtown Norfolk North Branford North Canaan North Haven North Stonington Norwalk Norwich Old Lyme Old Saybrook Orange Oxford Plainfield Plainville Plymouth Pomfret Portland Preston Prospect Putnam Redding Ridgefield Rocky Hill Roxbury Salem Salisbury Scotland Seymour Sharon Shelton Sherman Simsbury Somers South Windsor Southbury Southington Sprague Stafford Stamford Sterling Stonington Stratford Suffield Thomaston Thompson Tolland Torrington Trumbull Union Vernon Voluntown Wallingford Warren Washington Waterbury Waterford Watertown West Hartford West Haven Westbrook Weston Westport Wethersfield Willington Wilton Winchester Windham Windsor Windsor Locks Wolcott Woodbridge Woodbury Woodstock Other

Type of Business

Estimated amount you need to borrow

Will this loan be used to buy commercial property in which your business will operate? Yes   No

Have you tried other lenders? Yes   No

Do you have a business plan? Yes   No

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Please provide the following demographic information so we can better report to our funders/investors the impact we have on the communities we serve.

What is your gender

The state of Connecticut defines low and moderate income households as those with household income (AGI) below $100,400. Do you consider yourself to be part of this group? Yes No Prefer Not to Answer

The business I am associated with is 50% or more: (Check any or none as applicable to your company) Minority Owned Women Owned Veteran Owned

About how many years has the business you are associated with been in operation? (Use 0 if not yet operating)

Number of employees (Please count yourself):

How did you hear about CEDF?  Search Engine CEDF Website CT Small Business Development Center SCORE Small Business Administration Another CEDF Client Seminar/Business Event Bank Other

Name of person/company who referred you

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Additional Comments:

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