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IRS TAX NUMBER: ZIP: FISCAL YEAR END: TYPE OF APPLICANT: (Examples: corporation-for profit or not for profit, cooperative, Indian Tribe, partnership, individual, public body, other-specify) NAICS CODE (North American Industry Classification System): Contact for Business: NAME: ADDRESS: CITY: STATE: PHONE: FAX: ZIP: E-MAIL: Lender Information: NAME: ADDRESS: CITY: STATE: PHONE: FAX: IRS TAX #: ZIP: E-MAIL: CONTACT: Project Information: (check one) A NEW VENTURE A N.

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