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Company Name: Email Address: Address: Phone #: City: State: Zip: County: NAICS Code: Fed.Tax ID#: SIC Code: EIN: The Company is: q For-Profit Type of Business: q Nonprofit Revenues in the Last Fiscal Year: $ Revenues Currently: $ Year Started: Year Incorporated: Is the borrower a minority- or woman-owned business?: If yes, which category?: q Yes q No q African American q Hispanic q Asian American q Native American q Woman Is the borrower a certi.
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