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City of Norfolk Capital Access Program Application

  1. Department of Economic Development
    999 Waterside Drive, Suite 2430, Norfolk, VA 23510
    Phone: (757) -664-4338 Fax: 757-441-2910

    • Application must be completely filled in for consideration
    • Where applicable, please indicate N/A.
    • A personal financial statement from a financial institution is acceptable IF it is within the last six months.
    • Please submit remaining documents with completed application

  2. BUSINESS APPLICANT/CO-SIGNER INFORMATION

  3. PROJECT INFORMATION

  4. REFERENCES (Please put N/A if you do not have a contact)

  5. COMPANY OWNERSHIP (IF UNINCORPORATED)

  6. AFFILIATED BUSINESSES (List any other business owned by any principal with 20% or more ownership in the company)

  7. Use of Funds

  8. You certify that the information provided in this application is true and correct. This application does not obligate the City of Norfolk nor the Economic Development Authority of the City of Norfolk to make any grant or loan. The approval/denial decision will partly be based on the economic impact of the project on the City of Norfolk. This can but is not limited to job creation and benefit to low-moderate income residents.

  9. Leave This Blank:

  10. This field is not part of the form submission.