Philadelphia Business Lending Network

Financing Interest Form


The Philadelphia Business Lending Network is a group of nonprofit lenders, for-profit lenders, and other funders who work together with the Philadelphia Department of Commerce to improve access to capital for small businesses throughout Philadelphia. Member organizations provide loans, grants, and technical assistance to small businesses in order to help them start and grow.

This form helps Lending Network members learn about your business and capital needs. Once you complete the form, your information will be shared with members and if your project and capital needs match available resources, members of the network will contact you directly within five (5) business days. If a lender decides to work with you, you may be eligible to receive a grant as part of your capital needs. The lender will share more information with you. 

This form is not a loan application and there is no guarantee of approval from any of the network members. If one of the members is interested in working with you, they will contact you directly for more information.

If you have any questions please email loan.info@phila.gov or call 215-683-2100.

Applicant Information

Name*
(Owner, Founder, CEO, General Manager, Partner, etc.)
Home Address*
What is the best way to reach you?*
Are you the business owner, property owner, or both?*
(For example: restaurant, retail clothing, bakery, etc.)
Business Address*
Mailing Address (if different from Business Address)
What is your business structure?*
Optional: if you have a business plan or growth plan you are welcome to submit it.
No File Chosen
File uploads may not work on some mobile devices.
Optional: if you have a additional supporting documentation you are welcome to submit it.
No File Chosen
File uploads may not work on some mobile devices.
Financial statements, revenue and expense projections, etc.
Optional: if you have additional supporting documentation you are welcome to submit it.
No File Chosen
File uploads may not work on some mobile devices.
Financial statements, revenue and expense projections, etc.
Is there more than one owner? If yes, please list the owners below and their percentage of ownership*
Owner 1 Name
Owner 2 Name
Owner 3 Name
Owner 4 Name

Capital Needs and Project Information

$
How do you plan to use the funding?*
How do you plan to use the funding?
  Yes No
Renovate or fit-out the interior
Renovate the exterior
Purchase equipment
Working capital
Purchase Inventory
Marketing
Other

Financial Information

What is the date of incorporation or formation?
Is your business a pre-revenue startup?*
$
Average of last three months
$
Include business and personal
Do you have collateral that you can pledge on a loan?*
$
Do you have any of the following:*
Do you have any of the following:
  Yes No
Accountant or bookkeeper
Accounting software
Bank account for the business
Insurance for the business
Do you have any serious credit issues including accounts in collection, or do you owe any back taxes to the IRS, Commonwealth of Pennsylvania, or City of Philadelphia?*
If yes, are you on an approved installment plan?*
Have you ever filed for bankruptcy?*
If yes, is it still active?*
Are you currently involved in any lawsuits?*
Were you referred by a member lender?*

Once you press the Submit button below, your form will be sent to the Philadelphia Commerce Department. It will be reviewed and if it is complete, it will be forwarded to the Philadelphia Business Lending Network, and you will be notified by email.

If one of the Network members is interested in working with your business, you will be contacted within five (5) business days. Should you get a loan, the lender will share the amount with us. In addition, you will be contacted by the City of Philadelphia, Department of Commerce’s - Office of Business Services (OBS) who will share more information on additional services and resources.  OBS can be reached via our Business Services hotline at 215-683-2100 or by email, business@phila.gov.

If you have any questions, please email loan.info@phila.gov or call 215-683-2000.

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