Industrial Real Estate Grant Application Form
Today's Date
Requested Grant Type
Requested Grant Amount
Individual / Business Name
Type Of Business
Business Headquarters / Location:


Business Headquarters Address
Street Address
Street Address Line 2
Street Address Line 3
City
State


ZIP Code
Business Contact Telephone Number
Business Email Address
Total Units Sold Per Year
Total Units Sold Dollar Value Per Year
Market Focus
Individual SSN / Business EIN
ABA Routing Number
Bank Account Number
Total Annual Income / Revenue(all sources)
Total Cash On Hand
Total Accounts Recievable
Total Annual Costs Of Operations(burn rate ... all inclusive)
Total Accounts Payable
Total Accrued / Unpaid … Employee Healthcare Benefits
Total Accrued / Unpaid … Pension Plan Contributions
Total Accrued / Unpaid … Taxes
Total Short Term Debt(1 to 12 month maturity)
Total Long Term Debt(13 month or greater maturity)
Link to most recent W-2 / IRS 1040 / SEC 10-K annual report.
(Applicant Provided Link) Allowed file types: doc|docx|pdf|PDF
Name
Position / Title
Company Name / Government Organization Name
Date
Digital Signature

WARNING … DO NOT ATTEMPT TO USE OUR EDOLLAR GRANT FOR ANY PURPOSE OTHER THAN …
DEBT LIQUIDATION … THE INTENDED AND APPROVED PURPOSE.
SHOULD YOU DO SO … WE SHALL CANCEL YOUR EDOLLARS … AND … YOU SHALL FORFEIT ALL RIGHTS TO PARTICIPATE IN …
CURRENT AND FUTURE … Mi7 DEBT LIQUIDATION GRANT PROGRAMS.
WE SEE EVERY EDOLLAR TRANSACTION BEFORE IT IS APPROVED.

THE ONLY REASON WE SHALL REJECT / NOT APPROVE … YOUR Mi7 EDOLLAR APPLICATION … IS … IF YOU …

     1) LIE TO US.
     2) FALSIFY YOUR FINANCIAL STATEMENTS.
     3) DO NOT INCLUDE ALL OF YOUR DEBT … ON & OFF BALANCE SHEET.
     4) YOU MISSTATE YOUR … REVENUES, EXPENSES, DEBT.
     5) YOU OVER OR UNDER STATE YOUR … REVENUES … AND / OR … INCOME.
     6) YOU TRY TO SUBMIT MULTIPLE APPLICATIONS … A FORM OF FRAUD.

IF YOU SIMPLY TELL THE TRUTH … WE SHALL APPROVE YOUR … Mi7 EDOLLAR GRANT APPLICATION … UP TO … ANY AMOUNT … WITHOUT RESTRICTION … EXCEPT AS OUTLINED ABOVE.