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New York State SSBCI Contractor Financing Borrower Form

Get Matched With A Lender

Fill out the interest form below and a representative from Empire State Development will connect you with a lender who can walk you through SSBCI financing options and help you access assistance.

Please complete all questions. Questions marked with an * are required.
1.Business Name(Required.)
2.Primary Business Owner's First Name(Required.)
3.Primary Business Owner's Last Name(Required.)
4.Email(Required.)
5.Phone Number(Required.)
6.Business Address 1(Required.)
7.Business Address 2
8.City/Town(Required.)
9.State/Province(Required.)
10.Zip Code/Postal Code(Required.)
11.Country
12.What amount do you want to borrow? Enter amount in $USD.(Required.)
13.Is there anything else we should be aware of regarding your loan request? (optional - 200 character maximum)
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