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FY 22 Low to Moderate Income Owned Business Assistance Grant Application

  1. Please complete fully and accurately. APPLICATIONS WITHOUT ALL ATTACHMENTS WILL NOT BE CONSIDERED.
  2. Is the participant a female head of household?*
  3. Upload the following documents: business tax return and financials, personal tax return, W-2, entity documentation evidence (i.e., Articles of Incorporation, Bylaws, Operating Agreement, etc.), copy of driver’s license, corporate search – status active.
    APPLICATIONS WITHOUT ALL ATTACHMENTS WILL NOT BE CONSIDERED
  4. I have uploaded ALL of the above required documents.*
  5. Certify the below:*
    I am aware that the information being provided is subject to verification by the local or federal government. I also understand that false statements of information are grounds for denial of assistance.
  6. Leave This Blank:

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