Micro Loans for Business Owners and Entrepreneurs in MD

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Client Intake

Phone:

Fax:

410-546-9718

Email:

[email protected]

Address:

314 Civic Avenue, Salisbury, MD

In Take

Personal Information
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- First Name*
- Last Name*
- Date of Birth*
  MM slash DD slash YYYY
- Home Address*
- City*
- State*
- Zipcode*
- Home Phone Number*
- Cell Phone Number*
- Work Phone Number*
- Work Fax Number
- Email Address*
- Website
- Marital Status*
- Family Status*
  - Head of Household
  - Joint Head of Household
  - Single Parent
- Are you currently receiving TANF*
- # of adults in household (over 18)*
- # of children in household (Under 18)*
- Annual household income*
- My individual income*
- Race*
- Ethnicity*
- Gender*
- Highest level of education*
- Years completed*
- Do you have a disability?*
- Housing status*
- Veteran Status*
- Military status*
- Country of Origin**
- Primary Language**
Business Information
- Do you currently own a business?*
- Date Started
  MM slash DD slash YYYY
- Name of Business*
- NAICS Code*
- Federal Tax ID*
- MBE Certified?*
  - Yes
  - No
- State MBE Certification*
- Federal 8(a)/SBD Certification*
- Other Certification Issuer?*
- Other Certification?*
- % Ownership Male*
- % Ownership Female*
- Do you conduct business online?*
- Are you a home-based business?*
- Are you 8(a) certified?*
- Address One*
- Address Two*
- City*
- State*
- Zipcode*
- Business Phone*
- Gross Revenue/Sales:*
- Profit/Losses:*
- Type of Business*
- What is the legal entity of your business?*
- Do you have paid employees?*
- Current Full Time Employees
- Current Part Time Employees
- Future Full Time Employees
- Future Part Time Employees
- How did you hear about us?*
  - SBA District Office
  - SBDC
  - Lender
  - Client Magazine/Newspaper
  - USEAC
  - Educational Institution
  - Word of Mouth
  - Television/Radio
  - Business Owner
  - SCORE
  - Local Economic Development Official
  - SBA Website
  - WBC
  - Chamber of Commerce
  - Internet/Social Media
  - MCE Staff
  - Morgan State University
  - Other
- Team*
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OFFICE

314 Civic Avenue, Salisbury, Maryland 21804

410-546-1900
[email protected]

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Maryland Capital Enterprises, Inc. is the only CDFI, SBA, and USDA intermediary lender in the state of Maryland.

Maryland Capital Enterprises, Inc. is a 501(c)(3) tax-exempt non-profit organization.

Since 1998, Maryland Capital Enterprises, Inc., a 501(c)(3) private nonprofit organization, has worked to build communities by supporting local small businesses in Maryland.

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