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CENTERVILLE REVOLVING LOAN PROGRAM <br />APPLICATION FORM <br />L APPLICANT INFORMATION <br />Business Owner's Name(s): <br />Home Address: <br />Phone: E-Mail Address: <br />Name of Business: <br />Business Address: <br />Phone: <br />Business Structure: Sole Proprietorship <br />Partnership (all partners must sign this <br />application) <br />Corporation (list officers on separate sheet) <br />Type of Business (describe): <br />IL PROPERTY INFORMATION <br />Property Owner: <br />Address: <br />Phone: E-Mail Address: <br />Does the applicant business occupy the total building? Yes No <br />