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City of ,Minnesota ADDITIONAL DOCUMENTATION AND CHECKLIST Applicants will also be required to provide the following documentation. All personal financial information will be kept private and confidential. ❑ 1. Written business plan or a description of the business,ownership/management,date established, products and services,and future plans. ❑ 2. Two year financial projections,or if housing project, or leased space, include a 10-year operating pro-forma. ❑ 3. Letter of commitment from other sources of financing, stating terms and conditions of their participation in the project. ❑ 4. Initial nonrefundable application fee of$500,with a$5,500 fee to follow should the request for assistance proceed. In addition to defraying the cost of staff time,the fee will be used to pay costs associated with processing this request for financial assistance such as legal,engineering and financial analysis. The City reserves the right to stop the processing of the request until additional fees are paid should the original amount be insufficient to pay such costs. That portion which remains unspent, if any,will be returned only if the project is denied approval. ❑ 5. Attach the following documentation: Part 1 —Corporation/Partnership Description Part 2—List of Shareholders/Partners Part 3—Description of Project Part 4—But For Analysis Part 5—List of Prospective Lessees Part 6—Legal Description, Property Identification Numbers, maps of the project area, and project renderings Part 7—Public Purpose Narrative Part 8—Sources&Uses of Funds—Additional Information The undersigned certifies that all information provided in this application is true and correct to the best of the undersigned's knowledge. The undersigned authorizes the City of to check credit references, verify financial and other information, and share this information with other political subdivisions as needed. The undersigned also agrees to provide any additional information as may be requested by the City after the filing of this application. Applicant Name Date By Its Page 15