Business Assistance Grant Application

The following information is collected to determine if the applicant is eligible to receive a business grant through the Coronavirus Local Fiscal Recovery Funds. Grants are awarded on a first-come, first-serve basis. All information must be completed to be eligible and processed. Applications will not be deemed submitted until all documentation is compiled in full.

Maverick County Business Assistance Grant Application

Section I - Business Name

Is the Applicant a non-profit organization?
Is the Applicant a Franchise?
Business Address
Business Address
City
State/Province
Zip/Postal
Country

Section II - Business Owner Information

Name
Name
First
Last
Residential Address
Residential Address
City
State/Province
Zip/Postal
Country

Section III - Required Documentation

Maximum upload size: 33.55MB
Maximum upload size: 33.55MB
Maximum upload size: 33.55MB
Maximum upload size: 33.55MB
Maximum upload size: 33.55MB

Signature

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