USDA -- RURAL DEVELOPMENT

**BUSINESS & INDUSTRIAL GUARANTEED LOAN**

**RENEWABLE ENERGY AND ENERGY EFFICIENCY GUARANTEED LOAN**

GEORGIA PRE-APPLICATION GUIDE

Revision (9/06)

**I.** We suggest contacting the USDA-Rural Development at
(706-546-2154) in Athens to discuss a project.

A pre-application may be filed at the following address:

USDA-Rural Development

355 E. Hancock Ave.

Athens, GA 30601

FAX: (706) 546-2135

**II.** Please respond to **all** items on the sheet below. If
additional space is needed, attach a

sheet with a corresponding item number. Business and lender **both**
should **sign** this form.

  --------------------- ------------------------ ------------------------
                        **Lender**               **Business**

  Full Legal Name:                               

  Address:                                       

  Phone Number:                                  

  Fax Number:                                    

  E-mail Address:                                

  IRS Tax ID (or SS)                             
  Number:                                        

  FDIC Certificate No:                           N/A

  Contact Person Name:                           

  Contact Person Title:                          

  Signature:                                     
  --------------------- ------------------------ ------------------------

1\. Brief history and description of the project, products, services
provided, and

availability of raw materials and supplies:

2\. Attach Lender's preliminary credit approval presentation with credit
analysis.

3\. Requested Loan Amount: \$\_\_\_\_\_\_\_\_\_\_\_\_. Maturity:
\_\_\_\_\_\_\_\_ years.

Interest rate: \_\_\_\_\_\_%

4\. Funds:

  --------------- ---------------- --------------------- ------------------
  **Source of                      **Use of Funds**      
  Funds**                                                

  Business        **\$**           Real Estate           **\$**
  Injection                                              

  Guaranteed Loan **\$**           Machinery & Equipment **\$**

  Other           **\$**           Inventory             **\$**

                                   Accounts Receivable   **\$**
  --------------- ---------------- --------------------- ------------------

5\. Number of full time jobs existing: \_\_\_\_\_\_, to be created
\_\_\_\_\_\_\_, saved \_\_\_\_\_\_\_

6\. Amount of businesses' tangible net worth: \$ \_\_\_\_\_\_\_\_.

7\. List personal or corporate guarantees offered:

8\. Proposed security for the loan and its value:

+----------+--------+---------+--------+---------+--------+----------+
| **Type** | **     | **Appr  | **Disc | **Dis   | **P    | **Net**  |
|          | Book** | aised** | ount** | count** | rior** |          |
|          |        |         |        |         |        | *        |
|          | **V    | **      |        | **      | **     | *Value** |
|          | alue** | Value** |        | Value** | Lien** |          |
+----------+--------+---------+--------+---------+--------+----------+
| Real     |        |         |        |         |        |          |
| Estate:  |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+
| M        |        |         |        |         |        |          |
| achinery |        |         |        |         |        |          |
| &        |        |         |        |         |        |          |
|          |        |         |        |         |        |          |
| Eq       |        |         |        |         |        |          |
| uipment: |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+
| Accounts |        |         |        |         |        |          |
|          |        |         |        |         |        |          |
| Rec      |        |         |        |         |        |          |
| eivable: |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+
| In       |        |         |        |         |        |          |
| ventory: |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+
| Other:   |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+
| Total:   |        |         |        |         |        |          |
+----------+--------+---------+--------+---------+--------+----------+

9\. If corporate borrower, the names and addresses of the borrower's
parent, affiliates,

and subsidiary firms, if any, and a description of the relationship.

10\. Is there any pending or final legal or regulatory action against
the business or

related activities? If yes, explain.

11\. For all businesses, attach a current balance sheet and income
statement (not more

than 90 days old) and for existing businesses the last three year-end
complete

financial statements for the borrower and any parent, affiliates, and
subsidiaries.

12\. For start-up businesses, a preliminary business plan must be
provided.

13\. General Information:

> a\. Is this a proprietorship, partnership or corporation (profit or
> non-profit)?
>
> b\. Give Standard Industrial Classification (SIC) number for the
> business if known.
>
> If the SIC number is not known, show the specific purpose of the
> business.
>
> c\. Has the business or any related activities ceased operations
> within the previous
>
> 24 months? If yes, explain.

**III.** The USDA-Rural Development Office will review the
pre-application to make a

preliminary eligibility determination for a potential guarantee. Lenders
will be contacted

for discussion and may be advised to prepare a complete application.