Please answer all questions. Use "None" or "Not Applicable" where necessary.
Information in this application may be subject to public review under New York State Law.
Additional information may be requested.

I.   Applicant Information

  1. Applicant Information

    Applicant Name:

    Project Address:

    Total Project Cost:
    $

    Phone:

    Fax:

    Website:

    Email:

    Fed ID#:

  2. Select Project Type

    Industrial
    Multi-Tenant
    Commercial (Office)
    Acquisition of Existing Facility
    Facility for the Aging
    Producer/Service
    General Office
    Commercial (Non-Office)
    Civic Facility (not for profit)
    Equipment Purchase
    Retail


    SIC Code:     NAICS Code:     Code Look Up

  3. Individual Completing Application

    Name:

    Title:

    Address:

    Telephone:

    Fax:

    E-mail:


    Company Contact (if different from individual completing application)

    Authorized Signatory:

    Title:

    Phone Number: