Self Assessment Forms
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Equity Statement

In order to be eligible to participate in the VBIC Business Planner, the applicant must demonstrate the ability to contribute towards the total cost of start-up.  The owner contribution need not exceed the appropriate equity-to-loan ratio as is set by financial organizations.  Typically this is between 10% and 25% of the required amount of financing.  

The Equity Statement certifies that the business owner believes they have the ability to achieve a suitable financing arrangement with a financial organization such as a bank or credit union.

  • FORM ES 1

  • Your Name *
    Example: ES 1 John Smith
  • What amount of investment are you able to make in this business?
  • Vehicles Contributed to Business:
  • Equipment Contribution to Business:
    Please Name and Value. Example:
    12 foot Trailer $2,500
  • Real Estate Contribution:
    Describe property owned or available for business use.

  • I certify that the information provided by me in this Equity Statement is true and correct.

  • Date Equity Statement was submitted: *
    MM
    /
    DD
    /
    YYYY
     
  • Signature of Applicant *
    First
    Last