Title SAC Small Business Credit Application Sections You must be logged in to view this page. You must have JavaScript enabled to use this form. Business information Business info Name of business Email Phone Address Address 2 City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Property owner information Property owner info First and last name Email Phone Address Address 2 City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code SAC unit determination Address on SAC Letter Address Address 2 City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Reference number on SAC determination letter Date on SAC Determination Letter Number of SAC units Upload SAC determination letter One file only.50 MB limit.Allowed types: jpg, png, pdf, doc, docx, zip. Questions The business must be located within the City of Bloomington. Does this business meet these requirements? Yes No I understand that funds for this program are limited and shall be awarded to qualifying applicants on a first-come, first-serve basis Yes No I understand that SAC credits are non-transferable Yes No Are you located in the city of Bloomington? The business must be located within the City of Bloomington. Preference given to businesses within targeted commercial nodes of American and Portland, American and Nicollet, Old Shakopee and Nicollet, Old Cedar and Old Shakopee, Countryside Center, 90th and Penn, Amsden Ridge Center, and central Lyndale Avenue. Yes No Is the business within one of the above listed commercial nodes? Yes No Which area is this business in? Demographic information This section is voluntary and any information you provide us is private data. Please select your race/ethnicity. American Indian or Alaska Native Asian Black or African American Latino/Latina/Latinx Native Hawaiian or Other Pacific Islander White Prefer not to say A race/ethnicity not listed here Please specify Are you of Hispanic, Latino, or Spanish origin? Yes No Which best describes your gender? Male Female Non-binary Prefer not to answer Submission Business owners may only apply once per fiscal year. Please confirm you have not applied for credit on another property within the City of Bloomington within the last 12 months. Confirm Signature I hereby certify the submitted statements are true to the best of my knowledge. I understand that any false statements may disqualify me or this business from the program. Contact Information Contact Information Building and Inspections Division 952-563-8930 Email staff
