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Loan | Grant Request Application
What is your annual income?
List current financial institution
List any paid loans and amounts
Are you applying for a Loan or Grant?
District for Change Signature
Upon completion, submit this form to District For Change, for loan grant consideration. District For Change reserves the right to request more information from potential borrower, and reverses the right to deny any request. If you have any questions, please contact the District For Change at (313) 929-8006 or by email at firstname.lastname@example.org.
Thanks for submitting!
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