AFFIDAVIT OF ELIGIBILITY FORM – GDB – SBDA — (Sept. 2015)_0
Economic Development Bank - Affidavit of Eligibility Form Rev. 9/2015 AFFIDAVIT OF ELIGIBILITY United States Virgin Islands ) District of ________________________________________) ss: I, __________________________________________________, being first duly sworn depose and say: (Name) 1. I make this affidavit for the purpose in inducing the Government Development Bank/Small Business Development Agency to grant a loan and/or other assistance to __________________________________________ herein (Name of Concern) known as the “applicant.” 2. I own at least 50% legal or equitable interest in applicant. 3. I do not hold such interest in trust for any other person. 4. I am or will be active in the management or operation of the applicant’s business on a full-time basis and such business is or will be my principal means of support. 5. I am otherwise eligible as follows: [ ] I was born in the Virgin Islands. [ ] My Father ( ) and/or Mother ( ) was / were born in the Virgin Islands and I have been a bona fide continuous resident of the U.S. Virgin Islands for five (5) years or more. …
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Economic Development Bank - Affidavit of Eligibility Form Rev. 9/2015 AFFIDAVIT OF ELIGIBILITY United States Virgin Islands ) District of ________________________________________) ss: I, __________________________________________________, being first duly sworn depose and say: (Name) 1. I make this affidavit for the purpose in inducing the Government Development Bank/Small Business Development Agency to grant a loan and/or other assistance to __________________________________________ herein (Name of Concern) known as the “applicant.” 2. I own at least 50% legal or equitable interest in applicant. 3. I do not hold such interest in trust for any other person. 4. I am or will be active in the management or operation of the applicant’s business on a full-time basis and such business is or will be my principal means of support. 5. I am otherwise eligible as follows: [ ] I was born in the Virgin Islands. [ ] My Father ( ) and/or Mother ( ) was / were born in the Virgin Islands and I have been a bona fide continuous resident of the U.S. Virgin Islands for five (5) years or more. [ ] I have been a bona fide continuous resident of the U.S. Virgin Islands for ten (10) years or more. 6. I understand that a false statement on this affidavit is punishable by a fine of $5000.00 and imprisonment for five (5) years or such other penalty as may be provided by law. Further affiant sayeth not. __________________________________________________________ (Signature of Affiant) Subscribed and sworn before me, a Notary Public, in and for the United States Virgin Islands on this _______ day of _________________________________, 20_____. _________________________________________________________ (Notary Republic) (SEAL) My Commission Expires: _____________________________ SIGN SIGN