Flood Loan Application Flood Loan Application Flood Loan Application Loan InformationOwnership InformationContact Information Flood Relief Loan Application Note that the Mountain Association does not provide loans for projects or ventures that harm people or the environment . Location Information State where the business/organization is based: * Kentucky Other state County where the business/organization is based: * Not on the list below KY-Adair KY-Bath KY-Bell KY-Boyd KY-Breathitt KY-Carter KY-Casey KY-Clark KY-Clay KY-Clinton KY-Cumberland KY-Edmonson KY-Elliott KY-Estill KY-Fleming KY-Floyd KY-Garrard KY-Green KY-Greenup KY-Harlan KY-Hart KY-Jackson KY-Johnson KY-Knott KY-Knox KY-Laurel KY-Lawrence KY-Lee KY-Leslie KY-Letcher KY-Lewis KY-Lincoln KY-Madison KY-Magoffin KY-Martin KY-McCreary KY-Menifee KY-Metcalfe KY-Monroe KY-Montgomery KY-Morgan KY-Nicholas KY-Owsley KY-Perry KY-Pike KY-Powell KY-Pulaski KY-Robertson KY-Rockcastle KY-Rowan KY-Russell KY-Wayne KY-Whitley KY-Wolfe County where the business/organization is based: * Not on the list below NC-Alexander NC-Alleghany NC-Ashe NC-Avery NC-Buncombe NC-Burke NC-Caldwell NC-Cherokee NC-Clay NC-Davie NC-Forsyth NC-Graham NC-Haywood NC-Henderson NC-Jackson NC-Macon NC-Madison NC-McDowell NC-Mitchell NC-Polk NC-Rutherford NC-Stokes NC-Surry NC-Swain NC-Transylvania NC-Watauga NC-Wilkes NC-Yadkin NC-Yancey OH-Adams OH-Ashtabula OH-Athens OH-Belmont OH-Brown OH-Carroll OH-Clermont OH-Columbiana OH-Coshocton OH-Gallia OH-Guernsey OH-Harrison OH-Highland OH-Hocking OH-Holmes OH-Jackson OH-Jefferson OH-Lawrence OH-Mahoning OH-Meigs OH-Monroe OH-Morgan OH-Muskingum OH-Noble OH-Perry OH-Pike OH-Ross OH-Scioto OH-Trumbull OH-Tuscarawas OH-Vinton OH-Washington TN-Anderson TN-Bledsoe TN-Blount TN-Bradley TN-Campbell TN-Cannon TN-Carter TN-Claiborne TN-Clay TN-Cocke TN-Coffee TN-Cumberland TN-DeKalb TN-Fentress TN-Franklin TN-Grainger TN-Greene TN-Grundy TN-Hamblen TN-Hamilton TN-Hancock TN-Hawkins TN-Jackson TN-Jefferson TN-Johnson TN-Knox TN-Lawrence TN-Lewis TN-Loudon TN-Macon TN-Marion TN-McMinn TN-Meigs TN-Monroe TN-Morgan TN-Overton TN-Pickett TN-Polk TN-Putnam TN-Rhea TN-Roane TN-Scott TN-Sequatchie TN-Sevier TN-Smith TN-Sullivan TN-Unicoi TN-Union TN-Van Buren TN-Warren TN-Washington TN-White VA-Alleghany VA-Bath VA-Bland VA-Botetourt VA-Buchanan VA-Carroll VA-Craig VA-Dickenson VA-Floyd VA-Giles VA-Grayson VA-Henry VA-Highland VA-Lee VA-Montgomery VA-Patrick VA-Pulaski VA-Rockbridge VA-Russell VA-Scott VA-Smyth VA-Tazewell VA-Washington VA-Wise VA-Wythe WV-Barbour WV-Berkeley WV-Boone WV-Braxton WV-Brooke WV-Cabell WV-Calhoun WV-Clay WV-Doddridge WV-Fayette WV-Gilmer WV-Grant WV-Greenbrier WV-Hampshire WV-Hancock WV-Hardy WV-Harrison WV-Jackson WV-Jefferson WV-Kanawha WV-Lewis WV-Lincoln WV-Logan WV-Marion WV-Marshall WV-Mason WV-McDowell WV-Mercer WV-Mineral WV-Mingo WV-Monongalia WV-Monroe WV-Morgan WV-Nicholas WV-Ohio WV-Pendleton WV-Pleasants WV-Pocahontas WV-Preston WV-Putnam WV-Raleigh WV-Randolph WV-Ritchie WV-Roane WV-Summers WV-Taylor WV-Tucker WV-Tyler WV-Upshur WV-Wayne WV-Webster WV-Wetzel WV-Wirt WV-Wood WV-Wyoming Loan Request Requested loan amount from $1,000 up to $5,000 * $ Purpose of this flood relief loan Number of years requested to repay the loan: * 1 year 2 years 3 years 4 years 5 years I don’t know OtherOther The number of years represents the “terms” of the loan you requested. Business Information Legal form of the business (select from drop down list): * Sole proprietorship Non-profit Corporation Limited Liability Company Partnership (formal) To be determined Other Full legal name of the business: * Use your personal name if operating as a sole proprietorship Trade (dba) name of the business, if different than legal: * Federal Employer Identification Number (EIN) of the business if any: * Road address of the business: * We must have a physical location of the business, even if you are working from your personal residence. City, state, zip of the business: * Mailing address of the business/organization, if different than road address: City, state, zip for mailing address Phone number for the business/organization: * If you are human, leave this field blank. Next