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Business Funding Application


Controlling Person(s)

Birthday

Home Address

Select a Package

Business Address

Business Bank Information


Business Ownership and Classification

Federal Identification Numbers and Codes


Federal Contracting/Have you previously received any federal grants or contracts?
Yes
No
Federal Contracting/Are you currently registered in the System for Award Management (SAM.gov)
Yes
No
Did you have business insurance?
Yes
No
Did you experience physical damage to your business?*
Yes
No
Did you experience economic damage to your business? (Unable to operate and make money)*
Yes
No

Abundant Innovative Solutions, LLC (AIS) Grant Submission Authorization and Consent Form


  • Consent and Authorization:

    I, , on behalf of , hereby authorize Abundant Innovative Solutions, LLC (AIS) to submit grant applications to various funding agencies on behalf of the aforementioned business. I understand and agree to the following terms and conditions associated with this authorization:

    Grant Submission Responsibilities:

    AIS is authorized to prepare and submit grant proposals, manage communications, and conduct necessary follow-ups with grant agencies on behalf of my business as specified by me.Financial Responsibilities:

    I agree to pay any and all upfront fees associated with the preparation and submission of grant applications as charged by AIS.I understand that I will be responsible for a success fee of up to 10% of the grant amount awarded per grant, payable to AIS upon the successful receipt of grant funding.

    No Guarantee of Funding or Deadlines:

    I acknowledge that AIS does not guarantee the success of grant applications submitted on behalf of my business.AIS is not responsible for meeting application deadlines unless previously agreed upon in a separate agreement.AIS is not liable for the denial of any grant applications submitted.Accuracy of Information:

    I certify that all information provided to AIS for the purpose of grant applications is true, accurate, and complete to the best of my knowledge.I understand that I am solely responsible for the accuracy and truthfulness of all documents and information provided for grant applications.No Refunds:

    I understand that all fees paid to AIS are non-refundable, regardless of the outcome of the grant application process.Indemnification:

    I agree to indemnify and hold harmless AIS and its agents from any claims, damages, or costs, including attorney’s fees, arising from any false information provided by me or my company or from any breach of the terms and conditions of this agreement.

  • By signing below, I agree to all terms and conditions outlined in this authorization and consent form*

Credit Packages
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