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Please read through the program design before proceeding with the application to find what businesses are eligible and what costs can be covered.
Pittsylvania County has been awarded funds from the Virginia Department of Housing & Community
Development to aid small businesses in the recovery from COVID-19. Up to a total amount $15,000 for
rent/mortgage assistance covering a maximum of 6 months and/or non-construction related retooling is
available per small business. A scoring matrix will be used to choose grant recipients. For more
information, please contact Susan McCulloch, Project Manager, Pittsylvania County at 434/432-1770. No
more than 2 applications may be submitted by any business owner or person; 1 application per business
Assistance through the program will be targeted to businesses that meet each of the following
1. Locally or regionally owned and physically located in Pittsylvania County,
2. 20 or fewer employees,
3. Has been impacted by COVID-19,
4. Has not received federal CARES Act assistance for the same purpose and same time
period as the SBRAF request, AND
5. Have opened by March 12, 2020.
If you don't know it, you can find your DUNS number at https://www.dnb.com/duns-number/get-a-duns.html
Only businesses located within the Pittsylvania County limits can receive these grants.
Write n/a if the business does not have a website.
Remember, Home-based businesses must provide a copy of a business license. Total can't exceed $15,000. Remember, for Home-based businesses A maximum of 25% of the total rent/mortgage may qualify
Remember that the total cannot exceed $15,000.
Remember that the total cannot exceed $15,000
If retooling and technology is requested, please describe what needs your business has related to the business response to COVID-19. If not, please write n/a.
Do you need technical assistance with COVID-19 related issues, such as long-term sustainability
planning or protecting your employees/customers?
Would you be willing to provide information regarding your clients or employees for reporting
Each of these documents must be included to be considered for the grant program.
Please attach your W-9 for 2020 or most recent year.
This statement should run from January 1, 2019 to the present.
If you are requesting mortgage or rent relief then the following documentation is required.
Submit a photo of your signature. This is required for your application to be considered.
WARNING: Section 1001 of Title 18 of the United States Code makes it a criminal offense to
make a willfully false statement or misrepresentation to any Department or Agency of the United
States as to any matter within its jurisdiction.
Verification of any or all information contained in this application may be obtained from any
source named herein.
By submitting this form you are agreeing that the information contained in this application is accurate and
complete to the best of my knowledge. I hereby grant permission to project staff to verify any or
all information contained in this application or any additional information that I may provide in support of this application. I understand that the information in this application will be held in
strict confidence as required under the provisions of the Virginia Privacy Protection Act, and will
only be used to determine my eligibility for business assistance under this project.
This field is not part of the form submission.
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