New Mexico EDD

CAP Lender Application

Financial Institution Name:

URL

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone/Mobile

Type of Institution (must be federally insured). Check all that apply:

Federal-chartered bank

State-chartered bank

Credit union

Savings association

Small business investment company

Federal certified not-for-profit community development financial institution

Other certified community development financial institution

Consortium of these foregoing entities

Lending institution that has executed a participation agreement with the SBA under the guaranteed loan program

Combined capital and surplus at most recent fiscal year end:

Number of lending branches in NM

Regulatory Agency

Insuring Agency:

List physical branches with addresses in New Mexico

Total small business lending volume (# of loans) in New Mexico for the financial institution in most recent fiscal year

Total small business lending volume ($) in New Mexico for the financial institution in most recent fiscal year

You can upload up to 3 file for each field in the following formats: jpg, pdf, doc, xls.

Annual Report

Choose File

Financial Statement(s)

Choose File

By enrolling in the New Mexico CAP:

The applicant certifies that the applicant's Financial Institution is not subject to a cease and desist order or other regulatory sanction with the appropriate federal or state regulatory body, which would impair its ability to participate in the program.
The financial institution agrees to follow the Program's procedures.
The financial institution agrees to permit an audit of any of its records relating to enrolled loans and supply such other information concerning enrolled loans as shall be requested by NM EDD.
The financial institution acknowledges that NM EDD will have no liability to the participating financial institution under the program except from funds deposited in the Certificate of Deposit Account for the participating financial institution.

First Name

Last Name

Title

By typing my name above, I understand and agree that this is my electronic signature and is legally binding.

I agree

NM Collateral Assistance Program (CAP) Lender Application Form