Incentive Grant: Business Expansion, Relocation, & New Businesses

2. For more information on eligibility or how to apply, please follow the link below:
   Business Expansion, Relocation, & New Businesses Grant
4. Company Name:*
6. Headquarters City:*
7. Headquarters State:*
8. State of Formation*
10. Federal Tax ID#:*
11. NAICS Code:*
13. Primary Contact Name:*
14. Contact Title:*
16. Mailing Address of Business:*
18. City:*
19. State:*
20. Zip:*
22. Physical Address of Business to Be Located:*
23. Phone:
24. Fax:
26. Mobile:
27. Email:
28. Website:
30. Site Selection Consultant (if applicable)
32. Business Description:*
34. Year Company was Established:*
35. Business Structure:*

    1. Sole Proprietor
    2. Partnership
    3. LLC
    4. Corporation
    5. Co-Op
37. Registered to Conduct Business in the State of Texas:*

    1. Yes
    2. No
38. Tax Number:*
39. Number of Texas Locations:*
40. Number of U.S. Locations:*
42. Has the Business Faced Any Litigation in the Past 10 Years:*

    1. Yes
    2. No
43. If Yes, Explain:
45. Project Information
47. New Business/Project in Dalhart:*

    1. Yes
    2. No
48. Expanding Business in Dalhart:*

    1. Yes
    2. No
49. Is the company considering other Texas Locations?*

    1. Yes
    2. No
50. Is the company considering other U.S. Locations?*

    1. Yes
    2. No
52. Explain Market for Product of Activity at the local, state, and national levels:*
54. Please Describe Project:*
56. Location of Planned Investment:*
57. Expected Start Date:*
58. Expected Completion Date:*
60. Project Capital Investment (US Dollars):*
61. Leasing Plans:*

    1. Yes
    2. No
62. Land:
63. Total Acres;*
65. Building:
66. Square Feet:*
67. Project Financing:
68. Method of Financing:
70. Committed Level of Financing:
72. Applicant:*
73. Financial Institution:*
75. Local Government:
76. State Government:
77. Federal Government:
79. Grants:
80. Other:
81. Total:*
83. Upload (Excel document or PDF) 10 Year Investment Schedule- including land, building, FF&E, and taxable inventory.
84. Investment Schedule:
86. Upload (Excel document or PDF) Depreciation Schedule- including machinery, equipment, and building.
87. Depreciation Schedule:
89. Upload (Excel document or PDF) Job Categories and Wage Distributions- including executive, management, supervisor, and staff.
90. Job Categories & Wage Distribution:
92. What is the expected average wage for the lowest paid 10% of local workers?
94. Will the Project Generate:
96. Property Tax?*

    1. Yes
    2. No
97. Local Sales Tax?*

    1. Yes
    2. No
98. State Sales Tax?*

    1. Yes
    2. No
100. Estimated Taxable Value of Property:
102. Land:
103. Building:
104. M&E:
105. Inventory:
107. Estimated Annual Utilities Payments:
109. Water:
110. Wastewater:
111. Solid Waste:
112. Electricity:
114. Natural Gas:
115. Cable:
116. Number of phone lines:
118. Total annual company purchases subject to local sales tax:
119. Total Annual Local Taxable Retail Sales:
120. Expected City building permits and other fees to be paid during construction:
122. Out-of-Town Visitors visiting the facility each year:
124. Number of out-of-town visitors expected at the facility in the first year:
125. Percent of annual increase in number of visitors:
126. Average number of days that each visitor will stay in the community:
127. Average daily taxable visitor spending in the community:
129. Out-of-Town Vendor Trucks visiting the facility each year:
131. Number of out-of-town vendor trucks expected at the facility in the first year:
132. Percent of annual increase in the number of trucks:
133. Average spending in the community by a vendor truck:
134. Percent of truckers likely to spend the night in a local motel:
136. Indirect Local Revenue:

     1. Yes
     2. No
137. Describe:
139. Other Local Revenue:

     1. Yes
     2. No
140. Describe:
142. Please provide any additional thoughts or comments related to your project that could be pertinent to the evaluation process:
144. Describe, in detail, all financial and tax incentives sought from the EDC/City, and other economic incentives (i.e. fee waivers, fast track permitting, etc.) sought:
146. Explain the effect upon this project if the DEDC does not fund your request or if the award is less than requested:
148. How does this project create a unique, positive, and valuable impact in our community?
150. I hereby certify that the information provided in this application and attachments is true, correct, and complete to the best of my knowledge. Omissions or submission of incorrect information will render this application invalid.
152. Applicant Printed Name:*
153. Date:*
155. Electronic Signature Agreement

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
157. Electronic Signature
Leave This Blank:


159. 1. Receive an email copy of this form.
160. Email address

     This field is not part of the form submission.

161. Submit

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