Harmony & Weitzel / Harmony & I-25 Interchange

Looking west from the Poudre River

Search
Generic filters
Exact matches only
Search in title
Search in content
Search in excerpt

Small Business Relief Grant Application


  • ATTENTION: BEFORE COMPLETING THIS APPLICATION, YOU WILL NEED ALL OF THE DOCUMENTS LISTED BELOW. THESE DOCUMENTS NEED TO BE SAVED ON YOUR COMPUTER AND AVAILABLE TO UPLOAD WITH THIS APPLICATION.
    • 2019 Tax Return/ K-1 (or 2018, if 2019 has not been filed yet)
    • Balance Sheet and/or P&L Statement for the period: December 1, 2019 - March 31, 2020
    • Documentation supporting economic impact on your business

    Any information you enter on this application will not be saved if you begin and return later.



  • Business Information

    *Please provide the legal entity name and address of the business. No checks will be mailed to individuals.
  • Impacts from COVID-19

  • Drop files here or
  • Financial Information

  • In addition to completing and submitting this form, please submit the following documents:
  • Drop files here or
  • Drop files here or
  • Grant Funding

  • Additional Funding

  • Statement of Understanding and Certification


  • I acknowledge and understand the Eligibility Requirements listed above for the Small Business Relief Grant Program. I agree to assist the Town in verifying any of the information contained in this application from any available source as requested. I further certify that the business is in good standing with, and that I am current in payment of all taxes due and owing to the Town of Timnath and the State, and that any funds received from the Town will only be used for legitimate business expenses. I agree that the business will submit to the Town a written statement confirming the use of the funds within sixty (60) days of receiving any grant from the Town.

    I certify that I am authorized to sign this application as or on behalf of the business identified above. By signing below, I certify that all information in this application, and all information furnished in support of this application, is given for the purpose of obtaining a Small Business Relief Grant and that the information provided is true and complete to the best of my knowledge. By entering my name and title below, I am electronically signing my application.

  • Date Format: MM slash DD slash YYYY