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Norristown Small Business Assistance Center Intake Form

  1. Norristown Small Business Assistance Center

    The Norristown Small Business Assistance Center is a project of the Municipality of Norristown and is funded with Community Development Block Grant (CDBG) funds the Municipality receives from the U.S. Department of Housing and Urban Development (HUD). All clients receiving technical assistance need to be Low and Moderate Income as established by HUD. 

  2. Self- Certification Form for Family Income
  3. HUD income requirements
    HUD income requirements

    Please review this chart before proceeding to the next two questions.

  4. Income Verification

    I certify that this income information is correct and I understand that the information I have provided on my family income is subject to verification by authorized representatives of the Municipality of Norristown and the United States Department of Housing and Urban Development.

    (NSBAC on behalf of the Municipality of Norristown, reserves the right to request additional documents to verify household information; e.g., W-2. By signing this form, you are agreeing to produce documentation as requested to verify household income.)

    Persons with a disability who wish to receive technical assistance, and require an auxiliary aid, service or other accommodation must call please call (610) 277-1085.

  5. 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.
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  7. This field is not part of the form submission.