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Business Information
Date of Application: / Click here to enter text.
Name of Business: / Click here to enter text.
Business Address: / Click here to enter text.
Business Phone: / Click here to enter text.
Name of person completing form / Click here to enter text.
Contact’s Email: / Click here to enter text.
Business or Project Description: / Click here to enter text.
Proposed Project Address in Kilgore: / Click here to enter text.
If you know your NAICS code, enter it here: / Click here to enter text.
If unknown, please choose from the following:
☐ / 111 / Crop Production
☐ / 112 / Animal Production
☐ / 113 / Forestry and Logging
☐ / 11411 / Commercial Fishing
☐ / 115 / Support Activities for Ag & Forestry
☐ / 211 / Oil and Gas Extraction
☐ / 212 / Mining
☐ / 213 / Support Activities for Mining
☐ / 221 / Utilities
☐ / 31 / Food, Beverage, Textile Manufacturing
☐ / 32 / Wood, Chemicals, Plastics Manufacturing
☐ / 33 / Metals based manufacturing
☐ / 423 / Wholesale Trade, Durable goods
☐ / 424 / Wholesale Trade, Nondurable Goods
☐ / 425 / Electronic Markets and Agents, Brokers
☐ / 48 / Transportation & Warehousing of People and Goods
☐ / 49 / Transportation & Warehousing, Delivery and Storage
☐ / 51 / Information
☐ / 523 – 525 / Finance
☐ / 5413,5415,5416,5417,5419 / R&D Services
Investment
How much will you invest each year in the following categories:
Year / New Construction / Other Real Property / Equipment / Inventory
1 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
2 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
3 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
4 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
5 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
6 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
7 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
8 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
9 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
10 / $Click here to enter text. / $Click here to enter text. / $Click here to enter text. / $Click here to enter text.
Total Investment / $ / $ / $ / $
Do any of your inventories qualify for Freeport exemption? / Choose an item.
If so, how much? / $Click here to enter text. / or / Click here to enter text.%
Expected Out of Town Visitors
How many out-of-town visitors stop at the business each year? / Click here to enter text.
Will this project cause that number to increase? / Choose an item.
If yes, by how much? / #Click here to enter text. / or / Click here to enter text.%
How many days do visitors typically stay in Kilgore? / Click here to enter text.
Will this project cause that number to increase? / Choose an item.
If yes, by how many days? / Click here to enter text.
How many nights do visitors typically spend in Kilgore? / Click here to enter text.
Will this project cause that number to increase? / Choose an item.
If yes, by how many nights? / Click here to enter text.
Expenses
Is this for new construction? / Choose an item.
If yes, what percentage of costs will be spent in Kilgore? / Click here to enter text.%
How will construction costs be divided between materials and labor / Click here to enter text.%
Materials / Click here to enter text.%
Labor
What will the company spend annually on the following utilities?
Water / $Click here to enter text.
Wastewater / $Click here to enter text.
Solid Waste / $Click here to enter text.
Telephone / $Click here to enter text.
Electricity / $Click here to enter text.
Natural Gas / $Click here to enter text.
Data Services / $Click here to enter text.
What % of utility usage is for manufacturing? / Click here to enter text.%
Do you purchase materials or supplies or services subject to sales tax? / Choose an item.
If yes, what is the dollar value? / $Click here to enter text.
How much will this amount increase because of the expansion? / $Click here to enter text. / or / Click here to enter text.%
Are your sales subject to sales tax? / Choose an item.
If yes, what is the dollar amount? / $Click here to enter text.
How much will this amount increase because of the expansion? / $Click here to enter text. / or / Click here to enter text.%
Employment
How many are employed by the business currently? / Click here to enter text.
How many new FT (1820 hours/year) employees will you hire by year? / Year / Number of Employees
1 / Click here to enter text.
2 / Click here to enter text.
3 / Click here to enter text.
4 / Click here to enter text.
5 / Click here to enter text.
6 / Click here to enter text.
7 / Click here to enter text.
8 / Click here to enter text.
9 / Click here to enter text.
10 / Click here to enter text.
Total New Jobs
What is the average wage for new employees? / $Click here to enter text.
Agreement Contact Information
Who is authorized to enter into a binding agreement with Kilgore Economic Development Corp.?
Name: / Click here to enter text.
Title: / Click here to enter text.
Phone: / Click here to enter text.
Fax: / Click here to enter text.
Email: / Click here to enter text.
Address: / Click here to enter text.
Signature of applicant:
Who should Kilgore EDC contact for annual certification?
Name: / Click here to enter text.
Title: / Click here to enter text.
Phone: / Click here to enter text.
Fax: / Click here to enter text.
Email: / Click here to enter text.
Address: / Click here to enter text.

Incentive Application Contact Jana Russell at or 903 983 3522 for Assistance

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Kilgore Economic Development Corp.
903 983 3522 {office}
1001 Synergy Blvd., 100
Kilgore, TX 75662
www.kilgore-edc.com

Incentive Application Contact Jana Russell at or 903 983 3522 for Assistance

3 of 4

Incentive Application Contact Jana Russell at or 903 983 3522 for Assistance

3 of 4

Incentive Application Contact Jana Russell at or 903 983 3522 for Assistance