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CITY OF SANTA ANA <br />SANTA ANA SMALL BUSINESS INCENTIVE PROGRAM <br />REIMBURSEMENT CHECKLIST <br />Submission of all items included in the following checklist will ensure the timely processing of <br />your application and rebate check. <br />1. Complete and signed application with all the following requested materials: <br />• Small Business Incentive Application <br />• Copy of current City of Santa Ana business license <br />• Declaration of Income Form with Supporting Documentation (if qualifying by income <br />criteria) <br />• Copy of I -9 form, Driver's license or State Identification Card, Lease or rental agreement, <br />Utility bill, Landlord statement (if qualifying by target resident area) <br />• Duns Number Form <br />• Completed Receipt Form from the Orange County SBDC indicating the workshop taken. <br />• Copies of paid receipts totaling at least $5,000 of expenses you have invested in the start- <br />up of this business. Receipts are required to document all business start -up costs. Please <br />note that this is a one -time reimbursement for up to $5,000. <br />Eligible Use of Incentive Funds <br />The Santa Ana Small Business Incentive Program is designed to provide a $5,000 incentive to <br />start-up businesses to locate in Santa Ana and receive specialized business development training <br />in the process of receiving this grant. <br />This incentive will provide a rebate up to $5,000 for start up costs to businesses who qualify. <br />Start-up costs can be, but not limited to: <br />• City Business License Fee <br />• Signage <br />• Inventory Purchase <br />• Utility connections /reconnections (Sewer, Water, Telephone) <br />• Zoning Permit Fees <br />• Architectural/Design fees <br />• Shipping /Packaging Fees <br />• Advertising/Printing /Website Presence <br />• Accounting Services <br />• Purchase of equipment or furnishings <br />• Office Supplies <br />• Internet Connection <br />• Rent /Lease payments (1 month with copy of lease) <br />• Insurance Costs <br />• Business development training workshop fee <br />29A -17 <br />