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  1. SBA Form 2483 (3/21) 2 Paycheck Protection Program Borrower Application Form Revised March 3, 2021 . If questions (1), (2), (5), or (6) are answered “Yes,” the loan will not be approved. Question Yes No . 1. Is the Applicant or any owner of the Applicant presently suspended, debarred, proposed for debarment, declared ineligible,

  2. SBA Form 2483 (06/20) ( ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Paycheck Protection Program Borrower Application Form Revised June 2020 . OMB Control No.: 3245-0407 Expiration Date: 10/31/2020 . Check One: Sole proprietor Partnership C-Corp S-Corp LLC Independent contractor Eligible self-employed individual

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  3. SBA Form 2483-SD (1/21) 1 Paycheck Protection Program Second Draw Borrower Application Form OMB Control No.: 3245-0417 Expiration Date: 7/31/2021 . Check One: DBA or Tradename (if applicable) Year of Establishment (if applicable) Business Legal Name NAICS Code Business Address (Street, City, State, Zip Code - No P.O. Box addresses allowed)

  4. SBA Form 2483 (1/21) 4 . Paycheck Protection Program Borrower Application Form Revised January . 8, 2021 . Debt Collection Act of 1982, Deficit Reduction Act of 1984 (31 U.S.C. 3701 et seq. and other titles) SBA must obtain your taxpayer identification – number when you apply for a loan.

  5. For new businesses, average monthly payroll may be calculated using the time period from January 1, 2020 to February 29, 2020, excluding costs over $100,000 on an annualized basis for each employee. If Applicant is refinancing an Economic Injury Disaster Loan (EIDL): Add the outstanding amount of an EIDL made between January 31, 2020 and April ...

  6. Purpose of this form: This form is to be completed by the authorized representative of the Applicant and submitted to your SBA Participating Lender. Submission of the requested information is required to make a determination regarding eligibility for financial assistance. Failure to submit the information would affect that determination.

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