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pdfU.S. Small Business Administration
Electronic Disaster Loan Application
Federal Disaster Loans for Homeowners,
Renters, and Businesses of all Sizes
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Page 1 of 123
DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Who We Are
Î
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
What is the SBA Disaster Loan Program?
In the wake of hurricanes, floods, earthquakes, wildfires, tornadoes and other
disasters, the SBA is the primary source of money from the Federal government for
long-term recovery assistance. For disaster damage to private property owned by
individuals, families and businesses not fully covered by insurance, the basic form
of Federal assistance is low-interest, long-term disaster loans from the SBA.
Property owners usually have some insurance coverage, but often it does not cover
all losses or even the type of hazard, which caused the damage. This leaves
individuals and businesses with significant uninsured costs.
Most people cannot afford to pay for expensive disaster repairs out-of-pocket.
SBA disaster loans make recovery possible for the majority of borrowers.
Glossary T-Z
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Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - TermsOfUse (Accept)
Î
Terms of Use
I acknowledge that making materially false statements in this
application is a crime under federal law, punishable by fines of
up to $250,000 and up to 30 years in prison, under the following
statues: 18 U.S.C. § 1040 (30 years), 18 U.S.C. § 1001 (5 years),
and 15 U.S.C. § 645(2 years). I further acknowledge that if my
loan is approved, at the closing, I will be asked to sign an copy
of this application certifying under penalty of criminal
prosecution that all information and documentation that I have pro
I Accept
I Do Not Accept
Are you a registered user of the SBA Disaster Assistance
Account Site?
Yes, I am a registered user on the SBA Disaster Assistance Account Site.
No, I'm a new user.
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Glossary A-C
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - TermsOfUse (Do Not Accept)
Î
Terms of Use
I acknowledge that making materially false statements in this
application is a crime under federal law, punishable by fines of
up to $250,000 and up to 30 years in prison, under the following
statues: 18 U.S.C. § 1040 (30 years), 18 U.S.C. § 1001 (5 years),
and 15 U.S.C. § 645(2 years). I further acknowledge that if my
loan is approved, at the closing, I will be asked to sign an copy
of this application certifying under penalty of criminal
prosecution that all information and documentation that I have pro
I Accept
I Do Not Accept
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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DISASTER LOAN APPLICATION
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Home/Personal Property Loan Application
Final Steps
Í
Welcome -Info Needed (Home)
Î
Business Loan Application
Filing Requirements - Home
Contact Us
Identity Information
-Social Security Number for you and for all co-applicants
-FEMA Registration Number, if available *
Deed or Lease Information, if available
-Copy of your deed
-Mortgage holder’s name, address, telephone number
-Landlord’s name, address and telephone number
-Copy of the title to your damaged mobile home, if available
-Copy of the current registration to any damaged automobile or other
vehicle, if available
Insurance Information - Coverage for This Loss, if available
-Insurance policy (declaration page)
-Settlement information
-If you do not have your insurance policy or settlement information, you
may be asked to provide the name, address and telephone number of
your insurance agent
Financial Information
-Copies of your (and your spouse's, if you are married) most recently filed
Federal Income Tax Return, if available
-If you have changed employment within the past 2 years, a copy of a
current (within 1 month of the application date) pay stub
-If you are self-employed, current profit and loss statement and balance
sheet, if available
-Your current bank statements, investment mortgage information,
business and farm records, stocks and bonds, and other investment
records
-Creditors’ names (include all mortgages, credit cards, installment loans,
personal loans, vehicle loans)
-Monthly payments
-Balances owed
Miscellaneous Information, if available
-Account information on existing direct or guaranteed Federal and SBA
loans
-Details on delinquent taxes
-Details on bankruptcies, if available
-Details on any outstanding judgments and pending lawsuits
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
*In a disaster declared by the President, all disaster victims should
register with FEMA by calling (800) 621-3362 ), or (800) 462-7585 for people
with speech or hearing disabilities.
Based on the information you provide, we will generate a list of additional
filing requirements necessary for us to process your application.
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Welcome
Damages
Financial
Other
Í
Welcome - Reg (Street Address)
Î
Website Registration * Indicates Required Field
* First Name
MI
* Last Name
Suffix
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
* Date of Birth
* Social Security Number
MM/DD/YYYY
###-##-####
* Address of Record
Street
* Street #
Post Office Box
* Street Name
* Street Type
Unit/Suite/Number
Glossary I-O
Glossary P-S
Address Line 2
Glossary T-Z
* City
* Zip Code
* State
Phone Number (landline)
Cell Phone Number
E-Mail Address
YOU MUST ENTER A PHONE NUMBER ABOVE FOR THE AUTHENTICATION METHOD YOU
HAVE SELECTED!
Please select an authentication method below. Authentication methods are how we
make sure that no one else is using your identity to access your account. We will send
you a pass code - a special code you enter to gain access.
* Pass Code Delivery Method
Text message Delivery to Cell Phone
We will send a pass code to your cell phone. (Your cell phone must support SMS text messaging)
Voice Delivery to Home Phone
The system will call you on your landline telephone and read a pass code to you.
Voice Delivery to Cell Phone
The system will call you on your cell phone and read a pass code to you.
*Create Your User Name (Must be at least 6 characters)
Your User Name does not meet the requirements for User
Name format. Please try again.
(Must be at least 8 characters and must contain at least three of
*Create Your Password the following items: one uppercase letter, one lower case letter,
one number, one special character from this list: {} [] <> : ? | \ ~ !
@$^& * _-+ = . )
*Confirm Password
Your passwords must match
Your password does not meet the requirements for password
format. Please try again.
Your passwords do not match. Please try again.
* Security Question 1
* Security Question 3
What school did you attend for sixth grade?
What was the make and model of your first car?
* Security Answer 1
* Security Answer 3
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* Security Question 2
* Security Question 4
On what street was your first house?
What is the last name of your favorite teacher?
* Security Answer 2
* Security Answer 4
* Please type the text appearing in the image below:
Note: If you cannot view the image below, contact our Customer Service Center at (800)
659-2955 or (800) 877-8339 for people with speech or hearing disabilities.
Your entry does not match the image. Please try again.
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DISASTER LOAN APPLICATION
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FEMA
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Welcome
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Other
Í
Welcome - Reg (Postal Address)
Î
Website Registration * Indicates Required Field
* First Name
MI
* Last Name
Suffix
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
* Date of Birth
* Social Security Number
MM/DD/YYYY
###-##-####
* Address of Record
Street
* Postal Type
Post Office Box
* Box Number
Glossary I-O
Glossary P-S
Address Line 2
Glossary T-Z
* City
* Zip Code
* State
Phone Number (landline)
Cell Phone Number
E-Mail Address
YOU MUST ENTER A PHONE NUMBER ABOVE FOR THE AUTHENTICATION METHOD YOU
HAVE SELECTED!
Please select an authentication method below. Authentication methods are how we
make sure that no one else is using your identity to access your account. We will send
you a pass code - a special code you enter to gain access.
* Pass Code Delivery Method
Text message Delivery to Cell Phone
We will send a pass code to your cell phone. (Your cell phone must support SMS text messaging)
Voice Delivery to Home Phone
The system will call you on your landline telephone and read a pass code to you.
Voice Delivery to Cell Phone
The system will call you on your cell phone and read a pass code to you.
*Create Your User Name (Must be at least 6 characters)
Your User Name does not meet the requirements for User
Name format. Please try again.
(Must be at least 8 characters and must contain at least three of
*Create Your Password the following items: one uppercase letter, one lower case letter,
one number, one special character from this list: {} [] <> : ? | \ ~ !
@$^& * _-+ = . )
*Confirm Password
Your passwords must match
Your password does not meet the requirements for password
format. Please try again.
Your passwords do not match. Please try again.
* Security Question 1
* Security Question 3
What school did you attend for sixth grade?
What was the make and model of your first car?
* Security Answer 1
* Security Answer 3
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* Security Question 2
* Security Question 4
On what street was your first house?
What is the last name of your favorite teacher?
* Security Answer 2
* Security Answer 4
* Please type the text appearing in the image below:
Note: If you cannot view the image below, contact our Customer Service Center at (800)
659-2955 or (800) 877-8339 for people with speech or hearing disabilities.
Your entry does not match the image. Please try again.
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Insurance
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Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Identity Confirmation
Î
In order to confirm your identity, please
answer the following questions:
Authentication Question 1
Authentication Answer 1
Authentication Answer 2
Authentication Answer 3
Authentication Answer 4
Authentication Question 2
Authentication Answer 1
Authentication Answer 2
Authentication Answer 3
Authentication Answer 4
Glossary T-Z
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Welcome - Auth Failure
Damages
Financial
Final Steps
Í
Î
We cannot confirm your identity. Please contact our Customer Service
Center at (800) 659-2955 or (800) 877-8339 for people with speech or hearing
disabilities.
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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DISASTER LOAN APPLICATION
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FEMA
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Í
Welcome - Login
Î
Please enter your User Name and Password
Contact Us
Fact Sheet
* User Name
Note Regarding
Insurance
Military
Reservist Loans
* Password
Don't remember your Password?
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
If you do not remember your User Name, please contact our Customer
Service Center at (800) 659-2955 or (800) 877-8339 for people with
speech or hearing disabilities.
Glossary T-Z
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Welcome - Login
Î
FEMA
FAQ
Invalid User Name or Password. Please try again.
Contact Us
Fact Sheet
* User Name
Note Regarding
Insurance
Military
Reservist Loans
* Password
Don't remember your Password?
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
If you do not remember your User Name, please contact our Customer
Service Center at (800) 659-2955 or (800) 877-8339 for people with
speech or hearing disabilities.
Glossary T-Z
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Welcome - Password Reset
Î
If you do not remember your password please
answer the following question:
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
* User Name
Secret Question
System randomly generated
* Secret Answer
Your password will be e-mailed to you once you click
the Next button.
Glossary P-S
Glossary T-Z
If you did not provide us with an e-mail address, please call our
Customer Service Center at (800) 659-2955 or (800) 877-8339 for
people with speech or hearing disabilities.
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DISASTER LOAN APPLICATION
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Final Steps
Welcome - Splash Screen
U.S. Small Business Administration
Disaster Loan Application
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Federal Disaster Loans for Homeowners,
Renters, and Businesses of all Sizes
Apply for a Home /
Personal Property Loan
Apply for a Business /
Rental Property Loan
Continue An Existing
Application
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Welcome
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Welcome - Existing Applications
Î
FEMA
FAQ
Contact Us
Select the application you would like to
complete
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Select Reference Number
Loan Type
Applicant Name
Date Last Updated
9000000000
Home
Doe, John J
Last Update Date 1
Glossary A-C
9000000001
Business
Doe, Randy L
Last Update Date 2
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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DISASTER LOAN APPLICATION
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Welcome
SBA
Applicants
Damages
Financial
Other
Í
Welcome - Type Home (Own & Primary Res)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Home/Personal Property Losses
Do you own or rent the address where your damages occurred?
Own
Rent
Was the address your primary residence at the time of the disaster?
Glossary A-C
Yes
Glossary D-H
No
Glossary I-O
Glossary P-S
Glossary T-Z
What type of damage did you suffer? (check all that apply)
Real Estate
Personal Property (Clothing, Appliances, Furniture, etc.)
Auto
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DISASTER LOAN APPLICATION
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Welcome
SBA
Applicants
Damages
Financial
Other
Í
Welcome - Type Home (Own & Secondary)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Home/Personal Property Losses
Do you own or rent the address where your damages occurred?
Own
Rent
Was the address your primary residence at the time of the disaster?
Glossary A-C
Yes
Glossary D-H
No
Glossary I-O
Glossary P-S
Glossary T-Z
It is a secondary home
Vacation homes or secondary homes, and their contents, are not eligible for SBA
disaster loans. However, if you rent them, they may be eligible as a rental property
(as defined by IRS) under the business disaster loan program.
It is a rental property
Rental properties are eligible for assistance as a Business application if the property
was rented prior to the disaster or was in the process of being rented. You will now be
directed to a business application.
Extended family members or other individual(s) are living there rent free
If a family member lived at the residence rent free prior to the disaster you, may be
eligible to apply for a loan.
What type of damage did you suffer? (check all that apply)
Real Estate
Personal Property (Clothing, Appliances, Furniture, etc.)
Auto
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DISASTER LOAN APPLICATION
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Welcome
SBA
Applicants
Damages
Financial
Other
Í
Welcome - Type Home (Rent & Primary Res)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Home/Personal Property Losses
Do you own or rent the address where your damages occurred?
Own
Rent
Was the address your primary residence at the time of the disaster?
Glossary A-C
Yes
Glossary D-H
No
Glossary I-O
Glossary P-S
Glossary T-Z
What type of damage did you suffer? (check all that apply)
Real Estate
Personal Property (Clothing, Appliances, Furniture, etc.)
Auto
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DISASTER LOAN APPLICATION
Links
Welcome
SBA
Applicants
Damages
Financial
Other
Í
Welcome - Type Home (Rent & Secondary)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Home/Personal Property Losses
Do you own or rent the address where your damages occurred?
Own
Rent
Was the address your primary residence at the time of the disaster?
Glossary A-C
Yes
Glossary D-H
No
Glossary I-O
Glossary P-S
Glossary T-Z
What type of damage did you suffer? (check all that apply)
Real Estate
Personal Property (Clothing, Appliances, Furniture, etc.)
Auto
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DISASTER LOAN APPLICATION
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FEMA
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Welcome - Type Confirmation Home
Î
You are requesting the following assistance
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Real Estate
Personal Property (Clothing, Appliances, Furniture, etc.)
Auto
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Is this correct?
Yes
No
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DISASTER LOAN APPLICATION
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SBA
Welcome - State
FEMA
FAQ
Contact Us
Applicants
Damages
Financial
Final Steps
Í
Î
Enter your FEMA Registration Number, if you
have one.
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
If you do not have a FEMA Registration Number
please select the state where the disaster occurred.
State
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Welcome - State Reg Not On Server
Î
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
We have not received your information from FEMA. You
can continue by selecting the state where the disaster
occurred.
State
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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FEMA
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Insurance
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Glossary A-C
Glossary D-H
Glossary I-O
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Selection
Î
Select the disaster that affected you
State - State
* Active Disaster Declarations
Select Disaster Name
* County All Counties
County where the damage occurred.
Disaster Description
Disaster Date
Disaster Name 1
Disaster Description 1
Incident Start Date 1
Disaster Name 2
Disaster Description 2
Incident Start Date 1
If you do not see the disaster that affected you, you may change the county where the
disaster damage occurred or please contact our Customer Service Center at (800) 659-2955
or (800) 877-8339 for people with speech or hearing disabilities.
Glossary P-S
Glossary T-Z
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Glossary A-C
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Selection
Î
The FEMA registration number you entered
is associated with the declaration listed
below.
State
California
Is this correct?
County
Orange
Disaster Description
Tornado, Severe Storms
Disaster Date
05/20/2008
Yes
Glossary D-H
Glossary I-O
No
Glossary P-S
Glossary T-Z
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Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Statements and Exec
Î
STATEMENTS REQUIRED BY LAWS AND
EXECUTIVE ORDERS
To comply with legislation passed by the Congress and Executive Orders issued by
the President, Federal executive agencies, including the Small Business
Administration (SBA), must notify you of certain information. You can find the
regulations and policies implementing these laws and Executive Orders in Title 13,
Code of Federal Regulations (CFR), Chapter 1, or our Standard Operating
Procedures (SOPs). In order to provide the required notices, the following is a brief
summary of the various laws and Executive Orders that affect SBA’s Disaster Loan
Programs.
FREEDOM OF INFORMATION ACT (5 U.S.C. § 552)
Thi l
id
ith
ti
th t
t
k
d
ti
f
Print
I accept
I do not accept
Glossary T-Z
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Applicants - Main (Home)
Î
In this section we ask you about the applicant(s)
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
To complete this section, you will need the following information
-Social Security Number for you and for all co-applicants
-FEMA Registration Number, if available
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Í
Applicants - Applicants Summary
Î
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Applicant(s) Summary
Primary Applicant
Doe, John J
Co-Applicant(s)
Doe, John J
Edit
Add
Edit
Delete
Glossary A-C
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Í
Applicants - Applicant Information (Street Address)
Î
Please enter the following information about yourself
Prefix
*Indicates Required Field
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
*First Name
*Last Name
MI
Suffix
*Social Security Number
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
*Current Mailing Address
Street
* Street #
Post Office Box
* Street Name
* Street Type
Unit/Suite/Number
Glossary T-Z
Address Line 2
*City
*State
*Zip Code
* Home Phone Number Alternate Phone Number E-Mail Address
FEMA Registration Number
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Applicants
Financial
Final Steps
Í
Applicants - Applicant Information (PO Address)
Î
Please enter the following information about yourself
Prefix
*Indicates Required Field
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
*First Name
*Last Name
MI
Suffix
*Social Security Number
Glossary A-C
Glossary D-H
*Current Mailing Address
Glossary I-O
Street
Glossary P-S
Postal Type
Post Office Box
* Box Number
Glossary T-Z
Address Line 2
*City
*State
*Zip Code
* Home Phone Number Alternate Phone Number E-Mail Address
FEMA Registration Number
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SBA
FEMA
FAQ
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Damages
Financial
Final Steps
Í
Applicants - About You (Own Business Yes)
Î
Please tell us more about yourself
Contact Us
* Date of Birth
Fact Sheet
* Marital Status
Note Regarding
Insurance
Military
Reservist Loans
Applicants
(MM/DD/YYYY)
* Household Size
(Including yourself)
Closest relative not living with you
Glossary A-C
Name
Glossary D-H
Phone Number
Glossary I-O
Do you own 20% or more of a corporation, partnership, limited partnership, or
LLC?
Yes
No
Glossary P-S
Glossary T-Z
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Damages
Financial
Final Steps
Í
Applicants - About You (Own Business No)
Î
Please tell us more about yourself
Contact Us
* Date of Birth
Fact Sheet
* Marital Status
Note Regarding
Insurance
Military
Reservist Loans
Applicants
* Household Size
(MM/DD/YYYY)
(Including yourself)
Closest relative not living with you
Glossary A-C
Name
Glossary D-H
Phone Number
Glossary I-O
Do you own 20% or more of a corporation, partnership, limited partnership, or
LLC?
Yes
No
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Welcome
Damages
Applicants
Financial
Final Steps
Í
Applicants - AddCoAp (Street Address)
Î
Please enter the following for the co-applicant
Relationship
Prefix
*First Name
*Last Name
MI
Suffix
Social Security Number *
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Current Mailing Address *
Street
Street # *
Same as Applicant
Post Office Box
Street Name *
Street Type *
Glossary T-Z
Unit/Suite/Number
Address Line 2
*City
Home Phone Number
*State
*Zip Code
Alternate Phone Number E-Mail Address
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Applicants - AddCoAp (PO Address)
Î
Please enter the following for the co-applicant
Relationship
Prefix
*First Name
*Last Name
MI
Suffix
Social Security Number *
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Current Mailing Address *
Street
Same as Applicant
Post Office Box
Postal Type
Box Number *
Glossary T-Z
Address Line 2
*City
Home Phone Number
Forms View
*State
*Zip Code
Alternate Phone Number E-Mail Address
Previous
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DISASTER LOAN APPLICATION
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SBA
FEMA
FAQ
Welcome
Financial
Final Steps
Í
Î
Please tell us more about your co-applicant
* Date of Birth
Fact Sheet
* Marital Status
Glossary A-C
Damages
Applicants - About You CoApp (Own Business Yes)
Contact Us
Note Regarding
Insurance
Military
Reservist Loans
Applicants
(MM/DD/YYYY)
Closest relative not living with you
Same as Applicant
Name
Glossary D-H
Phone Number
Glossary I-O
Does this co-applicant own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
Glossary P-S
Glossary T-Z
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Financial
Final Steps
Í
Î
Please tell us more about your co-applicant
* Date of Birth
Fact Sheet
* Marital Status
Glossary A-C
Damages
Applicants - About You CoApp (Own Business No)
Contact Us
Note Regarding
Insurance
Military
Reservist Loans
Applicants
Closest relative not living with you
(MM/DD/YYYY)
Same as Applicant
Name
Glossary D-H
Phone Number
Glossary I-O
Does this co-applicant own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
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SBA
FEMA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Main (Home)
Î
In this section we ask you about your damages and recoveries
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
To complete this section, you will need the following information
Copy of your deed, if available
Insurance policy (declaration page), if available
Claim settlement information, if available
If you do not have your insurance policy or settlement information, you may be
asked to provide the name, address and telephone number of your insurance
agent
For your protection, if you use a contractor, we urge you to consider one that
is bonded.
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DISASTER LOAN APPLICATION
Welcome
Links
FAQ
Damages
Financial
Final Steps
Í
Disaster - Home Summary
SBA
FEMA
Applicants
Î
Disaster Damaged Property Summary
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Select "Add" next to the topic you want to visit to begin entering information regarding your
disaster damaged property. When you are finished entering all of the information, select "Next" to
continue. If you did suffer other damages, you may add them to your application here.
Real Estate
1923 Your Street, Dallas, TX 75248
Insurance
Glossary A-C
Edit
Add
Allstate Insurance - Flood
Edit
Allstate Insurance - Homeowners
Edit
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Personal Property
Add
1923 Your Street, Dallas, TX 75248
Insurance
4453 Woodland Drive, Dallas, TX 75248
Exit/Save
Auto
Edit
Edit
Delete
Add
Nationwide - Flood
Forms View
Delete
Add
Allstate Insurance - Homeowners
Insurance
Edit
Edit
Add
1923 Your Street, Dallas, TX 75248
Insurance
Edit
Delete
Add
Allstate Insurance - Auto
Edit
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DISASTER LOAN APPLICATION
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SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Property (Without owners question)
Î
Please provide the address of the disaster
damaged real estate
Same as Mailing Address
* Street #
* Street Name
* Street Type Unit/Suite/Number
Address Line 2
Glossary A-C
Glossary D-H
Glossary I-O
* City
* State
* Zip Code
* County
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Property (With owners question)
Î
Please provide the address of the disaster
damaged real estate
Same as Mailing Address
* Street #
* Street Name
* Street Type Unit/Suite/Number
Address Line 2
Glossary A-C
Glossary D-H
* City
Glossary I-O
* State
* Zip Code
* County
Glossary P-S
Glossary T-Z
Please list the legal owner(s) of the disaster damaged
property
* Owner(s)
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DISASTER LOAN APPLICATION
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SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - EstimatedRE
Î
FEMA
FAQ
Contact Us
Please estimate the cost to repair or replace your
disaster damaged real estate
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
0 - $10,000
Glossary A-C
Unknown
$10,001 - $100,000
Greater than $100,000
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Other Aid
Î
Please provide details of the financial aid you received or expect to
receive from any other disaster relief agencies (FEMA, American Red
Cross, etc.) for your disaster damaged property
No Aid Received
Name of Agency
Amount Received/Expected
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Insurance RE (Insurance Selected)
Î
Select the type of insurance coverage in force for your
disaster damaged property
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Flood
* Insurance Company
Homeowners/Other * Insurance Company
None
Glossary D-H
Glossary I-O
If you are unsure, please check all that may apply.
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Insurance RE (No Insurance)
Î
Select the type of insurance coverage in force for your
disaster damaged property
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Flood
Homeowners/Other
None
Glossary D-H
Glossary I-O
If you are unsure, please check all that may apply.
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
Welcome
Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - Home Ins Flood (Street Addr Excluded)
Î
Insurance Policy Information - Flood
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Real Estate
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - Home Ins Flood (PO Addr Excluded)
Î
Insurance Policy Information - Flood
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Real Estate
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - Home Ins Homeowners (Street Addr Excluded)
Î
Insurance Policy Information - Homeowners
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Real Estate
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - Home Ins Homeowners (PO Addr Excluded)
Î
Insurance Policy Information - Homeowners
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Real Estate
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - PP
Î
FEMA
FAQ
Contact Us
At the time of the disaster, where was your
damaged personal property located?
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Address 1
Other
* Street #
* Street Name
* Street Type
Unit/Suite/Number
Glossary D-H
Glossary I-O
Address Line 2
Glossary P-S
Glossary T-Z
* City
* State
* Zip Code
* County
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
Applicants
Financial
Damages
Final Steps
Í
Disaster - PP Location
FEMA
FAQ
Contact Us
Î
At the time of the disaster, where was your
damaged personal property located?
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Same as Mailing Address
* Street #
* Street Name
* Street
Type
Unit/Suite/Number
Address Line 2
County
* City
* State
* Zip Code
* County
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
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SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - PP Insurance (Same as RE)
Î
Select the type of insurance in force for your
disaster damaged personal property
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Same as Real Estate Damages
Flood
* Insurance Company
Homeowners/Other
* Insurance Company
None
Glossary I-O
Glossary P-S
If you are unsure, please check all that may apply.
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - PP Insurance (Ins Selected)
Î
Select the type of insurance in force for your
disaster damaged personal property
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Same as Real Estate Damages
Flood
* Insurance Company
Homeowners/Other
* Insurance Company
None
Glossary I-O
Glossary P-S
If you are unsure, please check all that may apply.
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - PP Insurance (No Ins)
Î
Select the type of insurance in force for your
disaster damaged personal property
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Same as Real Estate Damages
Flood
* Insurance Company
Homeowners/Other
* Insurance Company
None
Glossary I-O
Glossary P-S
If you are unsure, please check all that may apply.
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Welcome
Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - PP Ins Flood (Street Addr Excluded)
Î
Insurance Policy Information - Flood
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Contents
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - PP Ins Flood (PO Addr Excluded)
Î
Insurance Policy Information - Flood
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Contents
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - PP Ins Homeowners (Street Addr Excluded)
Î
Insurance Policy Information - Homeowners
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Contents
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Applicants
Financial
Damages
Final Steps
Í
Disaster - PP Ins Homeowners (PO Addr Excluded)
Î
Insurance Policy Information - Homeowners
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Contents
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
Forms View
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DISASTER LOAN APPLICATION
Links
Welcome
SBA
Disaster - Auto
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Applicants
Damages
Financial
Final Steps
Í
Î
Please provide the address where the auto was
damaged
Address 1
Other (enter address below)
* Street # * Street Name
* Street Type
Unit/Suite/Number
Address Line 2
Glossary D-H
Glossary I-O
* City
* State
* Zip Code
* County
Glossary P-S
Glossary T-Z
Auto
* Make
* Model
* Year (YYYY)
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SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Auto Location
Î
Please provide the address where the auto was
damaged
Same as Mailing Address
* Street #
* Street Name
* Street Type
Unit/Suite/Number
Address Line 2
Glossary D-H
Glossary I-O
* City
* State
* Zip Code
* County
Glossary P-S
Glossary T-Z
Auto
* Make
* Model
* Year (YYYY)
Forms View
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SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Auto Insurance (Ins Selected)
Î
Did you have insurance coverage for your disaster
damaged year, make, model?
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Yes
* Insurance Company
No
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
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DISASTER LOAN APPLICATION
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SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Auto Insurance (No Ins)
Î
Did you have insurance coverage for your disaster
damaged year, make, model?
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Yes
No
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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DISASTER LOAN APPLICATION
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Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Applicants
Financial
Damages
Final Steps
Í
Disaster - Auto Insurance Type (Street Addr Excluded)
Î
Insurance coverage for disaster damaged year,
make, model
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Street #
Post Office Box
Street Name
Street Type
Glossary P-S
Glossary T-Z
Unit/Suite/Number
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Auto
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
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DISASTER LOAN APPLICATION
Welcome
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Applicants
Financial
Damages
Final Steps
Í
Disaster - Auto Insurance Type (PO Addr Excluded)
Î
Insurance coverage for disaster damaged year,
make, model
* Insurance Company
Agent
Agent's Phone Number
Insurance Company Address
Glossary D-H
Street
Glossary I-O
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number (If any)
Auto
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - InsDisclaimer
Î
Note Regarding Insurance
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
SBA disaster loans are available for the amount of the disaster-related
damages, LESS any insurance recoveries and assistance from other
disaster relief agencies.
It is not necessary that you settle with your insurance company before
you apply for an SBA disaster loan. If your claim is questioned or
otherwise delayed, we can loan the full amount of the damages so you
can begin repairs. The insurance settlement is then assigned to us to
reduce the loan once the settlement is received.
Glossary P-S
Glossary T-Z
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FEMA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Main (Home)
Î
In this section we ask you about your financial information
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
To complete this section, you will need the following information
Copies of your (and your spouse's, if you are married) most recently filed
Federal Income Tax Return, if available
If you have changed employment within the past 2 years, a copy of a current
(within 1 month of the application date) pay stub
If you are self-employed, current profit and loss statement and balance sheet,
if available
Mortgage holder’s name, address and telephone number
Your current bank statements, investment mortgage information, business and
farm records, stocks and bonds, and other investment records
Landlord’s name, address and telephone number
Creditors’ names (include all mortgages, credit cards, installment loans,
personal loans, vehicle loans), monthly payments and balances owed
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Financial
Final Steps
Í
Financial - IncomeSources
Î
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Gross Income (Pre-Disaster)
Please check all sources of income for Applicant/Principal
Wages/Salary
Alimony
Trust
Child Support
Pension
Schedule C Business
Social Security/Disability
Schedule E Business
Interest/Dividends
Schedule F Business
Distributions From Retirement Accounts
Other (Examples of OTHER income are regular part-time work, commissions, living
allowance, transportation allowance, and similar items.)
Glossary T-Z
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Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Wages (Street Addr)
Î
Wages/Salary
*Employer's Name
Address
Street
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Address Line 2
Glossary A-C
Glossary D-H
City
Zip Code
State
Glossary I-O
Glossary P-S
* Phone Number
Glossary T-Z
* Length of Employment Years
* Title
Months
* Occupation
* Supervisor's Name
* Gross Income $
(pre-disaster)
* Frequency
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Applicants
SBA
Financial - Wages (PO Addr)
FEMA
Wages/Salary
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Damages
Financial
Final Steps
Í
Î
*Employer's Name
Address
Street
Post Office Box
Postal Type
Box Number
Address Line 2
Glossary A-C
Glossary D-H
City
Zip Code
State
Glossary I-O
Glossary P-S
* Phone Number
Glossary T-Z
* Length of Employment Years
* Title
Months
* Occupation
* Supervisor's Name
* Gross Income $
(pre-disaster)
* Frequency
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Financial
Final Steps
Í
Financial - Other Income
Î
FEMA
FAQ
Other Income
Amount *
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Frequency *
Pension
Social Security/Disability
Interest / Dividends
Distributions From Retirement
Glossary A-C
Glossary D-H
Alimony
Glossary I-O
Child Support
Glossary P-S
Trust
Glossary T-Z
Other - Description from
Financial - Income Sources
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Í
Financial - C Scheduled Income
Î
Schedule C Self Employment
Name of Business
Business Trade Name
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Type of Business
* Business Annual Gross Revenue
Less than $100,000
$100,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $5,000,000
Greater than $5,000,000
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Í
Financial - E Scheduled Income
Î
Schedule E Self Employment
Name of Business
Business Trade Name
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Type of Business
* Business Annual Gross Revenue
Less than $100,000
$100,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $5,000,000
Greater than $5,000,000
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Í
Financial - F Scheduled Income
Î
Schedule F Self Employment
Name of Business
Business Trade Name
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Type of Business
* Business Annual Gross Revenue
Less than $100,000
$100,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $5,000,000
Greater than $5,000,000
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Applicants
Damages
Financial
Final Steps
Financial Individuals Income Summary
This screen will guide you to enter your income
from all sources.
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Smith, John J
Income Source Add
No Income
Wages - Johnson Manufactoring - $50,000
Edit Delete
Schedule C - Johns Lawn Care - less than$100,000
Edit Delete
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Smith, Mary J
No Income
Edit Delete
Wages - Wal-Mart - $25,000
Glossary T-Z
Johnson, Harry
Forms View
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Income Source Add
No Income
Wages - Wal-Mart - $25,000
Edit Delete
Schedule E - ABC Corporation - less than$100,000
Edit Delete
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Glossary A-C
Glossary D-H
Glossary I-O
Welcome
Applicants
Financial
This screen will guide you through listing your assets and
debts.
Smith, John J
Real Estate
No Real Estate
Add
Edit Delete
1234 My Street, Dallas, TX 75248 - $250,000
No Mortgage
Mortgage Add
Edit Delete
Bank of America - $175,000
No Association
Association/Co-Op Add
Edit Delete
Wood Park Association - $400
Add
Personal Assets
No Personal Assets
• Personal Assets entered
Extraordinary Expenses
Add
Edit
No Extraordinary Expenses
• Extraordinary Expenses entered
Debts
Leased Property
Exit/Save
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Edit
No Debts
Add
• Debts entered
Forms View
Final Steps
Financial Individuals Asset & Debt Summary
Glossary P-S
Glossary T-Z
Damages
Add
Edit
No Leased Property
928 Your Street, Herndon, VA 20171
Edit Delete
Landlord - John Smith
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Applicants
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Financial
Final Steps
Í
Financial - RE
Î
Real Estate
Address
* Street #
* Street Name
* Street Type
Unit/Suite/Number
Address Line 2
Glossary A-C
Glossary D-H
* City
* State
* Zip Code
* County
Glossary I-O
Glossary P-S
Glossary T-Z
* Year Purchased (YYYY)
* Purchase Price
* Current Resale Value
* Property Type
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Í
Financial - Assoc-Co-Op (Street Addr)
Î
Association/Co-Op Contact Information
Contact Us
Name of Organization
Fact Sheet
Phone Number
Note Regarding
Insurance
Military
Reservist Loans
Contact Name
* Association Fee
* Frequency
Association Address
Glossary A-C
Glossary D-H
Glossary I-O
Street
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
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Í
Financial - Assoc-Co-Op (PO Addr)
Î
Association/Co-Op Contact Information
Contact Us
Name of Organization
Fact Sheet
Phone Number
Note Regarding
Insurance
Military
Reservist Loans
Contact Name
* Association Fee
* Frequency
Association Address
Glossary A-C
Glossary D-H
Glossary I-O
Street
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Forms View
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Í
Financial - Mortgage (LOC &Tax Incl)
Î
Real Estate Mortgage
Address
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
* Name of Mortgage Holder
* Monthly Payment
* Balanced Owed
Is this a line of credit?
Yes
No
Maximum Credit Line
Glossary T-Z
Are there any real estate taxes, insurance premiums included in your
monthly mortgage payment?
Yes
No
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DISASTER LOAN APPLICATION
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Welcome
Applicants
Damages
SBA
Financial - Mortgage (LOC &Tax Not Incl)
FEMA
Real Estate Mortgage
FAQ
Financial
Final Steps
Í
Î
Address
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
* Name of Mortgage Holder
* Monthly Payment
* Balanced Owed
Is this a line of credit?
Yes
No
Maximum Credit Line
Glossary T-Z
Are there any real estate taxes, insurance premiums included in your
monthly mortgage payment?
Yes
No
Amount
Frequency
Real Estate Taxes
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Hazard Insurance
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Applicants
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Final Steps
Í
Financial - Mortgage (No LOC and Tax Incl)
Î
Real Estate Mortgage
Address
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
* Name of Mortgage Holder
* Monthly Payment
* Balanced Owed
Is this a line of credit?
Yes
No
Glossary P-S
Glossary T-Z
Are there any real estate taxes, insurance premiums included in your
monthly mortgage payment?
Yes
No
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FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Mortgage (No LOC and Tax Not Incl)
Î
Real Estate Mortgage
Address
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
* Name of Mortgage Holder
* Monthly Payment
* Balanced Owed
Is this a line of credit?
Yes
No
Glossary P-S
Glossary T-Z
Are there any real estate taxes, insurance premiums included in your
monthly mortgage payment?
Yes
No
Amount
Frequency
Real Estate Taxes
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Personal Assets
Î
Please list other assets you own
Description
Total Amount
Cash and Bank Accounts (Include Certificates of Deposit but do
not include IRA's, Keogh's, or similar restricted retirement
accounts. Do Not include insurance proceeds.)
IRA's, Keogh's, and other similar restricted retirement accounts
Glossary A-C
Market value of stocks, bonds and other securities
Glossary D-H
Resale value of furnishings, household goods and appliances
Glossary I-O
Resale value of other assets (vehicle(s), boat, recreational vehicle, other assets)
Glossary P-S
Glossary T-Z
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Glossary A-C
Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Extraordinary
Î
Extraordinary Expenses
*Are you required to pay child care, child support or
alimony?
Yes (Indicate the amount per month)
No
*Do you pay tuition for schools required by medical disability, etc?
Yes (Indicate the amount per month)
No
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
*Do you pay unusually high and long-term medical costs?
Yes (Indicate the amount per month)
No
*Note: Include expenses that are expected to continue for 10 months
or more. DO NOT include normal living expenses.
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Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Financial - Debts
Î
Please provide information about your debts
excluding mortgages, rent, and extraordinary
expenses.
Name of
Creditor
Type of
Debt*
Payment
Frequency *
Amount *
Balance
Owed
How
Secured
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Add
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Reservist Loans
Glossary A-C
Welcome
Applicants
Damages
Final Steps
Financial
Í
Financial - Lease Information
Î
Rent/Lease Information
Property Address
* Street #
* Street Name
* Street Type
Unit/Suite/Number
Address Line 2
* City
* State
* Zip Code
* County
Glossary D-H
Glossary P-S
Landlord
* Name
Glossary T-Z
Address
Glossary I-O
Phone Number
* Rent/Lease Amount
* Frequency
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Applicants
Damages
Financial
Final Steps
Í
Financial - Business Entity Financial Summary
Î
This screen will guide you through entry of your financial information. If you click
"Online" you will be taken to the appropriate screen. If you click "Off Line", you will be
given information on the various options available to you for delivery of the financial
document.
ABC Corporation
Profit and Loss Statement
Edit
Delete
Balance Sheet
Online
Off Line
Glossary A-C
Schedule of Liabilities
Online
Off Line
Glossary D-H
Monthly Sales Figures
Edit
Delete
Profit and Loss Statement
Online
Off Line
Balance Sheet
Online
Off Line
Schedule of Liabilities
Online
Off Line
Monthly Sales Figures
Online
Off Line
Glossary I-O
Glossary P-S
Johnson Wax, LTD
Glossary T-Z
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Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Main (Home)
Î
In this section we ask you other relevant questions
To complete this section, you will need the following information
Account information on existing direct or guaranteed Federal and SBA loans,
if available
Details on delinquent taxes, if available
Details on bankruptcies, if available
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Details on any outstanding judgments and pending lawsuits, if available
Your alien registration or permanent residence card (if you are not a U.S.
citizen)
Glossary T-Z
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Glossary A-C
Glossary D-H
Glossary I-O
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Mitigation (Home)
Î
Hazard Mitigation
If your loan is approved, you may be eligible for additional funds to
cover the cost of safeguarding your property from similar damages as
caused by this disaster. It is not necessary for you to submit the
description and cost estimates with the application. SBA approval of
these safeguarding measures will be required before any loan increase.
By checking this box, you are interested in having SBA consider this
increase.
I am interested in Hazard Mitigation
Glossary P-S
Glossary T-Z
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Financial
Final Steps
Í
Final - Critical Questions Home (Yes)
Î
FEMA
FAQ
Contact Us
If you answer yes to any of the questions, please provide the requested
information.
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Has the applicant/co-applicant ever had an SBA loan or an SBA guaranteed
loan?
Yes
No
Glossary A-C
* Name(s)
Glossary D-H
SBA Office Location
Glossary I-O
Glossary P-S
Account Number
Glossary T-Z
Has the applicant/co-applicant ever had any other Federal loan or a
Federally guaranteed loan?
Yes
No
* Borrowers Name(s)
Agency Name
Office Location
Account Number
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Damages
Financial
Final Steps
Í
Final - Critical Questions Home (No)
Î
FEMA
FAQ
Contact Us
If you answer yes to any of the questions, please provide the requested
information.
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Has the applicant/co-applicant ever had an SBA loan or an SBA guaranteed
loan?
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Has the applicant/co-applicant ever had any other Federal loan or a
Federally guaranteed loan?
Yes
No
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Glossary A-C
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Critical QuestionsCont Home (Yes)
Î
Is the applicant/co-applicant delinquent on any Federal taxes, direct or
guaranteed loans (FHA, VA, student, etc.), contracts, grants, or any child
support payments?
Yes
No
* Debtor's Name(s)
Agency Name
Office Location
Account Number
Glossary D-H
Glossary I-O
Glossary P-S
Has the applicant/co-applicant ever been bankrupt?
Yes
No
Glossary T-Z
Description/Current Status
* Debtor's Name(s)
Type of bankruptcy
Discharged?
Yes
No
Year Discharged (YYYY)
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Í
Final - Critical QuestionsCont Home (No)
Î
Is the applicant/co-applicant delinquent on any Federal taxes, direct or
guaranteed loans (FHA, VA, student, etc.), contracts, grants, or any child
support payments?
Yes
No
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Has the applicant/co-applicant ever been bankrupt?
Yes
No
Glossary T-Z
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Applicants
Damages
Financial
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Í
Final - Critical QuestionsCont2 Home (Yes)
Î
Does the applicant/co-applicant have any judgments or lawsuits pending
against them?
Yes
No
* Name(s)
Date (MM/DD/YYYY)
Description
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Has the applicant/co-applicant been convicted of a felony committed in
connection with a riot or civil disorder or ever engaged in the production or
distribution of any product or service, that has been determined to be
obscene by a court of competent jurisdiction?
Yes
No
* Name
Description
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Final Steps
Í
Final - Critical QuestionsCont2 Home (No)
Î
Does the applicant/co-applicant have any judgments or lawsuits pending
against them?
Yes
No
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Has the applicant/co-applicant been convicted of a felony committed in
connection with a riot or civil disorder or ever engaged in the production or
distribution of any product or service, that has been determined to be
obscene by a court of competent jurisdiction?
Yes
No
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final - Critical QuestionsCont3 Home (Release 2)
Final Steps
Í
Î
Is the applicant/co-applicant currently suspended or debarred from
contracting with the Federal government or receiving Federal grants or
loans?
Yes
No
Description
Glossary A-C
Glossary D-H
Is the applicant/co-applicant currently, or have they ever been:
Glossary I-O
• under indictment, on parole or probation;
Glossary P-S
• charged with or arrested for any criminal offense other than a minor motor vehicle violation,
including offenses which have been dismissed, discharged, or not prosecuted; or
Glossary T-Z
• convicted, placed on pretrial diversion, or placed on any form of probation, including adjudication
withheld pending probation, for any criminal offense other than a minor motor vehicle violation?
Yes
No
* Name
Description
Forms View
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Financial
Final Steps
Í
Î
Is the applicant/co-applicant an SBA employee?
Yes
Fact Sheet
No
Glossary A-C
Damages
Final - SBA Empl (Home Yes)
Contact Us
Note Regarding
Insurance
Military
Reservist Loans
Applicants
* Name
Name
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - SBA Empl (Home No)
Î
Is the applicant/co-applicant an SBA employee?
Contact Us
Yes
Fact Sheet
No
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
Welcome
SBA
Final - Agencies
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Applicants
Damages
Financial
Final Steps
Í
Î
Agreement and Certification
SBA has my permission, as required by the Privacy Act, to release
information to Federal, state, local or private disaster relief services
(American Red Cross, Salvation Army, Mennonite Disaster Services, etc.).
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Representative
Î
Loan Representative Information
Did anyone other than an SBA representative assist you in completing this
application, whether you paid a fee for this service or not?
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - RepDetails (Street Addr)
Î
Loan Representative Information
Contact Us
* Name
Fact Sheet
Contact Phone Number
Note Regarding
Insurance
Military
Reservist Loans
Current Mailing Address
Company
Street
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary A-C
Glossary D-H
Address Line 2
Glossary I-O
Glossary P-S
Glossary T-Z
City
State
Zip Code
Fee Charged
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - RepDetails (PO Addr)
Î
Loan Representative Information
Contact Us
* Name
Fact Sheet
Contact Phone Number
Note Regarding
Insurance
Military
Reservist Loans
Current Mailing Address
Street
Company
Post Office Box
Postal Type
Box Number
Glossary A-C
Glossary D-H
Address Line 2
Glossary I-O
Glossary P-S
Glossary T-Z
City
State
Zip Code
Fee Charged
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - US Citizen (Yes)
Î
FEMA
FAQ
Are you a U.S. citizen?
Contact Us
Yes
Fact Sheet
No
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - US Citizen (No)
Î
FEMA
FAQ
Are you a U.S. citizen?
Contact Us
Yes
Fact Sheet
No
Note Regarding
Insurance
Military
Reservist Loans
Please Provide Details (For example, alien status and alien registration
number)
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - US Citizen (No Release 2 )
Î
FEMA
FAQ
Are you a U.S. citizen?
Contact Us
Yes
Fact Sheet
No
Note Regarding
Insurance
Military
Reservist Loans
Are you a Lawful Permanent resident alien?
Yes
No
Glossary A-C
Glossary D-H
Provide alien registration number
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Welcome
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Applicants
Damages
Financial
Final Steps
Í
Final - I Agree
Î
NOTICE OF CRIMINAL PENALTIES FOR FALSE STATEMENTS AND MATERIAL
OMISSIONS: Under Title 18 U.S.C. § 1040, any person who falsifies or conceals a
material fact or makes a material misrepresentation in connection with obtaining a
disaster loan from or approved by the Small Business Administration can be subject to
criminal prosecution leading to imprisonment of up to 30 years and/or a fine of up
to $250,000.
Read the following language carefully. Checking the box below indicates your
agreement with the following conditions and your certification as to the
truthfulness of your application.
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
A. I authorize my insurance company, bank, financial institution, or other creditors to
release to SBA all records and information necessary to process this application.
B. I give my permission to release information in connection with this application to
Federal, state, local, or private organizations that provide relief for disaster related
purposes.
C. I will not exclude from participating in, or deny the benefits of, or otherwise
subject to discrimination under, any program or activity for which I receive Federal
financial assistance from SBA, any person on grounds of age, color, handicap, marital
status, national origin, race, religion, or sex.
D. I will report to the SBA Office of the Inspector General, Washington, DC 20416,
any Federal employee who offers, in return for compensation of any kind, to help get
this loan approved. I have not paid anyone connected with the Federal government for
help in getting this loan.
CERTIFICATIONS: By checking the box below, I certify as follows:
(1) I have carefully reviewed each response to every question on this application and
all supporting documents provided in connection with my application, and that all
responses and documents are true and complete to the best of my knowledge.
(2) All financial statements submitted with this application fully and accurately present
the financial position of the business and I have not omitted any disclosures in these
financial statements.
(3) I acknowledge that SBA is relying on this information in determining the eligibility of
the applicant for an SBA disaster loan, and that false statements or concealing
material information may subject me to the criminal penalties discussed above and/or
forfeiture of benefits.
I Agree
If your loan is approved you will be asked to sign this statement at loan closing.
Print
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Comments
Î
Please use this space for any additional
information you wish to provide
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Welcome
Applicants
Damages
Final Steps
Financial
Í
Final - Review (Excluded)
Final Review
After reviewing your information, we found the
following missing items necessary to submit your
application
Print List
Co-Applicants Name Social Security Number Enter Number
Co-Applicants Name Date of Birth
Enter Date
Glossary A-C
Business Primary Applicant EIN
Enter Number
Glossary D-H
Business Owner Social Security Number
Enter Number
Glossary I-O
Business Owner EIN
Enter Number
Glossary P-S
Primary Applicant Liability information
Type
Co-Applicants Name Mailing Address
Enter Address
Co-Applicant Income information
Type
Amount
Co-Applicant Liability information
Type
Amount
Glossary T-Z
Î
Amount
Forms View
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DISASTER LOAN APPLICATION
Welcome
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Applicants
Damages
Financial
Final Steps
Í
Final - Filing Req (Home)
Î
Filing Requirements
Complete and sign the Tax Information Authorization (IRS Form 8821) available in the link below.
This income information, obtained from the IRS, will help us determine your repayment ability. If
we need additional income information, you may be asked to provide copies of your income tax
returns including all schedules. Link to SBA Forms / 8821
If you have changed employment within the past 2 years, attach a copy of a current (within 1
month of the application date) pay stub.
If you have insurance and your claim has been settled, submit a copy of your settlement sheet or
adjuster’s proof of loss. If your claim has not been settled, submit a copy of the schedule of
coverage from your insurance policy. This information is needed because the law only allows us
to loan the difference between your disaster losses and any insurance or other recoveries.
Return the signed IRS Form 8821 and any other documents to SBA by e-mail, mail, fax, or hand
deliver to the nearest disaster field location/center. Your communication must contain your 10
digit reference number and your full name.
Glossary T-Z
Forms View
E-mail
E-mail your documents as an attachment to: [email protected]
Mail
Mail to:
Fax
Send the Fax to SBA at:
In-Person
Exit/Save
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
817-XXX-XXXX
Contact our Customer Service Center @ (800) 659-2955, or (800) 877-8339 for
people with speech or hearing disabilities, for the location of a center near you.
Print List
Exit
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DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Submit
FEMA
FAQ
Submit Application
Contact Us
Fact Sheet
To finish, click Submit.
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Previous
Submit
Exit/Save
Home Screens 04/16/2008
Page 107 of 123
DISASTER LOAN APPLICATION
Links
SBA
Welcome
Applicants
Damages
Financial
Final - Another App
Final Steps
Î
FEMA
FAQ
Contact Us
Do you need to enter another application?
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
Exit/Save
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Notice:
You are being redirected from a secure site.
Do you want to proceed?
Home Screens 04/16/2008
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You chose not to allow us to release information to other disaster relief
agencies or services. Other relief agencies or services rely on information
from the SBA to determine if you qualify for other assistance. You may not
receive some of the assistance for which you qualify. If you would like to
authorize the release of information, click Allow Release, otherwise click Next.
Home Screens 04/16/2008
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You have said you do not accept our Terms of Use.
Please call our Customer Service Center at (800)
659-2955 or (800) 877-8339 for people with speech
or hearing disabilities, if you have questions about
our Terms of Use.
Home Screens 04/16/2008
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We did not find any existing applications for you. If
this is incorrect, please contact our Customer
Service Center at (800) 659-2955 or (800) 8778339 for people with speech or hearing disabilities.
Home Screens 04/16/2008
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You have said you do not accept the Statements and
Executive Orders. Please call our Customer Service
Center at (800) 659-2955 or (800) 877-8339 for
people with speech or hearing disabilities, if you have
questions about the Statements and Executive
Orders.
Home Screens 04/16/2008
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There are currently no active declarations for the
State and County combination you have selected.
Please contact Customer Service Center at (800)
659-2955 or (800) 877-8339 for people with speech
or hearing disabilities.
Home Screens 04/16/2008
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You have exceeded the maximum number of
attempts. Your account is locked. Please contact
our Customer Service Center at (800) 659-2955 or
(800) 877-8339 for people with speech or hearing
disabilities.
Home Screens 04/16/2008
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Please select at least one of the damage types.
Home Screens 04/16/2008
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Notice:
You are being redirected to a secure
site. Do you want to proceed?
Home Screens 04/16/2008
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Warning
You are not registered yet. If you leave now,
you will have to start the registration process
over.
Home Screens 04/16/2008
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Warning
You are not registered yet. If you wish to
return, please visit our homepage to register
at www.sba.gov to start the registration
process over.
Home Screens 04/16/2008
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Your information is saved.
You have not completed your information.
To complete your information, log back in.
Home Screens 04/16/2008
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Your application has been
submitted. Your application
will not be considered complete
until you submit the required
supporting documentation.
Home Screens 04/16/2008
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Do you wish to delete this
information?
Home Screens 04/16/2008
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| File Type | application/pdf |
| File Title | document |
| Author | mlmosele |
| File Modified | 2008-04-16 |
| File Created | 2008-04-16 |