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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 133
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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SBA
FEMA
Welcome
Applicants
Damages
Financial
Home/Personal Property Loan Application
FAQ
Final Steps
Í
Welcome -Info Needed (Business)
Î
Business Loan Application
Filing Requirements - Business
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Identity Information
-Employer Identification Number (EIN) for the applicant business and any
affiliate businesses
-Social Security Number for all principals/owners owning 20% or more of
the business
Mortgage or Lease Information
-Mortgage holder's name, address and telephone number
-Landlord's name, address and telephone number
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
-Copy of the applicant's 3 most recent Federal Income Tax Returns,
including all schedules, if available. If this is a new business that has not
filed 3 Federal Tax Returns, we will need the ones you have filed, if
available.
-Copies of all principals/owners' (with 20% or greater ownership) most
recently filed Federal Income Tax Returns, if available
-For each principal/owner (with 20% or greater ownership), current bank
statements, investment mortgage information, business and farm records,
stocks and bonds, and other investment records
-The business' current profit and loss statements and balance sheets, if
available
Debt Information (principals/owners with 20% or greater
ownership)
-Creditors' names (include all mortgages, credit cards, installment loans,
personal loans, vehicle loans)
-Monthly payments
-Balances owed
Debt Information (applicant business), if available
-Creditors' names, original amount, original date, current balance,
maturity date, payment amount, and security
Miscellaneous Information (for the applicant business, each
principal/owner with 20% or greater ownership), 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
For sole proprietors, your alien registration or permanent residence card
(if you are not a U.S. citizen)
For Military Reservist Economic Injury Disaster Loans (MREIDL)
only
-Name and Social Security Number of essential employee called to active
duty
-Date called to active duty
-Date discharged from active duty if discharged
*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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DISASTER LOAN APPLICATION
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FEMA
FAQ
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Applicants
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
FAQ
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Welcome
Applicants
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Financial
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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FAQ
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Fact Sheet
Note Regarding
Insurance
Military
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
FAQ
Applicants
Welcome
Damages
Financial
Final Steps
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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DISASTER LOAN APPLICATION
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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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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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DISASTER LOAN APPLICATION
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Welcome
Applicants
Damages
Financial
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Í
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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Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Welcome
Applicants
Damages
Financial
Final Steps
Í
Welcome - Type Business
Î
Business Losses
Is the applicant business a Non Profit organization?
Yes
No
What type of damage did you suffer? (check all that apply)
Real Property (Including Leasehold Improvements)
Business Contents (Machinery & Equipment, Furniture &
Fixtures, and Other Business Assets)
Inventory
Economic Injury Disaster Loan (EIDL)
Military Reservist Economic Injury Disaster Loan (MREIDL)
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DISASTER LOAN APPLICATION
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Welcome - Type Confirmation Business
Î
You are requesting the following assistance
Contact Us
Non Profit Organization
Fact Sheet
Real Property (Including Leasehold Improvements)
Note Regarding
Insurance
Military
Reservist Loans
Final Steps
Business Contents (Machinery & Equipment, Furniture and Fixtures,
and Other Business Assets)
Glossary A-C
Business - Inventory
Glossary D-H
Economic Injury Disaster Loan (EIDL)
Glossary I-O
Glossary P-S
Glossary T-Z
Military Reservist Economic Injury Disaster Loan (MREIDL)
Is this correct?
Yes
No
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DISASTER LOAN APPLICATION
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Welcome
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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DISASTER LOAN APPLICATION
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FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
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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Í
Applicants - Main (Business)
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
-Employer Identification Number (EIN) for the applicant business and any
affiliate businesses
-Social Security Number for all principals/owners owning 20% or more of the
business
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Applicants
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Í
Applicants - Business (Sole Prop)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* First Name of Owner
* Last Name of Owner
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Social Security Number
Primary Business Activity (Provide a brief description of your business)
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Welcome
Applicants
Damages
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Final Steps
Í
Applicants - Business (Partnership)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Business
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Employer Identification Number (EIN)
Primary Business Activity (Provide a brief description of your business)
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FEMA
FAQ
Welcome
Applicants
Damages
Financial
Final Steps
Í
Applicants - Business (Limited Part)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Business
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Employer Identification Number (EIN)
Primary Business Activity (Provide a brief description of your business)
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Í
Applicants - Business (Limited Liability)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Business
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Employer Identification Number (EIN)
Primary Business Activity (Provide a brief description of your business)
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Í
Applicants - Business (Corp)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Business
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Employer Identification Number (EIN)
Primary Business Activity (Provide a brief description of your business)
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Í
Applicants - Business (Non Profit)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Business
Glossary I-O
Glossary P-S
Business Trade Name
Glossary T-Z
* Employer Identification Number (EIN)
Primary Business Activity (Provide a brief description of your business)
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Welcome
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Final Steps
Í
Applicants - Business (Trust)
Î
What type of business organization do you
own?
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Organization Type
Help Link to IRS
Sole-Proprietor (including individuals with rentals)
Corporation
Partnership
Non-Profit Organization
Limited Partnership
Trust
Limited Liability Entity
Glossary A-C
Glossary D-H
* Legal Name of Trust
Glossary I-O
Glossary P-S
* Employer Identification Number (EIN)
Glossary T-Z
Primary Business Activity (Provide a brief description of your business)
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Applicants - Business2 (Street Addr & Own Bus)
Î
*Current Business Mailing Address
FAQ
Street
Post Office Box
Contact Us
* Street #
* Street Name
* Street Type
Unit/Suite/Number
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Address Line 2
*State
*City
*Zip Code
Glossary A-C
Glossary D-H
* Business Phone Number Alternate Phone Number
Glossary I-O
Glossary P-S
Glossary T-Z
Does the applicant business own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Í
Applicants - Business2 (Street Addr & No Bus)
Î
*Current Business Mailing Address
FAQ
Street
Contact Us
* Street #
Post Office Box
* Street Name
* Street Type
Unit/Suite/Number
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Address Line 2
*City
*State
*Zip Code
Glossary A-C
Glossary D-H
* Business Phone Number Alternate Phone Number
Glossary I-O
Glossary P-S
Glossary T-Z
Does the applicant business own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
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Í
Applicants - Business2 (PO Addr & Own Bus)
Î
*Current Business Mailing Address
Street
Post Office Box
Postal Type
* Box Number
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Address Line 2
*State
*City
*Zip Code
Glossary A-C
Glossary D-H
* Business Phone Number Alternate Phone Number
Glossary I-O
Glossary P-S
Glossary T-Z
Does the applicant business own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Í
Applicants - Business2 (PO Addr & No Bus)
Î
*Current Business Mailing Address
Street
Post Office Box
Postal Type
* Box Number
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Address Line 2
*City
*State
*Zip Code
Glossary A-C
Glossary D-H
* Business Phone Number Alternate Phone Number
Glossary I-O
Glossary P-S
Glossary T-Z
Does the applicant business own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
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Business Name
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Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Final Steps
Í
Applicants - Business3 (More Than 2 years)
FAQ
Contact Us
Financial
Î
Year
Year Business Established (YYYY)
Under Current Management Since (YYYY)
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
Number of Employees (Prior to the disaster)
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Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Final Steps
Í
Applicants - Business3 (Less Than 2 years)
FAQ
Contact Us
Financial
Year
Î
Month
Year Business Established (YYYY)
Under Current Management Since (YYYY)
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
Number of Employees (Prior to the disaster)
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Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Welcome
Applicants
Damages
Financial
Í
Applicants - Business Applicant Summary (Not Sole Prop)
Primary Applicant
ABC Corp
Final Steps
Î
Organization Type
(System Generated)
Corporation (System Generated
Edit
List any:
1) Individual or business entity who owns 20% or more interest in the
applicant business
2) General Partner (Partnership, Limited Partnership)
* Name of Owner(s)
* % owned * Type of Ownership
Individual
20%
John J Doe
Jane Doe
20%
ABC Network
20%
John Smith
20%
Harry Smith
20%
Glossary T-Z
Individual
Business/Other
Individual
Individual
Total
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Glossary A-C
Glossary D-H
Glossary I-O
Welcome
Applicants
Damages
Financial
Í
Applicants - Business Applicant Summary (Sole Prop)
Primary Applicant
Final Steps
Î
Organization Type
Joe's Plumbing
Sole Proprietorship
Edit
List any:
1) Individual or business entity who owns 20% or more interest in the
applicant business
2) General Partner (Partnership, Limited Partnership)
* Name of Owner(s)
* % owned * Type of Ownership
Individual
50%
Joe J Doe
Jane Doe
50%
Individual
Glossary P-S
Glossary T-Z
Total
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Financial
Final Steps
Í
Applicants - Bus Owners Ind (Own Bus & Street Addr)
Î
Current Management/Ownership - Individual
Individual Owner Name (First Name and Last Name)
Prefix
* First Name
Middle Initial
* Last Name
Suffix
Title/Office
% Ownership % Ownership
Marital Status
SSN *
Date of Birth
Place of Birth
Glossary A-C
Glossary D-H
Glossary I-O
(MM/DD/YYYY)
Glossary P-S
Glossary T-Z
Street
* Mailing Address
* Street # * Street Name
Post Office
* Street Type
Same as Business
Unit/Suite/Number
Address Line 2
* City
* Zip Code
* State
* Current Phone Number
Alternate Phone Number
E-mail Address
Does this owner/principal own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Ind (Own Bus & PO Addr)
Î
Current Management/Ownership - Individual
Individual Owner Name (First Name and Last Name)
Prefix
* First Name
Middle Initial
* Last Name
Suffix
Title/Office
% Ownership % Ownership
Marital Status
SSN *
Date of Birth
Place of Birth
Glossary A-C
Glossary D-H
Glossary I-O
(MM/DD/YYYY)
Glossary P-S
Glossary T-Z
Street
* Mailing Address
Postal Type
* Box Number
Post Office
Same as Business
Address Line 2
* City
* Zip Code
* State
* Current Phone Number
Alternate Phone Number
E-mail Address
Does this owner/principal own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Ind (No Bus & Street Addr)
Î
Current Management/Ownership - Individual
Individual Owner Name (First Name and Last Name)
Prefix
* First Name
Middle Initial
* Last Name
Suffix
Title/Office
% Ownership % Ownership
Marital Status
SSN *
Date of Birth
Place of Birth
Glossary A-C
Glossary D-H
Glossary I-O
(MM/DD/YYYY)
Glossary P-S
Glossary T-Z
Street
* Mailing Address
* Street # * Street Name
Post Office
* Street Type
Same as Business
Unit/Suite/Number
Address Line 2
* City
* State
* Current Phone Number
* Zip Code
Alternate Phone Number
E-mail Address
Does this owner/principal own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
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Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Ind (No Bus & PO Addr)
Î
Current Management/Ownership - Individual
Individual Owner Name (First Name and Last Name)
Prefix
* First Name
Middle Initial
* Last Name
Suffix
Title/Office
% Ownership % Ownership
Marital Status
SSN *
Date of Birth
Place of Birth
Glossary A-C
Glossary D-H
Glossary I-O
(MM/DD/YYYY)
Glossary P-S
Glossary T-Z
* Mailing Address
Postal Type
* Box Number
Street
Post Office
Same as Business
Address Line 2
* City
* State
* Current Phone Number
* Zip Code
Alternate Phone Number
E-mail Address
Does this owner/principal own 20% or more of a corporation, partnership,
limited partnership, or LLC?
Yes
No
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Entity (Own Bus & Street Addr)
Î
Current Management/Ownership
Entity
* Legal Name
* Type Of Business
% of Ownership % Ownership
Employer Identification Number (EIN) *
* Mailing Address
* Street # * Street Name
Street
Post Office
Same as Business
* Street Type
Unit/Suite/Number
Glossary D-H
Glossary I-O
Address Line 2
Glossary P-S
Glossary T-Z
* City
* Zip Code
* State
Contact Information
* Name
* Phone Number
Title/Office
E-mail Address
Does this business own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Entity (Own Bus & PO Addr)
Î
Current Management/Ownership
Entity
* Legal Name
* Type Of Business
% of Ownership % Ownership
Employer Identification Number (EIN) *
Street
* Mailing Address
Postal Type
Box Number
Post Office
Same as Business
Glossary D-H
Glossary I-O
Address Line 2
Glossary P-S
Glossary T-Z
* City
* Zip Code
* State
Contact Information
* Name
* Phone Number
Title/Office
E-mail Address
Does this business own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
Business Name
City
EIN
State
Type
Zip Code
% Owned
Add Another
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Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Entity (No Bus & Street Addr)
Î
Current Management/Ownership
Entity
* Legal Name
* Type Of Business
% of Ownership % Ownership
Employer Identification Number (EIN) *
* Mailing Address
* Street # * Street Name
Street
Post Office
Same as Business
* Street Type
Unit/Suite/Number
Glossary D-H
Glossary I-O
Address Line 2
Glossary P-S
Glossary T-Z
* City
* State
* Zip Code
Contact Information
* Name
* Phone Number
Title/Office
E-mail Address
Does this business own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
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Applicants
Damages
Financial
Final Steps
Í
Applicants - Bus Owners Entity (No Bus & PO Addr)
Î
Current Management/Ownership
Entity
* Legal Name
* Type Of Business
% of Ownership % Ownership
Employer Identification Number (EIN) *
Street
* Mailing Address
Postal Type
Box Number
Post Office
Same as Business
Glossary D-H
Glossary I-O
Address Line 2
Glossary P-S
Glossary T-Z
* City
* State
* Zip Code
Contact Information
* Name
* Phone Number
Title/Office
E-mail Address
Does this business own 20% or more of a corporation, partnership, limited
partnership, or LLC?
Yes
No
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Í
Disaster - Main (Business)
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
To complete this section, you will need the following information
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
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Disaster - Main (MREIDL)
Î
In this section we ask you about your damages and recoveries
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
To complete this section, you will need the following information
Name and Social Security Number of essential employee called to active duty
Date called to active duty
Date discharged from active duty
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Applicants
Financial
Damages
Í
Disaster - Business Summary
Î
Disaster Damaged Property Summary
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, Business Contents & Inventory
Insurance
Glossary D-H
Glossary I-O
Glossary P-S
Edit
Allstate Insurance
Edit
Insurance
Edit
Delete
Add
Edit
Allstate Insurance
Edit
4453 Woodland Drive, Dallas, TX 75248
Insurance
Delete
Add
Allstate Insurance
9821 My Street, Dallas, TX 75248
Glossary T-Z
Add
Edit
1923 Your Street, Dallas, TX 75248
Glossary A-C
Delete
Add
Edit
Nationwide
Forms View
Final Steps
Economic Injury Disaster Loan (EIDL)
Add
Exit/Save
1923 Your Street, Dallas, TX 75248
Insurance
Edit
Delete
Add
Nationwide
Edit
Military Reservist Economic Injury Disaster Loan (MREIDL) Add
1923 Your Street, Dallas, TX 75248
Edit
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Applicants
Financial
Damages
Final Steps
Í
Disaster - Business Physical
Î
Please provide the address of the disaster
damaged property
Same as Mailing Address
Do you own or lease this property?
* Street #
* Street Name
Own
Lease
* 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
Who should we contact to arrange for our on-site damage inspection?
Name
Phone Number
Who should we contact if we have questions about your application?
same as onsite inspection contact
* Name
* Phone Number
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Glossary D-H
Glossary I-O
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Business RE Damage
Î
Please estimate the cost to repair or replace your
disaster damaged property
Real Estate/Leasehold
Improvements
Less Than $10,000
$10,000 - $50,000
$50,001 - $250,000
$250,001 - $500,000
$500,001 - $1,000,000
Greater than $1,000,000
Contents
Less Than $10,000
$10,000 - $50,000
$50,001 - $250,000
$250,001 - $500,000
$500,001 - $1,000,000
Greater than $1,000,000
Inventory
Less Than $10,000
$10,000 - $50,000
$50,001 - $250,000
$250,001 - $500,000
$500,001 - $1,000,000
Greater than $1,000,000
Glossary P-S
Glossary T-Z
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Í
Disaster - Business Insurance (Ins Selected)
Î
Did you have insurance coverage for your disaster
damaged property?
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Yes
* Insurance Company
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Í
Disaster - Business Insurance (No Ins)
Î
Did you have insurance coverage for your disaster
damaged property?
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
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Damages
Final Steps
Í
Disaster - Business Ins EIDL (Street Addr Excluded)
Î
Insurance Policy Information
Type
Business Interruption
* Insurance Company
Agent
Agent's Phone Number
Agent's Address
Street
Glossary D-H
Glossary I-O
Applicants
Street #
Post Office Box
Street Name
Street Type
Unit/Suite/Number
Glossary P-S
Address Line 2
Glossary T-Z
City
State
Zip Code
Policy Number
Claim Number
Business Interruption
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
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Damages
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Í
Disaster - Business Ins EIDL (PO Addr Excluded)
Î
Insurance Policy Information
Type
Business Interruption
* Insurance Company
Agent
Agent's Phone Number
Agent's Address
Street
Glossary D-H
Glossary I-O
Applicants
Post Office Box
Postal Type
Box Number
Glossary P-S
Address Line 2
Glossary T-Z
City
State
Zip Code
Policy Number
Claim Number
Business Interruption
Policy Limit
Deductible
Settlement Amount
Pending
Amount Received
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Military
Reservist Loans
Glossary A-C
Welcome
Financial
Damages
Final Steps
Í
Disaster - Business Ins Info (Street Addr Excluded)
Î
Insurance Policy Information
Type
* Insurance Company
Agent
Agent's Phone Number
Agent's Address
Street
Glossary D-H
Glossary I-O
Applicants
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
Real Estate
Contents
Inventory
Policy Limit
Deductible
Pending
Settlement Amount
Amount Received
Forms View
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Glossary A-C
Welcome
Financial
Damages
Final Steps
Í
Disaster - Business Ins Info (PO Addr Excluded)
Î
Insurance Policy Information
Type
* Insurance Company
Agent
Agent's Phone Number
Agent's Address
Street
Glossary D-H
Glossary I-O
Applicants
Post Office Box
Postal Type
Box Number
Glossary P-S
Glossary T-Z
Address Line 2
City
State
Zip Code
Policy Number
Claim Number
Real Estate
Contents
Inventory
Policy Limit
Deductible
Pending
Settlement Amount
Amount Received
Forms View
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Damages
Financial
Final Steps
Í
Disaster - Business 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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Applicants
Damages
Financial
Final Steps
Í
Disaster - Business EIDL 60 Days (Yes)
Î
Economic Injury
Do you think your business will return to normal operations within 60
days of the date of the disaster?
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
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Glossary A-C
Glossary D-H
Welcome
Applicants
Damages
Financial
Final Steps
Í
Disaster - Business EIDL 60 Days (No)
Î
Economic Injury
Do you think your business will return to normal operations within 60
days of the date of the disaster?
Yes
No
Please provide a brief explanation of the economic loss
caused by the declared disaster. Include an explanation of
how the loan funds would be used.
Glossary I-O
Glossary P-S
Glossary T-Z
When do you anticipate your business will return to normal operations?
Date
(MM/YYYY)
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Final Steps
Í
Disaster - Business EIDL/MREIDL Location
Î
Please provide a brief explanation of the economic loss
caused by the declared disaster. Include an explanation of
how the loan funds would be used.
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
When do you anticipate your business will return to normal operations?
Date
(MM/YYYY)
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Physical address where the economic injury occurred:
Same as Mailing Address
* Street #
* Street Name
* Street Type Unit/Suite/Number
Address Line 2
* City
* State
* Zip Code
* County
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Final Steps
Í
Disaster - Business MREIDL
Î
Please provide the details below of
the essential employee
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
* First Name
Glossary A-C
* Last Name
* Middle Name
Glossary D-H
Glossary I-O
* Social Security Number
Glossary P-S
* Date Ordered to Active Duty
Glossary T-Z
(MM/DD/YYYY)
Date Released / Discharged
From Active Duty
(MM/DD/YYYY)
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Financial
Final Steps
Í
Financial - Main (Business)
Î
In this section we ask you about your financial information
FAQ
Business Financial information
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
All business financial statements must be provided to the SBA under separate cover. Links to
websites to get copies of documents and a list of documentation required will be provided in the
Filing Requirements screen.
Below are the methods which you may use to submit your required financial documents.
1. E-mail
Your E-mail must contain your Electronic Loan reference number and your full name.
E-mail your documents as an attachment to:
Glossary D-H
Glossary I-O
Glossary P-S
[email protected]
2. Mail
Glossary T-Z
3. Fax
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Put your Electronic Loan reference number and your full name on the documents
being mailed. Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Your Fax must contain your Electronic Loan reference number and your full name.
Send the Fax to SBA at: 817-XXX-XXXX
4. In-Person
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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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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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DISASTER LOAN APPLICATION
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Welcome
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 - 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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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
Forms View
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Welcome
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
Income Source Add
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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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
Forms View
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Final Steps
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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Final Steps
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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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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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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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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Hazard Insurance
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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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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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Welcome
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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FEMA
FAQ
Contact Us
Welcome
Final Steps
Í
Î
1. E-mail
Your E-mail must contain your Electronic Loan reference # 9000000001 and your full
name. E-mail your documents as an attachment to:
[email protected]
2. Mail Put your Electronic Loan reference # 9000000001 and your full name on the
Glossary D-H
Glossary I-O
Glossary T-Z
Financial
Below are the methods, which you may use to submit
your required financial documents.
Glossary A-C
Glossary P-S
Damages
Financial - Business Entity Financial Options
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Applicants
3. Fax
documents being mailed. Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Your Fax must contain your Electronic Loan reference # 9000000001 and your full
name. Send the Fax to SBA at: 817-XXX-XXXX
4. In-Person
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You can drop off your document(s) to SBA at one of our centers listed below. Please
put your Electronic Loan reference # 9000000001 and your full name on the
documents
XYZ Recovery Center
100 Main St
Euess, TX 76155
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Final Steps
Í
Î
Profit and Loss Statement (For Last 2 Years)
Period Start (MM/YYYY)
Contact Us
Period End (MM/YYYY)
Fact Sheet
Revenue:
Glossary A-C
Financial
Financial - Profit Loss
FAQ
Note Regarding
Insurance
Military
Reservist Loans
Damages
Gross Revenue
Cost of Goods Sold
$0
$0
Total Expenses
$0
$0
Net Income
$0
$0
Gross Profit (Loss)
Expenses
Glossary D-H
Depreciation
Glossary I-O
Interest
Glossary P-S
Maintenance and Repairs
Glossary T-Z
Rent
Salary
Other
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Financial
Balance Sheet
Final Steps
Í
Financial - Balance Sheet
Î
Date (MM/YYYY)
Current Assets
Contact Us
Cash
Fact Sheet
Accounts Receivable
Note Regarding
Insurance
Military
Reservist Loans
Damages
Inventory
Prepaid Expenses
Notes Receivable
Glossary A-C
Total Current Assets
Glossary D-H
Glossary I-O
Vehicles
Glossary P-S
Glossary T-Z
$0
Fixed Assets
Depreciation
Furniture and Fixtures
Depreciation
Equipment
Depreciation
Building
Depreciation
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Land
Exit/Save
Total Fixed Assets
$0
Total Assets
$0
Current Liabilities
Accounts Payable
Tax Payable
Wages Payable
Unearned Revenue
Short Term Notes Payable
Total Current Liabilities
$0
Long-Term Liabilities
Long Term Notes Payable
Mortgage Payable
Total Long-Term Liabilities
$0
Total Liabilities
$0
Net Worth
$0
Liabilities + Net Worth
$0
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Financial - Sch of Liab
Î
Schedule of Liabilities
FAQ
Contact Us
Fact Sheet
Name of Creditor
Original
Amount
Original
Date
(MM/YYYY)
Current
Balance
Current?
Maturity
Date
(MM/YYYY)
Payment Amt
(Per Month or
Year)
How Secured
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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Financial
Final Steps
Í
Financial - Business EIDL Sales
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Monthly Sales
You have indicated your business will not return to normal operations within 60
days. Therefore, you may qualify for additional funds for economic injury. In order
for SBA to calculate your full eligibility please provide monthly sales figures for the
3 years prior to the disaster.
Month
Glossary A-C
January
Glossary D-H
February
Glossary I-O
March
Glossary P-S
April
May
Glossary T-Z
Î
2004
2005
2006
Current year
to date
June
July
August
September
October
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November
Exit/Save
December
Total
*Note: The total figures for each year should reconcile to the sales figures on your tax
returns for the corresponding year.
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Final - Main (Business)
Î
In this section we ask you other relevant questions
To complete this section, you will need the following information
For the business and each principal/owner with 20% or greater ownership:
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Account information on existing direct or guaranteed Federal and SBA loans,
if available
Details on delinquent taxes, if available
Glossary A-C
Glossary D-H
Glossary I-O
Details on bankruptcies, if available
Details on any outstanding judgments and pending lawsuits, if available
Glossary P-S
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 (Business)
Î
Hazard Mitigation
PHYSICAL DAMAGE LOANS ONLY. If your application is approved, you may
be eligible for additional funds to cover the cost of mitigating measures (real
property improvements or devised to minimize or protect against future
damage from the same type of disaster event). It is not necessary for you to
submit the description and cost estimates with the application. SBA must
approve the mitigating measures 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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Î
Does any owner, owner's spouse, or household member work for SBA or
serve as a member of SBA's SCORE, ACE or Advisory Council?
Yes
Fact Sheet
No
Glossary A-C
Damages
Final - SBA Empl (Business Yes)
Contact Us
Note Regarding
Insurance
Military
Reservist Loans
Applicants
* Name
Name
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
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Í
Final - SBA Empl (Business No)
Î
Does any owner, owner's spouse, or household member work for SBA or
serve as a member of SBA's SCORE, ACE or Advisory Council?
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
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Final - Critical Questions Business (Yes)
Î
If you answer Yes to any of the questions, please provide the
requested information.
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Has the business or a listed owner ever had or guaranteed a Federal loan or
a Federally guaranteed loan?
Yes
No
Glossary A-C
* Borrower(s) Name(s)
Glossary D-H
Agency Name
Glossary I-O
Office Location
Account Number
Glossary P-S
Glossary T-Z
Is the business or a listed owner delinquent on any Federal taxes, direct or
guaranteed Federal loans (SBA, FHA, VA, student, etc.), Federal contracts,
Federal grants, or child support payments?
Yes
No
* Debtor's Name(s)
Agency Name
Office Location
Account Number
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Final - Critical Questions Business (No)
Î
If you answer Yes to any of the questions, please provide the
requested information.
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Has the business or a listed owner ever had or guaranteed a Federal loan or
a Federally guaranteed loan?
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Is the business or a listed owner delinquent on any Federal taxes, direct or
guaranteed Federal loans (SBA, FHA, VA, student, etc.), Federal contracts,
Federal grants, or child support payments?
Yes
No
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Final - Critical QuestionsCont Business (Yes)
Î
Has the business or a listed owner ever been involved in a bankruptcy or
insolvency proceeding?
Yes
No
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
* Debtor's Name(s)
Description
Type of bankruptcy
Discharged?
Yes
No
Glossary A-C
Glossary D-H
Year Discharged (YYYY)
Glossary I-O
Glossary P-S
Glossary T-Z
Does the business or a listed owner have any outstanding judgments, tax
liens or pending lawsuits against them?
Yes
No
* Name(s)
Date (MM/DD/YYYY)
Description
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Final - Critical QuestionsCont Business (No)
Î
Has the business or a listed owner ever been involved in a bankruptcy or
insolvency proceeding?
Yes
No
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Does the business or a listed owner have any outstanding judgments, tax
liens or pending lawsuits against them?
Yes
No
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Final - Critical QuestionsCont2 Business (Yes)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Has the owner/principal of the applicant business ever 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
Glossary A-C
Glossary D-H
* Name(s)
Glossary I-O
Glossary P-S
Description
Glossary T-Z
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Í
Final - Critical QuestionsCont2 Business (No)
Î
Has the owner/principal of the applicant business ever 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?
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Yes
No
Glossary A-C
Glossary D-H
Glossary I-O
Glossary P-S
Glossary T-Z
Forms View
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Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Critical QuestionsCont2 Business (Release 2)
Î
Has the owner/principal of the applicant business ever 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(s)
Glossary A-C
Glossary D-H
Description
Glossary I-O
Glossary P-S
Glossary T-Z
Are the owners/principals of the applicant business currently suspended or
debarred from contracting with the Federal government or receiving Federal
grants or loans?
Yes
No
Description
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Final - Critical Questions 912 (Yes)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Is the applicant or any listed owner currently, or have they ever been:
• under indictment, on parole or probation;
• 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
• 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
Glossary P-S
Glossary T-Z
Description
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Final Steps
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Final - Critical Questions 912 (No)
Î
FEMA
FAQ
Contact Us
Fact Sheet
Insurance
Disclaimer
Military
Reservist Loans
Glossary A-C
Glossary D-H
Is the applicant or any listed owner currently, or have they ever been:
• under indictment, on parole or probation;
• 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
• 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
Glossary I-O
Glossary P-S
Glossary T-Z
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SBA
Final - Agencies
FEMA
FAQ
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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
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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
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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
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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
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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
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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
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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
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Welcome
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
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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.
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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
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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
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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
Final - Filing Req (Business)
Î
Filing Requirements
Copies of the applicant's 3 most recent Federal Income Tax Returns, including all schedules. If this is
a new business that has not filed 3 Federal Tax Returns, submit the ones you have filed. Also,
complete and sign the attached Tax Information Authorization (IRS Form 8821). Sole proprietors need
only submit the IRS Form 8821. We will contact you if we need any additional information (i.e.,
forecasts, etc.).
Link to SBA Forms / 8821
A current (dated within 90 days of application) business balance sheet (you may use Personal
Financial Statement (SBA Form 413) if you are a sole proprietorship), a current profit and loss
statement, and a current schedule of liabilities. (a sample schedule of liabilities (SBA Form 2202) for
your convenience.)
Link to SBA Forms
For: 1) each proprietor; or 2) each limited partner who owns 20% or more interest and each general
partner; or 3) each stockholder or entity owning 20% or more of voting stock, a current (dated within 90
days of application) personal financial statement (you may use SBA Form 413 for this purpose).
Entities (except sole proprietorships) must also submit a complete copy, including all schedules, of the
entity's most recent Federal Income Tax Return. Link to SBA Forms / 413
A complete copy, including all schedules, of the latest Federal Income Tax Return for each affiliate.
Affiliates include, but are not limited to business parents, subsidiaries, or other businesses with
common ownership or management. An authorized individual must complete and sign the IRS Form
8821 for each affiliate. Link to SBA Forms / 8821
Return the completed and signed 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.
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E-mail your documents as an attachment to: [email protected]
Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Send the Fax to SBA at: 817-XXX-XXXX
Fax
In-Person 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.
E-mail
Mail
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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
Final - Filing Req (EIDL)
Î
Filing Requirements
Copies of the applicant's 3 most recent Federal Income Tax Returns, including all schedules. If this is
a new business that has not filed 3 Federal Tax Returns, submit the ones you have filed. Also,
complete and sign the attached Tax Information Authorization (IRS Form 8821). Sole proprietors need
only submit the IRS Form 8821. We will contact you if we need any additional information (i.e.,
forecasts, etc.). Link to SBA Forms / 8821
A current (dated within 90 days of application) business balance sheet (you may use Personal
Financial Statement (SBA Form 413) if you are a sole proprietorship), a current profit and loss
statement, and a current schedule of liabilities. (a sample schedule of liabilities (SBA Form 2202) for
your convenience.)
Link to SBA Forms
For: 1) each proprietor; or 2) each limited partner who owns 20% or more interest and each general
partner; or 3) each stockholder or entity owning 20% or more of voting stock, a current (dated within 90
days of application) personal financial statement (you may use SBA Form 413 for this purpose).
Entities (except sole proprietorships) must also submit a complete copy, including all schedules, of the
entity's most recent Federal Income Tax Return. Link to SBA Forms / 413
A complete copy, including all schedules, of the latest Federal Income Tax Return for each affiliate.
Affiliates include, but are not limited to business parents, subsidiaries, or other businesses with
common ownership or management. An authorized individual must complete and sign the IRS Form
8821 for each affiliate. Link to SBA Forms / 8821
Please submit the attached SBA Form 1368, Additional Filing Requirements - Economic Injury
Link to SBA Forms / 1368
Disaster Loan (EIDL).
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Return the completed and signed 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.
E-mail your documents as an attachment to: [email protected]
Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Send the Fax to SBA at: 817-XXX-XXXX
Fax
In-Person 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.
E-mail
Mail
Print List
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DISASTER LOAN APPLICATION
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
Glossary T-Z
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Filing Req (MREIDL)
Î
Filing Requirements
Copies of the applicant's 3 most recent Federal Income Tax Returns, including all schedules. If this is
a new business that has not filed 3 Federal Tax Returns, submit the ones you have filed. Also,
complete and sign the attached Tax Information Authorization (IRS Form 8821). Sole proprietors need
only submit the IRS Form 8821. We will contact you if we need any additional information (i.e.,
forecasts, etc.). Link to SBA Forms / 8821
A current (dated within 90 days of application) business balance sheet (you may use Personal
Financial Statement (SBA Form 413) if you are a sole proprietorship), a current profit and loss
statement, and a current schedule of liabilities. (a sample schedule of liabilities (SBA Form 2202) for
your convenience.) Link to SBA Forms
For: 1) each proprietor; or 2) each limited partner who owns 20% or more interest and each general
partner; or 3) each stockholder or entity owning 20% or more of voting stock, a current (dated within 90
days of application) personal financial statement (you may use SBA Form 413 for this purpose).
Entities (except sole proprietorships) must also submit a complete copy, including all schedules, of the
Link to SBA Forms / 413
entity's most recent Federal Income Tax Return.
A complete copy, including all schedules, of the latest Federal Income Tax Return for each affiliate.
Affiliates include, but are not limited to business parents, subsidiaries, or other businesses with
common ownership or management. An authorized individual must complete and sign the IRS Form
8821 for each affiliate. Link to SBA Forms / 8821
A copy of the essential employee's "orders" for active duty (showing the date of call-up and date
released from active duty, if known).
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A statement from the business owner that the reservist is essential to the successful day-to-day
operations of the business (detailing the employee's duties and responsibilities and explaining why
these duties cannot be completed in the essential employee's absence).
A certification by the essential employee that he or she concurs with the statements above.
A written explanation and financial estimate of how the call-up of the essential employee for active duty
has or will result in substantial economic injury to the business. (Provide monthly sales figures
beginning 3 years prior to the call up and continuing through the most recent month available. You
may use SBA Form 1368 for this purpose.)
A description of the steps the business is taking to alleviate the substantial economic injury.
A certification from the business owner that the essential employee will be offered the same or a
similar job upon return from active duty.
Return the completed and signed 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.
E-mail your documents as an attachment to: [email protected]
Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Send the Fax to SBA at: 817-XXX-XXXX
Fax
In-Person 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.
E-mail
Mail
Print List
Business Screens 04/16/2008
Previous
Next
Page 114 of 133
DISASTER LOAN APPLICATION
Links
SBA
FEMA
FAQ
Contact Us
Fact Sheet
Note Regarding
Insurance
Military
Reservist Loans
Glossary A-C
Glossary D-H
Glossary I-O
Welcome
Applicants
Damages
Financial
Final Steps
Í
Final - Filing Req (NONPROFIT)
Î
Filing Requirements
Provide complete copy of Articles of Incorporation, Bylaws and Charter.
Provide a Board of directors Resolution with Trustees approval to apply to the SBA for disaster loan.
Provide complete list of all officers, trustees and directors giving name and address.
Complete copies of the organization three most recent non-profit tax returns or a copy of the exempt
filing form and complete copies of the organization's three most recent years operating budgets.
Complete and signed Tax Information Authorization (IRS Form 8821) Link to SBA Forms / 8821
A current (dated within 90 days of the application) balance sheet and profit and loss statement
Link to SBA Forms
Organization affiliation (if any)
Glossary P-S
Glossary T-Z
Brief history of organization
Return the completed and signed 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.
E-mail your documents as an attachment to: [email protected]
Mail to:
U.S. Small Business Administration
Processing & Disbursement Center
Attn: ELA Mail Department
P.O. Box 156119
Fort Worth, TX 76155
Send the Fax to SBA at: 817-XXX-XXXX
Fax
Contact our Customer Service Center @ (800) 659-2955, or (800) 877-8339 for
In-Person
people with speech or hearing disabilities, for the location of a center near you.
E-mail
Mail
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Page 115 of 133
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
Business Screens 04/16/2008
Page 116 of 133
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
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Page 117 of 133
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Notice:
You are being redirected from a secure site.
Do you want to proceed?
Business 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.
Business 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.
Business 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.
Business Screens 04/16/2008
Page 122 of 133
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.
Business Screens 04/16/2008
Page 123 of 133
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.
Business 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.
Business Screens 04/16/2008
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Please select at least one of the damage types.
Business Screens 04/16/2008
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Is your business a Non Profit Organization - Please select Yes or No.
Business Screens 04/16/2008
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Notice:
You are being redirected to a secure
site. Do you want to proceed?
Business 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.
Business 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.
Business 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.
Business 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.
Business Screens 04/16/2008
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Do you wish to delete this
information?
Business 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 |