Sba Form 2411 Immediate Disaster Assistance Program (idap) Lenders App

Immediate Disaster Assistance Loan Program Application and Eligibility Data

3245-0372 SBA Form 2411 IDAP - Lender's Form - Part I 4-2011

Immeddiate Disaster Assistance Loan Program

OMB: 3245-0372

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I

OMB Control No.: 3245-0372

Expiration Date: 3/31/2011

MB Approval No.: 3245-0348

Effective Date: 02/19/2004

Expiration Date: 02/28/2007


MMEDIATE DISASTER ASSISTANCE PROGRAM (IDAP)

Lender’s Application (Part I)

(To be completed and signed by the participating lender that is requesting an SBA guaranty for the loan application and submitted to SBA through http://eweb.sba.gov/gls.)


Disaster Declaration No. ___________________________________

Small Business Direct Disaster Loan Application No. (if known) _________________________________


Small Business Borrower Name:


Check the legal business structure that applies:

  • Sole Proprietorship Partnership LLC Corporation

  • Other: ___________



Trade Name (dba):


(if no trade name, enter “NA”)


Borrower Contact:

  • Mr

  • Ms

First


MI


Last



Borrower Street:



Borrower City:


County:


State


Zipcode



Borrower Phone #:



Borrower Tax ID #:


#

SSN# of Principal (controlling owner of borrower)



Loan Amount:

$

Loan Maturity




Initial Period Interest Rate as published in the Federal Register for IDAP Loans



Term Period Interest Rate


Prime rate* + _____________(not to exceed maximum published in the Federal Register)

*in effect on the first business day of the month as identified in a national financial newspaper



  • Outstanding SBA Loan. If checked, Loan No. ______________________________


NAICS Code:

__________

No. of Employees (on disaster date):

___________

Franchise?

If checked, Franchise Name: ________________________________


Use of Loan Proceeds

Amount (Total Dollars)

Repair/Replace Disaster Damage to Real Property

$

Repair/Replace Disaster Damage to Business Personal Property

$

Working Capital

$

Total

$


Credit Score used (optional) ___________

SShape4 Shape3 Shape2 elect Agency Equifax TransUnion Experian

Application Fee charged to Borrower, if any: _______________________ (Limit: $250)


Lender Name:


Lender ID



Lender Contact:

  • Mr

  • Ms

First


MI


Last



Lender Contact Phone #:


Lender Contact Fax #:


Lender E-mail:



NOTE: According to the Paperwork Reduction Act, you are not required to respond to this collection of information unless it displays a currently valid OMB Control Number. The estimated burden for completing this form, including time for reviewing instructions, gathering data needed, and completing and reviewing the form is 10 minutes per response. Comments or questions on the burden estimates should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., SW, Washington DC 20416. PLEASE DO NOT SEND FORMS TO THIS ADDRESS.


SBA Form 2411 (4/2011) 1


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title4-I Supplemental Information for PLP Processing
AuthorKaren Diarra
File Modified0000-00-00
File Created2021-02-01

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