SBA Form 2234 A Premier Certified Lenders Program (PCLP) Guarantee Reque

Premier Certified Lenders
Program (PCLP)
Guarantee Request

OMB APPROVAL NO.: 3245-0346
EXPIRATION DATE: XX/XX/XXXX

The PCLP Certified Development Company (CDC) completes this form as part of the
application package for a Section 504 Loan and sends to: Sacramento Loan Processing Center,
Small Business Administration, 6501 Sylvan Road, Suite 111, Citrus Heights, CA. 95610-5017
(or Fax to 916-735-0640).

TO:

Sacramento Loan Processing Center
Small Business Administration
U.S. Federal Courthouse
6501 Sylvan Road, Suite 111
Citrus Heights, CA 95610-5017

DATE: ______________________

RE:

Applicant Name _______________________________________________________
Operating Company (OC) Name (If applicant is an Eligible Passive Company)__________________________
____________________________________________________________________
(If more than one OC, attach additional sheet with all OC names)

FROM:

CDC

___________________________________________________________

Contact

___________________________________________________________

Address

___________________________________________________________
___________________________________________________________

Phone

___________________________

FAX _________________________

All of the following items are enclosed:
[ ]

A. Copy of pages 2 and 7 of SBA Form 1244 (02-16), “Application for Section 504 Loan”

[ ]

B.

[ ] C.

Copy of "Supplemental Information for PCLP Processing" (Form 2234 Part B)
Original or facsimile of "Eligibility Information Required for PCLP Submission" (Form 2234 Part C)

____________________________________
Signature and Title of CDC

_____________________
Date

The estimated burden for completing this form is 5 minutes. You will not be required to respond to any collection of information unless it displays a
currently valid OMB Control Number. Comments on the burden should be sent to U. S. Small Business Administration (SBA), Chief, AIB, 409 3rd
Street, SW, Washington, DC 20416 and Desk Officer for SBA, Office of Management and Budget, New Executive Office Building, Room 10202,
Washington, DC 20503. OMB Control Number 3245-0346. PLEASE DO NOT SEND FORMS TO OMB.

SBA Form 2234 (Part A) (09-16) Previous Editions Obsolete

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