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pdfCommunity Advantage Addendum
7(a) Pilot Program
OMB Control No.: 3245-0348
Expiration Date: xx/xx/xxxx
The purpose of this form is to collect information about the applicant business and any management or technical assistance training or counseling it
may have received. The form is an addendum to SBA Form 1919, Borrower Information Form, and is submitted to SBA electronically by the Lender.
The Lender must retain in its file documentation that supports the responses provided on this form. Submission of the requested information is
required for the Lender to comply with program requirements.
Applicant Business Legal Name:
Applicant Business Information
DBA:
_________________________________
_______________________________
Startup Business (Not opened) New Business (2 years or less) Existing Business (more than 2 years old)
If in business for more than one year, the most recent full business year’s Gross Revenue or Sales
$________________________
Please identify which of the following are applicable to the Small Business Applicant. More than one may be checked; if
none are applicable, please check “None of the Above.”
Low-to-Moderate Income (LMI) Community
Empowerment Zone or Enterprise Community
HUBZone
Promise Zone
Small Business Applicant ownership meets the SBA Veterans Advantage requirements.
More than 50 percent of the Small Business Applicant’s workforce is low-income or resides in a LMI census tract.
None of the Above.
Small Business Applicant is located in a
During the 12 months prior to the application, did the Small Business Applicant receive any Management and
Technical Assistance training or counseling from any organization?
Yes No*
*If “No,” the remainder of the form does not need to be answered.
Indicate the type of assistance received (check all that apply).
Start-Up Assistance
Business Plan
Financing/ Capital
Managing a Business
Customer Relations
Business Accounting/ Budget
Cash Flow Management
Tax Planning
Marketing/ Sales
Government Contracting
Franchising
Buy/ Sell a Business
Technology/ Computers
eCommerce
Legal Issues
International Trade
Human Resources
Other: ______________________
Please identify who provided the assistance (check all that apply).
SCORE
Small Business Development Center
Women’s Business Center
Bank or Other Lending Institution
Veterans Business Center
Bank or Other Lending Institution
Other: ________________________
Please estimate the total counseling and/or training hours received.
One-on-One Counseling
Telephone Counseling
Web-Based Tutorials
Group Training
Not Applicable
< 3 Hours
3 – 5 Hours
>5 Hours
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 5 minutes per response. Comments or questions on the burden estimates should be sent to U.S. Small
Business Administration, Director, Records Management Division, 409 3rd St., SW, Washington DC 20416, and/or SBA Desk Officer, Office of
Management and Budget, New Executive Office Building, Rm. 10202, Washington DC 20503. PLEASE DO NOT SEND FORMS TO
THESE ADDRESSES.
SBA Form 2449 (05/17)
File Type | application/pdf |
Author | Ledford, Edward |
File Modified | 2017-05-31 |
File Created | 2017-05-31 |