25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance

OMB Approval No.: 3245-0081
Expiration Date: 04-30-2018

Office of Investment
Investment Division
Small Business Administration
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Instructions for the Authorization to Disburse Proceeds (SBA Form 33)
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When part or all of the proceeds of an SBA-guaranteed debenture funding are to be used to
refund (refinance) one or more maturing debentures, the SBIC issuing the new debenture(s)
must send SBA an authorization letter exactly in the form indicated by the attached MODEL
LETTER. Please note that portions of commitment(s) approved to refund maturing
debentures must be drawn on or before the maturity date of the debentures to be refunded. In
such cases, the proceeds of the draw will be wired at the direction of SBA for distribution to
the holders. Please file this completed form, only required if you intend to refinance one or
more maturing debentures as stated above, together with the other required documents for the
submission of the SBIC debenture commitment application to: U.S. Small Business
Administration, Office of Investment and Innovation, Funding Admin. Branch, 409 Third
Street, SW, Washington, DC 20416.

CAUTION: THE ATTACHED MODEL SHOULD BE STRICTLY FOLLOWED.

PLEASE NOTE: The estimated burden for completing this form is 20
minutes per response. You are not required to respond to any
collection of information unless it displays a currently valid OMB
approval number. Comments on the burden should be sent to U.S.
Small Business Administration, Chief, AIB, 409 Third Street, SW,
Washington D.C. 20416 and Desk Officer for the Small Business
Administration, Office of Management and Budget, New Executive
Office Building, Room 10202, Washington, D.C. 20503. OMB Approval
(3245-0081). Do not Send Forms to OMB.
SBA Form 33 (Revised 12-14) (Instructions)

MODEL LETTER TO SELLING AGENT

Date:
SBIC Funding Corporation
Washington, D.C.
Re: Authorization to Disburse Proceeds
Dear Sir/Madam:
The undersigned hereby authorizes the SBIC Funding Corporation (Selling Agent) or its agent to disburse
an amount sufficient from the proceeds of the funding of its debenture(s) issued pursuant to the undersigned
Licensee's application letter for an SBA commitment related to this/these debenture(s) dated
(Application) to refund (refinance) the maturing debentures identified below.
The disbursement authorized by this letter is to either the United States Small Business Administration
(SBA) or its agent or designee.
The debenture(s) that is/are to be refunded by the disbursement authorized above are identified below:
Issue
Date

Principal
Amount

Interest
Rate

Maturity
Date

[List of one or more maturing SBA-guaranteed SBIC debenture(s) to be refunded.]
Any balance of the proceeds remaining is to be disbursed to the Licensee, less selling expenses and other
fees and expenses deemed necessary by SBA for itself, for the Selling Agent or any of SBA's agents.
The Licensee hereby agrees to pay promptly all accrued interest on the debentures listed above. The
Licensee further agrees to pay promptly any deficiency between the amount due on the Debentures listed
above and the net proceeds of the funding of the Debentures issued pursuant to its Application.
Sincerely,

(Authorized Signature)

(Type Licensee's Name)
SBA Form 33 (Revised 12-14) (Form)