Form SBA Form 700 SBA Form 700 Disaster Business Loan Inquiry

D ISASTER BUSINESS LOAN INQUIRY RECORD

PLEASE NOTE: The public reporting burden for this collection of information is estimated to average 15 minutes per response, including gathering and maintaining the data needed, and completing and reviewing the collection of information. You are not required to respond to any collection of information unless it displays a currently valid OMB Approval number. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to: Chief, AIB, Room 5000, U.S. Small Business Administration, Washington, DC 20416; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

The Form 700 is used in non-Presidential declarations to document interviews with disaster survivors seeking a disaster loan application. It is also used in Presidential declarations to record interviews with business loan survivors. SBA Form 700 is completed by ODA personnel based on the responses provided by the disaster survivors during the preliminary interviews.

OMB No. 3245-0084

Expiration Date: XX/XX/XXXX

1. NAME OF PROSPECTIVE APPLICANT
legal name
trade name			2. E-Mail Address (optional):
3. SSN/EIN OF PROSPECTIVE APPLICANT:				4. FEMA REGISTRATION NUMBER:
5. MAILING ADDRESS
number street city county state zip
6. BUSINESS LOCATION, if different
number street city county state zip
7. TELEPHONE at place of business		8. TELEPHONE OF ALTERNATIVE CONTACT
area code number		name				area code number
9. TYPE OF BUSINESS ACTIVITY
10. TYPE OF ORGANIZATION
Sole proprietorship Partnership Corporation Other: ________________________________________
11. INQUIRER
Name
If not applicant, relationship to applicant
Mailing address, if different from applicant’s
Telephone number, if different from applicant’s
12. APPLICATION REQUESTED
in individual in-person interview in group in-person interview by telephone interview by mail
13. APPLICATION ISSUED
Type: physical EIDL
Method: in-person on (date) _________________ by mail on (date) ________________
14. COMMENTS
15. INTERVIEWER
signature	printed name				title		date
location					declaration number

SBA Form 700 Business (03-15) Ref. SOP 50-30 Previous Editions Obsolete