OMB Control Number 3245-0365
Expiration Date XX/XX/XXXX
U.S.
Small Business Administration
Washington,
DC 20416
LENDER NOMINATION/APPLICATION REQUEST FORM for 7(A) DELEGATED AUTHORITIES
Must be completed and signed by Lender
Date: Click here to enter a date.
Lender’s Legal Name: Click or tap here to enter text.
Lender’s SBA FIRS#: Click or tap here to enter text.
Point of Contact Information:
Name: Click or tap here to enter text.
Title: Click or tap here to enter text.
Email Address: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Must be completed for ALL Delegated Authority Requests |
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Request is for: ☐ Nomination (lender has never held ANY delegated authority since executing SBA Form 750) ☐ Reinstatement (lender previously held authority and it lapsed, expired, was declined by OCRM or lender declined renewal) ☐ Additional Authority (lender currently holds active delegated authority and is requesting to add another delegated authority) |
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The Lender is requesting the following Delegated Authority(ies) – select all that apply: ☐ SBA Express ☐ PLP ☐ Export Express* ☐ PLP – EWCP ☐ PLP – WCP (Pilot) *for 7(a) Federally Regulated Lenders requesting ONLY Export Express, items 4-6 are required to be submitted. |
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Please identify the authority(ies) currently or previously held and the expiration date:
☐ SBA Express, Expiration Date: Click or tap to enter a date. ☐ PLP, Expiration Date: Click or tap to enter a date. ☐ Export Express, Expiration Date: Click or tap to enter a date. ☐ PLP – EWCP, Expiration Date: Click or tap to enter a date. ☐ PLP – WCP (Pilot), Expiration Date: Click or tap to enter a date. ☐ N/A |
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Must be Included for ALL Delegated Authority Requests |
Attached |
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Lender’s Loan Guaranty Agreement:
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Signed and dated letter, on the Lender’s letterhead, supporting compliance with SBA SOP 50 56 1, Section A, Chapter 1, Para. E
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Statement and/or Documentation that reflects 7(a) training obtained. The information should identify the topic, date, and attendees and must support that the Lender’s SBA loan personnel has received appropriate training on SBA’s policies and procedures (such training could include Lead District Office/Office of International Trade (OIT) training and/or trade association training that adequately addresses SBA’s regulations and Standard Operating Procedures, including SBA’s loan processing, servicing, litigation and liquidation requirements).
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Lender has contacted the Denver Finance Center at [email protected] and resolved all past due receivables due SBA. |
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Required of All SBLC/NFRL (SBA Supervised) Lenders |
Yes |
No |
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Lender maintains minimum professional staff levels, i.e. one full time CEO, one full time CCO/CRO, and one other part time equivalent. Also, Lender must have CFO or a CFO at parent level who has been authorized to serve as CFO for SBLC/NFRL. 13 CFR §§ 120.460(c) and 120.462(d). |
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Lender submitted Capital Certification as per 13 CFR § 120.462(d). |
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Required of All Community Advantage SBLC Lenders |
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Lender submitted Loan Loss Reserve Account Information (including bank statement(s) and calculation). |
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Lender submitted Underserved Market Report. |
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Must be Included for ALL PLP Delegated Authority Requests |
Attached |
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Signed and dated letter, on the Lender’s letterhead, supporting compliance with SBA SOP 50 56 1, Section A, Chapter 1, Para. E, 2., c., ii., which includes:
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Statement to support that the Lender has fully disbursed at least 10 7(a) SBA loans within the past 24 months (acquired and PPP loans do not count towards the required minimum) • Note: SBA term Loans are considered fully disbursed when the Loan has been closed and the final Loan disbursement has been made; and • SBA revolving lines of credit are considered fully disbursed when the Loan has been closed and the initial Loan disbursement has been made.
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Required if Requesting SBA Express |
Attached |
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If the Lender has less than three (3) years of SBA 7(a) lending experience**, a list of at least 20 commercial or business loans for $500,000 or less in its portfolio at its most recent fiscal year end. ** Three years of SBA lending experience is described as having disbursed non-delegated SBA 7(a) loans, i.e. applications submitted for approval to the SBA 7(a) Loan Guaranty Processing Center, within the previous 36 months. OCRM must be able to confirm these loans. |
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Required if Requesting PLP-EWCP |
Yes |
No |
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Lender is an EX-IM Bank delegated lender or disbursed EWCP loans, for at least six (6) consecutive months immediately prior to the District Office recommendation |
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Lender is NOT an EX-IM Bank delegated lender; however, it disbursed EWCP loans at least six (6) consecutive months immediately prior to the District Office/Office of International Trade’s recommendation. |
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Required if Requesting PLP-WCP (Pilot) |
Yes |
No |
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Lender has demonstrated the operational controls necessary to administer the WCP program, meeting the program requirements outlined in the SBA 7(a) Working Capital Pilot (WCP) Program Guide effective 8/1/2024. |
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Lender meets one of the following 3 loan disbursal requirements per the SBA 7(a) Working Capital Pilot Program Guide effective 8/1/2024. |
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*Lender must include SBA loan number, face loan amount, and status of the loan (e.g., current, delinquent, paid in full, etc.) |
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*Lender must include Lender’s loan identification number, face loan amount, and status of the loan (e.g., current, delinquent, paid in full, etc.) as well as Lender’s policies and procedures on Asset-Based Lending |
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*Lender must include Lender’s policies and procedures on Asset-Based Lending |
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If any required information is missing from Lender’s application, the submission will be deemed invalid. Lender will need to re-submit a fully completed application before it will be reviewed.
By signing this form and submitting the information to the District Office or Office of International Trade, you are officially submitting a request for the specified delegated authority(ies).
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Signature of Authorized Lender Representative |
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Date |
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Printed Name of Authorized Lender Representative
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Printed Title of Authorized Lender Representative
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List of 7(a) Program SBA Training Attended or Received within the last 18 months (Required for all Requests) |
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TOPIC |
DATE |
ATTENDEES (Name & Title) |
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Additional Comments:
List of 10 Fully Disbursed SBA 7(a) loans within the past 24 months |
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SBA Loan Number |
Loan Name |
Date of Full Disbursement |
Is loan a Revolver? Yes or No |
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Additional Comments:
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Loan Name |
Loan Amount |
Disbursal Date |
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Non-SBA guaranteed Asset-Based Loans |
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Loan ID Number |
Face Loan Amount |
Status of the Loan (current, delinquent, paid in full, etc.) |
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PLEASE NOTE: You are not required to respond to any collection of information unless it displays a currently valid OMB Approval number. The number for this collection of formation is 3245-0365. The total estimated time to respond to this collection of information, including gathering and maintaining the data needed, and completing and reviewing the collection of information, is 150 minutes. You may send comments or questions regarding this estimated time or any other aspect of this collection of information including suggestions for reducing the time or other burden to: Director, Records Management Division, 409 Third Street, S.W., Washington D. C. 20416, and Desk Officer for the Small Business Administration, Office of Management and Budget, New Executive Office Building, Room 10202, Washington DC 20503.
Disclosure of Information – Requests for information contained herein may be denied unless SBA has the written permission of the individual to release the information to the requestor or unless the information is subject to disclosure under the Freedom of Information Act, 5 U.S.C. §552. The Privacy Act, 5 U.S.C. §552a, authorizes SBA to make certain “routine uses” of information protected by that Act. One such routine use is the disclosure of information maintained in SBA’s system of records when this information indicates a violation or potential violation of law, whether civil, criminal, or administrative in nature. Specifically, SBA may refer the information to the appropriate agency, whether Federal, State, local or foreign, charged with responsibility for, or otherwise involved in investigation, prosecution, enforcement, or prevention of such violations. Another routine use is disclosure to other Federal agencies conducting background checks but only to the extent the information is relevant to the requesting agencies’ function. See, 74 F.R. 14890 (2009), and as amended from time to time for additional background and other routine uses.
SBA Form 2509 [EFFECTIVE DATE] Previous edition is obsolete
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | daripley |
File Modified | 0000-00-00 |
File Created | 2025-09-18 |