subject_line
Combined PPP and EIDL Disaster Relief Form
Purpose of the loan (select more than one):
Purpose of the loan (select more than one):
Payroll
Rent / Mortgage Interest
Utilities
Other (explain):
Other (explain):
Business Information
APPLICANT'S LEGAL CORPORATE NAME
TRADE NAME (if different from legal name)
Federal EIN
DATE BUSINESS ESTABLISHED
+
CURRENT MANAGEMENT SINCE
+
BUSINESS ACTIVITY
Detailed business activity
Organization Type (*Sole Proprietors should complete form 5C)
Company Formation Type
Partnership
C Corporation
S Corporation
LLC
Nonprofit Organization
Limited Liability Entity
Trust
Non-Profit
Vet Org
Tribal business (sec. 31(b)(2)(C) of Small Business Act)
Independent Contractor
Eligible self-employed individual
Sole Proprietor
501(c)(19) veterans organization
501(c)(3) nonprofit
Other
Other
Payroll and Employment Information
Gross revenues sold for 12 months prior to date of disaster
Cost of goods sold for 12 months prior to date of disaster
Average Monthly Payroll
x2.5 equals Loan Amount
0.00
Calculate
NUMBER OF EMPLOYEES (pre-disaster)
Powered by
Report abuse