SBA-Disaster Loan Assistance Form

Below you will see a sample of what questions are being asked when filling out the form for SBA loan assistance. If you need further assistance or have a question call: SBA Office of Disaster Assistance

| 1-800-659-2955 | be patient as I am sure they are overwhelmed with calls. This is as far as I can get in the process, any feedback would be appreciated. My email is;  mmaxa@mnlegion.org   Good luck!

Disaster Loan Assistance

Federal Disaster Loans for Businesses, Private Non-profits, Homeowners and Renters

Top of Form

Business Legal Name *

Trade Name *

EIN/SSN for Sole Proprietorship *

Organization Type* Other Limited Liability Company Sole Proprietorship C-Corporation S-Corporation General Partnership Limited Liability Partnership Limited Partnership Cooperative Trust Independent

Is the Applicant a Non-Profit Organization? *

Yes

No

Is the Applicant a Franchise? *

Yes

No

Gross Revenues for the Twelve (12) Month Prior to the Date of the Disaster (January 31, 2020) *

Cost of Goods Sold for the Twelve (12) Month Prior to the Date of the Disaster (January 31, 2020) *

Rental Properties (Residential and Commercial) Only – Lost Rents Due to the Disaster

Non-Profit Cost of Operation for the Twelve (12) Month Prior to the Date of the Disaster (January 31, 2020)

Combined Annual Operating Expenses for the Twelve (12) Months Prior to the Date of the Disaster (January 31, 2020) for All Secular Social Services Provided by the Faith Based Entity

List the Secular Social Services Provided by the Faith Based Entity

Compensation from Other Sources Received as a Result of the Disaster

Provide Brief Description of Other Compensation Sources

Primary Business Address (Cannot be P.O. Box) *

City *

State *

Alaska Alabama American Samoa Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Northern Mariana Islands Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

County

Zip *

Business Phone *

Alternative Business Phone

Business Fax

Business Email *

Date Business Established *

Current Ownership Since *

Business Activity *

Agriculture Automotive Repair Automotive Sales & Gas Service Stations Business Services Communications Construction & Contractors Eating & Drinking Places Educational Services Entertainment Services Faith Based Organization Finance Food & Beverage Stores Freight Health Services Hotels & Lodging Insurance Legal Services Manufacturing Mining & Natural Resource Extraction Miscellaneous Services Personal Services Real Estate Retail Storage Transportation Wholesale

Detailed Business Activity*

Number of Employees (As of January 31, 2020) *

Next

Bottom of Form

 

FacebooktwitterinstagramflickrFacebooktwitterinstagramflickr