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Paycheck Protection Program Borrower Application Form ...

1 SBA Form 2483 (1/21) Paycheck Protection Program Borrower Application Form Revised January 8, 2021 OMB Control No.: 3245-0407 Expiration Date: 7/3 1/2021 Check One: DBA or Tradename (if applicable) Year of Establishment (if applicable) Business Legal Name NAICS Code Applicant (including affiliates, if applicable) Meets Size Standard (check one): No more than 500 employees(or 300 employees, if applicable) SBA industry size standards SBA alternative size standardBusiness Address (Street, City, State, Zip Code - No Box addresses allowed) Business TIN (EIN, SSN) Business Phone Primary Contact Email Address Average Monthly Payroll.

All loan proceeds will be used only for business-related purposes as specified in the loan application and consistent with the Paycheck Protection Program Rules including the prohibition on using loan proceeds for lobbying activities and expenditures. If Applicant is a news organization that

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