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Paycheck Protection Program: Borrower Application Form ...

1 SBA Form 2483 (3/21) ( Paycheck Protection Program Borrower Application Form Revised March 18, 2021 OMB Control No.: 3245-0407 Expiration Date: 9/30/2021 Check One: Sole proprietor Partnership C-Corp S-Corp LLC independent contractor Self-employed individual 501(c)(3) nonprofit 501(c)(6) organization 501(c)(19) veterans organization Other 501(c) organization Housing cooperative Tribal business Other _____ 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).)

independent contractor , or sole proprietorship with no employees, or had employees for whom it paid salaries and payroll taxes or paid independent contractors, as reported on Form(s) 1099-MISC. Current economic uncertainty makes this loan request necessary to support the ongoing operations of the Applicant.

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