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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).)

under applicable common law, does not directly or indirectly hold a controlling interest in the Applicant, with such terms having the meanings provided in Section 322 of the Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act.

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