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Paycheck Protection Program: Loan Forgiveness Application ...

Paycheck Protection Program loan Forgiveness Application form 3508 Revised January 19, 2021 OMB Control No.: 3245-0407 Expiration Date: 7/31/2021 PPP loan Forgiveness Calculation form Business Legal Name ( Borrower ) DBA or Tradename, if applicable Business Address NAICS Code Business TIN (EIN, SSN) Business Phone ( ) -Primary Contact E-mail Address First Draw PPP loan Second Draw PPP loan (check one) SBA PPP loan Number: Lender PPP loan Number: PPP loan Amount: PPP loan Disbursement Date: Employees at Time of loan Application : Employees at Time of Forgiveness Application : Covered Period: to If Borrower (Together with Affiliates, if Applicable) Received First Draw PPP Loans of $2 Million or More or Second Draw PPP Loans of $2 Million or More, check here: Forgiveness Amount Calculation: Payroll and Nonpayroll Costs Line 1.

Loan Forgiveness Application Form 3508 Revised January 19, 2021 OMB Control No.: 3245-0407 Expiration Date: 7/31/2021 PPP Loan Forgiveness Calculation Form Business Legal Name (“Borrower”) DBA or Tradename, if applicable Business Address NAICS Code Business TIN (EIN, SSN) Business Phone ( ) - Primary Contact E-mail Address ☐

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