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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.

Loan Forgiveness Application Form 3508 Revised January 19, 2021 . By Signing Below, You Make the Following Representations and Certifications on Behalf of the Borrower: The authorized representative of the Borrower certifies to all of the below by initialing next to each one.

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