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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.

Line 8. Covered Worker Protection Expenditures: Adjustments for Full-Time Equivalency (FTE) and Salary/Hourly Wage Reductions Line 9. Total Salary/Hourly Wage Reduction (enter the amount from PPP Schedule A, line Line 10. Sum the amounts on lines 1 through 8, then subtract the amount entered in line 9: Line 11.

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