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Paycheck Protection Program: PPP Loan Forgiveness ...

_____ _____ _____ _____ Paycheck Protection Program PPP Loan Forgiveness Application form 3508S Revised January 19, 2021 OMB Control No.: 3245-0407 Expiration Date: 9/30/2021 A BORROWER MAY USE THIS form ONLY IF THE BORROWER RECEIVED A PPP LOAN OF $150,000 OR LESS 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

May 24, 2021 · information requested should be sent to Small Business Administration, Director, Records Management Division, 409 3rd St., SW, Washington DC ... medical or sick leave, not including leave covered by the Families First Coronavirus Response Act), and allowances for ... PPP Loan Forgiveness Application Form 3508S (revised January 19, 2021) ...

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