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Paycheck Protection Program: Second Draw Borrower ...

1 SBA Form 2483-SD (3/21) ( Paycheck Protection Program Second Draw Borrower Application Form Revised March 18, 2021 OMB Control No.: 3245-0417 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 Business Address (Street, City, State, Zip Code - No Box addresses allowed) Business TIN (EIN, SSN, ITIN) Business Phone Primary Contact Email Address Average Monthly Payroll.)

Second Draw Borrower Application Form Revised March 18, 2021 OMB Control No.: 3245-0417 Expiration Date: 9/30/2021 . Check One: Sole proprietor Partnership C -Corp S LLC Independent contractor Self-employed individual 501(c)(3) nonprofit 501(c)(6) organization 501(c)(19) veterans organization Other 501(c) organization

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