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Paycheck Protection Program Second Draw Borrower ...

1 SBA Form 2483-SD (1/21) Paycheck Protection Program Second Draw Borrower Application Form OMB Control No.: 3245-0417 Expiration Date: 7/31/2021 Check One: 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) Business Phone Primary Contact Email Address Average Monthly Payroll: $ x (or x for NAICS 72 applicants) equals loan Request Amount (may not exceed $2,000,000): $ Number of Employees (including affiliates, if applicable.)

All loan proceeds will be used only for business -related purposes as specified in the loa n application and consistent with the Paycheck Protection Program Rules including the prohibition on using loan proceeds for lobbying activities and expenditures. If Applicant is a …

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