Sba Loan Application Page 5

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SBA Loan Application
Complete the chart below if
CURRENT AND PREVIOUS SBA AND OTHER GOVERNMENT DEBT:
you, your business, any principal of your business, any affiliate of your business, and other business currently owned
by a principal, or any business previously owned by you or a principal of your business has received or applied for
any direct or guaranteed financial assistance from the Federal Government, including student loans and disaster loans.
All current, previous, and pending Government debt must be listed, including loans that have been paid in full or
those that resulted in a loss to the Government.
(Note: Loans that resulted in a loss to the Government include loans that were charged
off, compromised or discharged as a result of bankruptcy. The amount of loss is the outstanding principal balance of the loan that the
Government had to write off after all collection activities (including compromise) were finalized.)
Borrower’s
Original
Date of
Loan Status
Outstanding
$ Amount of
Name of
Name
Amount of
Application
Balance
Loss to the
Agency
Loan
Government
Agency Loan
#
$
1.
#
$
2.
#
$
3.
#
$
4.
#
Furnish the following information on all outstanding installment debts, contracts,
BUSINESS INDEBTEDNESS:
notes and mortgages payable. Indicate by an astrick (*) items to be paid by loan proceeds and reasons for paying
them. (Present balance should agree with the latest balance sheet submitted).
To Whom
Original
Original
Present
Rate of
Maturity
Monthly
Security
Current or
Payable
Amount
Date
Balance
Interest
Date
Payment
Past Due
Acct. #
$
$
$
Acct. #
$
$
$
Acct. #
$
$
$
Acct. #
$
$
$
Acct. #
$
$
$

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