Sba 504 Needs List Page 2

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Monthly payment amount: $_________________
Status of loan: ___________________________
2)
Number of existing jobs to be retained as a result of this project?
Full Time ______
Part Time ______
3)
Number of jobs to be created within the next two years as a result of this project?
Full Time ______
Part Time ______
4) Source of Borrower’s injection?
Business Cash ______
Personal Cash ______
Equity in:____________________________
5) If a business operation is being purchased in addition to the real estate, please include a statement from the Seller as to
why they are selling the business, copies of the last 2 years of the business’s Federal Tax Returns and current Income
Statements, and a current appraisal.
Affiliate* Businesses Information, if applicable:
* Note: If any Principal has controlling ownership, or management control (regardless of ownership) of another business, that business is
considered an Affiliate. If multiple Principals have combined ownership control, or combined management control, the business is considered
an Affiliate.
Please provide the following on each Affiliate:
Name of Affiliate business
Type of business
Names of all owners and their percent of ownership
Last 2 years complete business Federal
Tax Returns
Any previous Government Financing information (see above)

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