Sba Form 1244 - U.s. Small Business Administration Application For Section 504 Loans Page 11
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13Borrower Agreements and Certifications
I agree that if SBA approves this application, I will not for at least two years hire an employee or consult anyone who was employed by the
SBA during the one year period prior to the disbursement of the debenture.
I certify: I have not paid anyone connected with the Federal government for help getting this financial assistance. I also agree to report to the
SBA Office of Inspector General, 409 Third Street S.W., Washington, D.C. 20416, any Federal government employee who offers in return
for any type of compensation to help get this application approved. I understand that I need not pay anybody to deal with SBA. I also
understand that a Certified Development Company may charge the applicant a percentage of the loan proceeds as set forth in SBA regulations
as a fee for preparing and processing the loan applications. I agree to pay for or reimburse SBA for the cost of any surveys, title or mortgage
examinations, appraisals, etc., performed by non-SBA personnel provided that I have given my consent.
Regulations issued by SBA prohibit the making of loans to relocate any operations of a small business which will cause a net reduction of
one-third or more in the workforce of the relocating small business or a substantial increase in unemployment in any area of the country.
In the event that proceeds from this loan are used to provide a facility for relocation of the beneficiary small business concern (including any
affiliate, subsidiary or other business entity under direct, indirect or common control), the undersigned certifies that such relocation will not
significantly increase unemployment in the area of the original location.
No overlapping relationship exists between the small business concern, including its associates, and the CDC, including its associates, or any
other lender providing financing for the project that could create an appearance of a conflict of interest as defined in 13 CFR 120.140 or
violate 13 CFR 120.851. No such relationships existed within six months of this application or will be permitted to exist while assistance is
outstanding.
I authorize disclosure of all information submitted in connection with this application to the financial institution agreeing to participate with
SBA's guaranteed debenture. I waive all claims against SBA and its consultants for any management and technical assistance that may be
provided. In consideration for assistance from the Small Business Administration, I hereby agree that I will comply with all Federal laws and
regulations to the extent that they are applicable to such assistance, including conditions set forth in this application. I, my spouse, or any
member of my household, or anyone who owns, manages, or directs the business or their spouses or members of their households do not
work for the SBA, Small Business Advisory Council, SCORE or ACE, any Federal agency, or the participating lender. If someone does, the
name and address of such person and where employed is provided on an attached page.
(Each Proprietor, each General Partner, each Limited Partner or Stockholder owning 20% or more, and each Guarantor must sign. Each
person should only sign once.)
If Applicant is a proprietor or partnership, sign below:
If Applicant is an L.L.C. or corporation, sign below:
Name of Business
Corporate Name
By:
Date:
By:
Date:
Attested by:
(seal, if required)
Additional Proprietors, Partners, Stockholders or Guarantors as required:
Signature
Date
Signature
Date
Signature
Date
Signature
Date
SBA Form 1244 (09-16) Previous editions obsolete
Page 11 of 13
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