Business Information

Who Referred You To Us? *

Business Legal Name *

Trade Name *

Business Type *

EIN or SSN For Sole Proprietorship *

Is the Applicant a Non-Profit Organization? *

Business Website ( Facebook, Instagram etc.)

Compensation From Other Sources Received As A Disaster? *

Provide Brief Description of Other Compensation Sources *

Date Business Established? * 🛈

Current Ownership Since? * 🛈

Business Street Address (Cannot be P.O. Box) *

Address Line 2

City *

State *

Zip Code *

Business Phone Number *

Business Email Address *

Business Activtity *

Business Detailed Activity *

Number of Employees ( As of January 31, 2020) *

Revenue in 2019 *

Revenue 2020 *

Cost of Goods Sold *

New Applicant? *

SBA Application Number if you already applied a loan.