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SBA Economic Injury Disaster Loan (EIDL) Application

Business Information :
Business Legal Name: ...... Type of Entity:
Trade Name - dba: ...... EIN / Fed Tax ID :
Non Profit? : Is the Applicant a Non-Profit Organization? ....
Franchise? : Is the Applicant a Franchise? ....
Gross Revenues : for the Twelve(12) Month Prior to the Date of the Disaster (January 31, 2020)....$
Cost of Goods Sold : for the Twelve(12) Month Prior to the Date of the Disaster (January 31, 2020)....$
Lost Rental Income : From Resential and/or Comercial Rental Properties due to the Disaster ....$
Other Compensation for Loss: Compensation From Other Sources Received as a Result of the Disaster ...$
Other Compensation Sources:
Business Address: ....... # of Employees:
Business City: State: Zip:
Business Phone: . Fax: . County:
Business Established (Date): ....Under Current Management Since (Date):
Business Activity:
Primary Business Contact: ........ Position :
Contact Phone: .......Contact Email
Business location ownership:

....... Property Value $


Principal (1) Owner Information :
Principal Name: ...% Owner ....U.S. Citizen:
Social Security Num: ..Date of Birth: ..Place of Birth:
Principal Home Address: ......Marital Status :
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Principal (2) Owner Information :
Principal Name: ....% Owner ....U.S. Citizen:
.Social Security Num: ...Date of Birth: ..Place of Birth:
Principal Home Address: .... Marital Status :
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Requested Loan Amount $
Use of Funds:

For each Principal Owner listed above, please respond to the following questions, providing dates and details.
(If you need more space, attach additional sheets.)
a. Has never been involved in bankruptcy or insolvency proceedings, except as stated:

Principal # 1

.. Explain:

Principal # 2

.. Explain:


b. Has no outstanding judgments, tax liens, or pending lawsuits against them, except as stated:

Principal # 1

.. Explain:

Principal # 2

..Explain:


c. Has not been convicted of a criminal offense committed during and in connection with a riot or civil disorder, nor is such person or the applicant engaged in the production or distribution of any product or service that has been determined to be obscene by a court of competent jurisdiction, except as stated:

Principal # 1

..Explain:

Principal # 2

..Explain:


d. Has never had any Federal loans or Federally guaranteed loans, except as stated:

Principal # 1

.. Explain:

Principal # 2

.. Explain:


e. Is not delinquent on any Federal taxes, direct or guaranteed loans (SBA, FHA, VA, student, etc.), contracts, grants, or any child support payments, except as stated:

Principal # 1

..Explain:

Principal # 2

.. Explain:


f. Does any owner, owner's spouse, or household member work for SBA or serve as a member of SBA's SCORE, ACE, or
Advisory Council?

Principal # 1

..Explain:

Principal # 2

.. Explain:


g. Is the applicant or any listed owner currently suspended or debarred from contracting with the Federal government or receiving
Federal grants or loans?

Principal # 1

..Explain:

Principal # 2

.. Explain:


RELEASE & AUTHORIZATION
By submitting this application, I (we) is (are) providing an Electronic Signature. An electronic signature, or e-signature, is any electronic means that indicates either that a person adopts the contents of an electronic message, or more broadly that the person who claims to have written a message is the one who wrote it (and that the message received is the one that was sent by this person). I (we) each individually as principals and/or guarantors of the Obligor, and on behalf of the Obligor (individually and collectively Applicant), hereby affirms that the foregoing information contained in this Credit Application is presented for the purpose of obtaining or maintaining credit as of the date indicated and is true, complete and correct. Terrace Finance, its affiliates, successors, designees or assigns is/are authorized to have this information verified and for consumer credit reports to be obtained. Applicant understands Terrace Finance Corp (Lender or Lessor) is relying on this statement of our financial condition in extending or continuing to extend credit to Applicant. 

Phone: 888-464-6256 xt 401

email: bizapps@terracefinance.com