SBA Economic Injury Disaster Loan (EIDL) Application

Eligiblity Verification :
Applicant is a business with not more than 500 employees.
Applicant is an agricultural enterprise with not more than 500 employees.
Applicant is an individual who operates under a sole proprietorship, with or without employees, or as an independent contractor.
Applicant is a cooperative with not more than 500 employees.
Applicant is an Employee Stock Ownership Plan (ESOP), as defined in 15 U.S.C. 632, with not more than 500 employees.
Applicant is a tribal small business concern, as described in 15 U.S.C. 657a(b)(2)(C), with not more than 500 employees.
Applicant is a business, including an agricultural cooperative, aquaculture enterprise, nursery, or producer cooperative (but excluding all other agricultural enterprises), with more than 500 employees that is small under SBA Size Standards found at https://www.sba.gov/size-standards.
Applicant is a business with more than 500 employees that is small under SBA Size Standards found at https://www.sba.gov/size-standards.
Applicant is a private non-profit organization that is a non-governmental agency or entity that currently has an effective ruling letter from the IRS granting tax exemption under sections 501(c),(d), or (e) of the Internal Revenue Code of 1954, or satisfactory evidence from the State that the non-revenue producing organization or entity is a non-profit one organized or doing business under State law, or a faith-based organization.
Review and Check All of the Following:Applicant must review and check all the following (If Applicant is unable to check all of the following, Applicant is not an Eligible Entity):
Applicant is not engaged in any illegal activity (as defined by Federal guidelines).
No principal of the Applicant with a 50 percent or greater ownership interest is more than sixty (60) days delinquent on child support obligations.
Applicant does not present live performances of a prurient sexual nature or derive directly or indirectly more than de minimis gross revenue through the sale of products or services, or the presentation of any depictions or displays, of a prurient sexual nature.
Applicant does not derive more than one-third of gross annual revenue from legal gambling activities.
Applicant is not in the business of lobbying.
Applicant cannot be a state, local, or municipal government entity and cannot be a member of Congress.
If you have questions about this application or problems providing the required information, please contact our Customer Service Center at 1-800-659-2955 or (TTY: 1-800-877-8339) DisasterCustomerService@sba.gov.
Business Information :
Legal Business Name: ........ Type of Entity:
dba: ........ Fed Tax ID :
Business Address: ....... # of Employees:
Business City: State: Zip:
Business Phone: ..Business Fax:
Years in Business: ....Experience, if less than 2 yrs:
Primary Contact: ........ Position :
Contact Phone: .......Contact Email
Ownership of business location:

....... Property Value $


Principal Owner Information :
Principal Name: .......Social Security Num:
Principal Home Address: .......% Ownership
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Principal Owner (2) Information :
Principal Name: .......Social Security Num:
Principal Home Address: .......% Ownership
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Requested Funding 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:

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

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:

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

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:

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