sba to provide economic injury disaster loans for ......these working capital loans may be used to...

SBA To Provide Economic Injury Disaster Loans For Coronavirus Related Economic Disruptions

U.S. Small Business Administration

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A dminis trator Jo vita C arranza

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SBA’s Disaster Declaration Makes Loans Available Due to the Coronavirus (COVID-19)

The U.S. Small Business Administration (SBA) is offering designated states and territories low-interest federal disaster loans for working capital to small businesses suffering substantial economic injury as a result of the Coronavirus (COVID-19).

Upon a request received from a state’s or territory’s Governor, SBA will issue under its own authority, as provide by the Coronavirus Preparedness and Response Supplement Appropriations Act that was recently signed by the President, an Economic Injury Disaster Loan declaration.

U.S. Small Business -Office of Disaster Assistance-Field Operations Center - East

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SBA’s Economic Injury Disaster Loan Basics

What businesses are eligible to apply?

SBA’s Economic Injury Disaster Loans (or working capital loans) are available to small businesses, small agricultural cooperatives, small aquaculture businesses and most private non-profit organizations

This includes:

• Businesses directly affected by the disaster

• Businesses that offer services directly related to the businesses in the declaration

• Other businesses indirectly related the industry that are likely to be harmed by losses in their community

(Example: Manufacturer of widgets may be eligible as well as the wholesaler and retailer of the product.

3 U.S. Small Business -Office of Disaster Assistance-Field Operations Center - East

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What is the criteria for a loan approval?

Credit History-Applicants must have a credit history acceptable to SBA.

Repayment –SBA must determine that the applicant business has the ability to repay the SBA loan.

Eligibility- The applicant business must be physically located in a declared county and suffered working capital losses due to the declared disaster, not due to a downturn in the economy or other reasons.


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SBA’s Economic Injury Disaster Loan Terms

How much can I borrow?

Eligible entities may qualify for loans up to $2 million.

The interest rates for this disaster are 3.75 percent for small businesses and 2.75 percent for nonprofit organizations with terms up to 30 years.

Eligibility for these working capital loans are based on the size (must be a small business) and type of business and its financial resources.

How can I use the loan funds?

These working capital loans may be used to pay fixed debts, payroll, accounts payable, and other bills that could have been paid had the disaster not occurred. The loans are not intended to replace lost sales or profits or for expansion.


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Economic Injury Disaster Loan Terms

What are the collateral requirements?

• Economic Injury Disaster Loans over $25,000 require collateral.

• SBA takes real estate as collateral when it is available.

• SBA will not decline a loan for lack of collateral, but requires borrowers to pledge what is available.


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What kinds of small businesses can apply?

Examples of eligible industries include but are not limited to the following: hotels, recreational facilities, charter boats, manufactures, sports vendors, owners of rental property, restaurants, retailers, souvenir shops, travel agencies, and wholesalers.

What other criteria is involved?

The applicant business must have a physical presence in the declared disaster area. An applicant’s economic presence alone in a declared area does not meet this requirement. The physical presence must be tangible and significant. Merely having a P.O. Box in the disaster area would not qualify as a physical presence.


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SBA’s Working Capital Loans are Different from Other SBA Loans

SBA’s Economic Injury Disaster Loan (EIDLs) funds come directly from the U.S. Treasury.

Applicants do not go through a bank to apply. Instead apply directly to SBA’s Disaster Assistance Program at: DisasterLoan.sba.gov

There is no cost to apply.

There is no obligation to take the loan if offered.

The maximum unsecured loan amount is $25,000.

Applicants can have an existing SBA Disaster Loan and still qualify for an EIDL for this disaster, but the loans cannot be consolidated.


https://disasterloan.sba.gov/ela/

I U.S. Sm1111 Business Admlnlstr1tlon DISASTER BUSINESS LOAN APPLICATION

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Basic Filing Requirements

• Completed SBA loan application (SBA Form 5 or 5C).

• Tax Information Authorization (IRS Form 4506T)

for the applicant, principals and affiliates.

• Complete copies of the most recent Federal Income Tax Return.

• Schedule of Liabilities (SBA Form 2202).

• Personal Financial Statement (SBA Form 413).

Other Information may also be requested.

*Although a paper application and forms are acceptable, filing electronically is

easier, faster and more accurate.


I ~ .;.:;:;;:- I Disaster Loan Assistance

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Additional Filing Requirements

Other information that may be requested:

• Complete copy, including all schedules, of the most recent Federal income

tax return for principals, general partners or managing member, and

affiliates (see filing requirements for more information).

• If the most recent Federal income tax return has not been filed, a year-end

profit-and-loss statement and balance sheet for that tax year .

• A current year-to-date profit-and-loss statement .

• Additional Filing Requirements (SBA Form 1368) providing monthly sales

figures. (This is especially important for Economic Injury Disaster Loans.)


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Ineligible Entities

What are some of the businesses that are ineligible for an Economic Injury Disaster Loan?

• Agricultural Enterprises -If the primary activity of the business (including its affiliates) is as defined in Section 18(b)(1) of the Small Business Act, neither the business nor its affiliates are eligible for EIDL assistance.

• Religious Organizations

• Charitable Organizations

• Gambling Concerns (Ex: Concerns that derive more that 1/3 of their annual gross revenue from legal gambling activities)

• Casinos & Racetracks (Ex: Businesses whose purpose for being is gambling (e.g., casinos, racetracks, poker parlors, etc.) are not eligible for EIDL assistance regardless of 1/3 criteria above.


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How to Apply

SBA’s Customer Service Representatives are ready to serve.

• Applicants may apply online using the Electronic Loan Application (ELA) via SBA’s secure website at https://disasterloan.sba.gov/ela.

• Paper loan applications can be downloaded from www.sba.gov/disaster. Completed applications should be mailed to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155.

• Disaster loan information and application forms may also be obtained by calling the SBA’s Customer Service Center at 800-659-2955 (800-877-8339 for the deaf and hard-of-hearing) or by sending an email to [email protected].


https://disasterloan.sba.gov/ela

http://www.sba.gov/

mailto:[email protected]

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Assistance From SBA Partners

Free assistance with reconstructing financial records, preparing financial statements and submitting the loan application is available from any of SBA’s partners: Small Business Development Centers (SBDCs), SCORE, Women’s Business Centers (WBC), and Veteran’s Business Outreach Centers and local Chambers of Commerce.

For the nearest office, visit: https://www.sba.gov/local-assistance


https://www.sba.gov/local-assistance

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Submit Your Application As Soon As Possible

Recheck the filing requirements to ensure that all the needed information is submitted.

The biggest reason for delays in processing is due to missing information. Make sure to complete all filing requirements before submitting the application and forms.

If more funds are needed, applicants can submit supporting documents and a request for an increase. If less funds are needed, applicants can request a reduction in the loan amount.

If the loan request is denied, the applicant will be given up to six months in which to provide new information and submit a written request for reconsideration.


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Any Questions?

More information concerning SBA and its programs

visit our website at: www.sba.gov/disaster

U.S. Small Business -Office of Disaster Assistance-Field Operations Center - East 15

www.sba.gov/disaster

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U.S. Small Busi ness Administration

Disaster Loan Assistance Federal Disaster Loans for Businesses, Private Nonprofits, Homeowners, and Renters

FAQs

Loan Information

Help Contact Us Register Login 1f

Search Declarations Apply Online

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Disaster Loan Application Portal (DLAP)

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Disaster Loan Application Portal

This presentation will provide guidance on how to complete an Electronic Business Application utilizing SBA Form 5 and SBA Form 5C. Before starting this process, please insure you have the filing requirements as defined in this document. These documents are required for processing and EIDL application.

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Filing Requirements

Electronic Loan Application (Form 5)

Electronic Loan Application (Form 5C) Sole Proprietorship Only

Tax Authorization (Form 4506-T) 20% Owners/GP/50% Affiliate

Most recent Business Tax Return

Personal Financial Statement (Form 413) 20% Owners/GP

Schedule of Liabilities (Form 2202)

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U.S. Small Business Administ ration

Disaster Loan Assistance . . . . .

Eligible Disaster Areas

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-= Apply Online

FAQs

Loan Information

Help Contact Us

Search Declarations

I Disaster Loan Application Portal (DLAP)

DOUBLE-CLICK ON THE LINK TO ACCESS

THE SITE


DOUBLE CLICK APPLY

ONLINE

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U.S. Small Business Administrat ion

FAQs

Loan Information

Help Contact Us Register Login ,ff

Search Declarations Apply Online


*Password

!Password

~ Register ei Password Reset

system Requirements The recommended browser is Internet Explorer 10 or later.

• If you have dia l-up Internet service, yo u may experience delays.

• You must have cookies and JavaScript enabled . • You shou ld allow pop-up messages.

• You must have Adobe Reader installed .

Notice - Terms of Use This is a Federal computer system and is the property of the United States Government . It is fo r authorized use only. Users

( authorized or unauthorized} have no explicit or implicit e xpectation of priv acy in anything v ie wed , created , downloaded, or

stored on this system, including e-mail, Internet, and intranet use, Any or all uses of this system ( includ ing a ll periphera l

devices and output media ) and all files on this s ystem may be intercepted , monitored, read, captured , recorded, disclosed ,

copied , audited , and/or inspected by authorized Small Business Administration (S BA} personnel, the Office of Inspector

General (OIG} , and/ or other la\-J enforcement personnel, as \-J ell as authorized officials of other agencies, both domestic and

foreign .

Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to such

interception, monitoring , reading, capturing, recording, disclosure, copying, auditing , and/ or inspection at the discretion of

authorized SBA personne l, la w enforcement personnel (includ ing the OIG), and/ or authorized officials of other agencies ,

both d omestic and fore ign . Unauthorized use of. o r exceeding authorized access to , this system is prohib ited and may

constitute a vio lation of 18 U.S.C . § 1030 or other Federal la,-Js and regulations and may result in criminal, civil, and/ or

adm inistrative action, By continuillg to use this system, you indicate you r a wareness of, and col\sent to , these terms and

conditions and acknowledg e that there is no reasonable expedatio n of privacy in th e access or use of this computer syste m .

PLEAS E NOTE: Yo u r respons es to the requested information a re requ ired in orde r to o bta in a belle frt: under ou r Disaster

loan Program. Howe ve r, you are not requ ired to respond to ally collectio n of informatio n u nless it dis pla ys a currently valid

0 MB control n um be r.

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From this page

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TM reo.wll>On ,n/o,rmatton ~- l)(OV>d•'""'be used to vfflly vou, Mlentrty 1nd fM future looiM. Plea,e eMUre th1t tllol onfonn•- 11 acaiut11nd

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Hello, Chadwick

SBA.gov J- Step Loan Process FEMA Dtsaster Assistance

... ,_ ~ .. loan lnlOOMbOn Search O.Ctaratton1 Apply Online Menage Center

Disaster Loan Assistance Federal Oisasttr Loans tor Businesses. Prtv3tt Nonprofits, HomtoWntrs, .tnd Renttrs

Loan Type Selection

SBA.gov

Businesses and Non-Profits

Loans for repair or replacem ent of d,s,nler doma9~ business property and/or contents and/or economtC inJury (1n<:kJdlflCJ owners of rental properties)

J.Step Loan Process

Homeowners and Renters

Loans to Homeowners a nd Renters for the rep, ir or rept,cement of disaster dama9ed ~ •I estate .1nd/or personal property (including vehicles)

FEMA Oia.aste, Assistance

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Apply Online

Double Click on “Apply Online”

Double Click on Business and

Non Profit

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U.S. Small Buslnou Administration

Lo~n lnforffliltion

FAQs H,clp

Stlilrch Decliilriltions


Disaster Loan Appl ic:ation

Business Losses

• Please select the type of organization that best describes your- business. Q Sole-Proprietor (induding individuals with income pr-operties}

0 Co.-poration

0 Parbiership

O Priv a.te Non-Profit Organization ( e.g. religious, charitable, community organizations)

Q Lim ited Partnership

Q Trust

@ Limited Liability Entity ( LLC, LLP, etc.)

• Are you applying for: (check all that applv)

D Rea l Prope rty {induding Leasehold Improvements)

D Susin.ess Contents (Machinery & Equipment:, Furniture & Fixtures, and Other Business Assets,. i.e. Inventory)

flj Economic Injury ( EIDL)

D Military Reservist Economic Injury ( MREIDL)

If you log out or close your bro,vser now you will need to rest art your appl ica tion ,

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SBA.gov 3-Step Loan Process

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Cont,act U:s Hy Account lDQOUt -A

Apply Onlint1 Mll!ssage Ce-nt@r

FEMA Disaster Assistance

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Business Type

SBA Form 5 would be completed by:

• Corporations

• Partnership

• Private Non Profit Organizations

• Limited Partnership

• Trust

• Limited Liability Entity

SBA Form 5C would be completed by:

Sole Proprietorship

Once you make your selection the

system will automatically direct you

to the form.

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r--, FAQs Hdp Cont1d lJs Hy Account lDQOUt f SB A U.S. Smatl8'.isint$$

L...-J Administration loiln lnform1tion Surch 0tcl1r1tions Apply Onlint Messagt Center


Disaster Loan Application Progress

Declaration Selection

Please enter the State and County of the property damaged by the disaster,

tState •Cou~ ~IVi~,g_irKS _____ ~[v_) F¢i6%1,

If you log out or close your brO\~ser now you wi ll need to restart your application .

SBA.gov 3-Step Loan Process FEMA Disaster Assistance

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loin lnform,tion Stuch Otd1mions Apply Onl1111 Mffllc• c.m.,.

Disaster Loan Assistance Federal Disaster Loans for Businesses, Pnvate Nonprofits, Homeowners, and Renters

Disaster Loan Awlication Prvg~s


•Sbte ,e.ounty

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Select State /County / Disaster Declaration

Use the drop down box and select the

State and County where the loss has

happened

Select the disaster declaration

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u.S.SmallSuilnitu Administration

Loiln lnforfflil t ion

FAQs Help

Snrc::h Oec:hm11tion1

Disaster Loan Assistance Feder31 Disaster Loans for Businesses, Private Nonprofits, Homeowners. and Renters

Disaster Loan Application Progress

Certificat io n as to Truthf ul I nform a t ion

Cont.t~ In My Account Logout ,ff

Apply On linti M!!ssag@ C@ntl!r

By certifying this application, you certify that all infonnation in your a pplica tion and submitted with your application is true and COfTed: to the best of your knowledge, and that you will submit truthful information in the future.

WARNI NG: Whoever wrongful ly misapplies the proceeds of an SBA disaster loan sha ll be civilly liable to the Administra tor in an amount eciual to one-andone half times the original principal amount of the loan u nder 15 U.S.C. 6 36(b). ln a d ditio 11, any false statement or misrepresentation to SBA may result in criminal, civil or administrative sanctions including, but not limited to: 1) fines and imprisooment, or- botfi, under 15 U,S, C. 645, 18 U,S,C. 1001, 18 U,S,C. 1014 , 18 U.S.C. 1040, 18 U.S.C, 3571, and any other applicable laws ; 2) treble damages and civil penalties under the False Claims Act, 31 U,S,C. 3729: 3) double di!milges and c ivi l penalt ies under the Program Fraud Civil Remedies Act, 3 1 U.S.C. 3802; and 4) suspension and/or debarment from all Federal procurement and non-procurement transactions, Stilh.Jtory fines milY increase if amended by the Feder-al Civi l Penalties Inflat ion Adj ustment Act Improvements Act of 2015

• 0 I Certify

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MO,, Htlp rn U.S. Sm.-11 Busirwn L......J Adm1n11muoon Loin lnfonm,tion SHrch O.Cl1r11tion1


Disaster loan Application Progn:ss

STATEMENTS REQUIRED BY LAWS AN O EXECUTIV E ORDERS

Contut t.11 Hy,t,cco,'"1 Looout -ft

Apply OnliM Mesnce Center

To comply with legisl,1tion pasHCI by th. eong,..,ss ,and Executiv� Orders issu«I by the Pruident, F� de,-1 ex�cutrw aq�nc:iu, including the Srm,11 &sill<!H Administration (SBA), most notify yoo., oi c� rtain infonnation. You can find th� regulations and policiu impl11m� nting thaw laws and Exl!CUbv� Oroe.-s in Title 13, Code of Fedenl Re9ulat ions (CFR), Ch~pter 1, or ou r Stand.rd Operating Procedures (SOPs). In ord...- to PfOVioe the required notices, the following is• brief summary of the v� rious laws � nd Ex� cutiv-e Orders th.t � ffect SBA's Disuter i..o.n Progr� m,o, A gloss.lry of terrn5 can be found � I Diustflioan.U>a.gov.

FREEDOM OF INFORMATION ACT (5 U.S.C. I 552)

Th.is law provides, -..th some e xce ptions, that we must make records or portions of records conboined in our fi les available to persons requestin,;i them. This,;ieneraltyindudesa,;i,;irer,ate statisticalinfonnaliononourdisaste rloanpro,;iramsandoth.,..-infonnationsuchasnamesoiborrowers(1ndtheir offic� n, dir� dors, Rod chold� n or partn� n}, loain � mou nts � t rm1t urity, th� collatffal pledged, and th� gen� ral purpos� of loairn. W� do not routin� ly make aveilable to third parti� s your propri� tary data without first nobfyin,;i yoo.,, req lli.-.d by Executive Order 12600, or information that would causa competitiVe harm or constitut� a dearty unwarranted invasion of personal privacy.

F.-dom oi Information Act {FOIA) n,qutits must Ol!scrib� the sp� cffi,c records you want . For information about th� FOIA, contact th• O.iotf, FOi/AP Offic�, 409 3rd s-, SW, Suit� 5900, Washington, OC 20416, orby � mail at ~ .

PRIVACY /lCr (5 U.S .C. I 5521)

Anyone ~n request to see or ,;iet copies of 1ny pe,rsonal information that we have i<1 yoo.,r file . Any personal informatioo in your file that is rebieved by individua l id� ntifi� n, such as nama or social s� curity rwmbw is prot�ct �d by th� Privacy Ad, which m11an1 n,quesb for information � bout yoo., rm,y b� denied unl� 11 w� hav� your written p� rmissio<1 to ,..i..11� the infoo-mation to th� n,quHtor or unless the information ii subj.ct to d isdmu,.. under th� FreedomoiinfonnationAct. TheA,;ireemeritsandCertifiutionssectionofthisformcontoi<1Swrittenpermissionforusto d tSCIC>Htheinformation resultingf""'1thiscoll�cticntoRlll� , loul or priv� te disast� rreliefservkH.

Th� Privacy Act alll:hori.zn SBA to mal.:� c� rtain "routiflll u-� cs • of inform.ation protKtl!d by t hat Act. On� such routin� ..,.., for SBA'1 loan 1yst� m oi records ii th� t when this inform� tion indic� tes • violation or potenti� I violation of l� w, w.....U- dvil, aiminal, or � dminiW� liv� in natu,.., SBA may refer ittothe �~ate~ncy,whethe<- Federal,state,localorforeign,charged with responsibilityfororotherwiseinvolvedin investigation,J>0>51!CUtion, � nforc� ml!nt or pnv� <1tion of 1uch violations. Another routin� u .. of p� rsonal information is to assist in obtainin,;i a.dit bun,au ,..,port:s, on th� Dis.ul11r i..o.o Applicants and ,;i uarantors for purposes of originating, servicing, a<ld liquidating Disaster loans. See, 69 F.R. ~598, 58617 (and .JS ame<lded from timatotim� )for additio<lalbedcgn:><.1ndandotherroutiM>u-� cs.

Under the provisions of the Privacy Act, you are not required to p rovide social security numbers. (But see the information under Debt Collection Act below) W� us� social s� curity numbers to d istinguish between p� ople with a similar or the u m� n� m� for a.dit decisioru a nd for debt collection purposes. Failun, to PfOVioe this number may not affect any right, benefit or privil� g� to which you � re � ntit:led by law, but having the numb...- rm,ku it e H ier for us to more accurately id� ntify to whom adv� rsa c.-.dit information applies and to keep accuratit loan ,..,ords.

Note: Any pe~ concerned with the collection, use and diKlosure of information, under the Priv� cy Act may contact the O,ief, FOi/PA Office, 409 3rd Strw� t , SW, Suit� 5900, WHhin,;iton, DC 20416 or by � ·mail at ~ for information about the Agency's proc� dun,s f"tialin,;i to the Privacy Act and the Freedom of Iflformatioo Act.

DEBT COLLECTION ACT OF 1982: DEFICIT REDUCTION /lCr OF 1984; DEBT COUECTIDN IMPROVEM ENT /ICrOF 1996 !.other titJu (31 U.S.C. 3701 �t ...,_, n.- l� ws n,qu;,.., us to � 99,..,ssiv� ly collect any delinql.ll!nt loan paym� nb and to n,quin, you to giv� yoo.,r t.xpaYff identifiaition number to us whe<l you a pply for a loan . If you n,c,t;v� a loan and do not mal.:� paym� nts when they bl!coml! due, we may t.k� O<l� or more oi th� following actions (this list maynotbee><haust iv�):

*R� portthed� linqu� ncytoawdit,..,portin,;ibu,..,aus. •Offset your incomit tax r� fonds or other amounts due to you from the F� d e ral Gov� mm� nt . "Referthe � ccountto � priv�tecollection � gencyor other � gl!ncy<>peral;ing � d-ebtcollectioncent«. *Susp� <ld or d� bar you from doin,;i busin� n with tti. Fed� ral Gov� mm� nt . *R� f� t-your loaoto th� O..partm� <ltoflustx�. " Foreclose on collatenol or take other actions permitted in the loan il\struments.

• D I have Fi!~ the statements Requiri!d by Laws and Executive ~ers.

If yoo., log out or dos� your brows� , fl0W you will need to rutart your a pplication.

0,_~-DIS-0011 ••P..••rn1:,m1

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Complete Certifications

Read and Electronically Agree to

the Certification of Truthful

Information and the Executive

Orders Document.

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US.Sma llBusl nt-ss. Admi nistra t iOfl

fAQr. Help

Loan Information S.t1rch Oec:larations


Disaster loan Application #2000003701 Progress

Filing Requirements

Contact Ulll My Account l.oQOUt 4t

Apply Onlin• Message Canter

The followil\g sections are required for all loan applications. A green ch.eek mark indicates that a section lias been completed. Altemate- dooament deliYecy ~ are available if needed.

Complete t he Disaster Business Loan Application (SBA Form 5).

Disaster Business Loan Application

Complete, s ign and date each Personal Financial Statement (SBA Form 413) shown below.

Personal Financial Statement Comptete precedir19 se.ction(s) first.

Complete each Schedule of Liabilities (SBA Form 2202) shown below.

Schedule o f Liabilities Complete prece&ng section(s) first.

Complete each Request for Transcript of Tax Return (IRS Form 4506-T) shown below.

Request for Transcript of Tax Return Complete precedirrg sectkm(s) first.

Complete copies, including a ll schedu les , of t he most rece nt Federal income tax returns for the applica nt business; an explana t ion if not avai lable

Applicant Business Federal Tax Re turn Complete precedirrg s«tion(s) first.

Read a nd accept t he Truthfu l Informati on Certification.

Tn.rthful lnfonnation Certification Comptete preceding s«tion{s) first.

Submit Appli cation and Supporting Documents .

Submit Application Complete precedirrg seaion{s) first.

ADDITIONAL INFORMATION MAY BE NECESSARY TO PROCESS YOUR APPUCATION. IF REQUESTED, PLEASE PROVIDE WITHIN 7 DAYS OF THE INFORMATION REQUEST.

c:omplete copy, including a ll sdiedules, of the most recent Federal income tax retum for each principal owning 20 percent or more, each general partner or managing membe r, and each affi liate when any owr.er has more than a 50 percent ownership in the affi liate busi ness, Affil iates include, but are not limited to, business parents, subsidiaries, and/or other businesses with common ownership or management

If the most recent Federal income tax return has not been fi led, a year-end profit-a nd-loss statement and balance sheet for that tax year

A current year-to-date profit-and-loss statement

Additiona l Filing Requirements (SBA Form 1368) providing monthly sa les figures form will generally be required when requesting an increase in the a mount of economic in.Jury.

ONaCllrenil NiD. n.5-0017 £.op.118(.]l/lWI

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Start Application – Form 5

This business type for

this example is an LLC.

This page provides

information on all the

filing requirements

necessary to have a

successfully completed

application.

To begin depress

START

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Disaster Loan Application #2000003701 Progress -

S BA For m 5 - Page 1 of 3

If you know yo.ur 9 d ig it FEM.A R"1gl:stratlon Number, p lea•e enter It llf!r"1! I

D Physical Dama9e •· Indicate lype or damage

D Real P roperty D 81.u.iness Contents

!:21 Et:onomk: l nJury (EIDL)

2 I ORGAN.IZATION TYPE •Sole Pro p rietors should complete form 'SC

I

D MIiitary Reservist t:IOL (MREIDL)

NameorEssenlial Employee

Empiov~·s s«ial Stturity Nutri':,-:-.,.--;:._ =_ =_ =_ =_ =_ =_ =_ =_ =_ =_ =_ =:_.

QPartnership

QCorpoBlion

Qlir'l'lit~Partner1hiti

0 Nonprofit organi:uition

@Limit~LiabilityEntil'y

QTrust

QOther

3 I • APPLICANT'S LEGAL NAME 4 I • Tax Ident.:iflcatlon Number (lnc:ludln9 duh,H)

lcHAOWICK G. NELSON joS-31-123<1

S I TRADE NA.ME ( If dirrl!!renl from l~ a l name) fi I • BUSINESS PHONE NUMBER (lncl udln9 lrH code)

fcHAOWICK'S \IA.CATION RENTALS CYR je17-MS-JJ69

7 I MA.IUNG ADDRESS

@ 8usine~ Q Home O Temporarv Q Other

* Number, Street, • n d / or Post Office &ox

jt 23 �lAIN ,!!!.e..... ~•c~"~•-----~ ~ j HERNDON IV I

8 I DAMAGED PROPERTY ADDRESS(ES)

* BUSINESS PROPERTY IS: @ Ow~ Q W"Med

Make llll l Addre�� the same as Appllc� nr• Malllng Addre�� entll!!N!d ln Sect.Ion 7

,~~~~:!~ • n d Sttffl N•m e ~ ~,:c .. E1~.,.y~DO-N----~1v,j

Coverage Type j l't'li;,rd [ v j Pl\ol\e Number of lnsunn« Agent f oJ-771,- 1900

lnt11ranCf! Company JA.11!:Lale .t.ge,,,t Nar'tle jri:m Brog &.n Policy Number ;:.jM::::XU::::1::::23::::-J:Kl===~----=:...:::...::..!:;j==~--~

Add Analher lnsuranoe

Add Analher D� maql!!d Propel'ty

9 I PROVIDE THE NAME(S) OF THE INDIVIDUAL(S) TO CONTACT FOR: Lo~ Ve.-il1Cflt ion Inspection lnlo.mation necessary t.oi:,rocessthll!!Ai:,pliCfltion

• Natne (CHAO NELSON

ja11.s4s.lJ69 jB17-845-llfi9

1 0 I ALTERNATE WAY TO CONTACT YOU

BUSINESS ACTIVITY: I € .6.CATION RENTALS 121 NUMBER OF EMPLOYEES: (Pre-disaster) I c:::::::3 n • DATE BUSI NESS ESTABLISHED: lio110112ooe j u i • CURRE NT MANAGEMENT SINCE I !{)1101,2oos j

15 AMOUNT OF ESTIMATED LOSS:

MachlM1y &. Equii:,ment

Rel!II EstaLe l nvl!!ntorv;:=======:

LeaHhald l mprovl!!ml!!nts

16 • Do you own more tne.n 50% or arl!! vw e. Manl!!ging �ll!!l'l'lber or Ge~I P.!lrtnl!!r of a ottrporation, p.!1rll'll!!rSh10, lir'tlit~ pertn~ffllp, or LLC7 I QYes@No

016Con:rolND.32,CS·OCll1 Exp.DS,IJl/2021

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Form 5 – Page 1

Fill in the information

on this page as

necessary, items with

a red * are

mandatory field and

you will not be able

to advance to NEXT

until these sections

are completed.

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lll_..,._ _ _, . 2 H HH7U . ,...,_ _

SBAformS - Pa,ge 2of 3

... _,,, ____ ,,.,._,.~-·.. , __ :.-:..~-..::--.'!~.:.-------

~"E::, ,~-::.- I CE E"':::::::EJ E""'j c"::'=:::::::: ~ , ... .. ,:- v j ~ ~ ~ ....... _0:-:: -- - --~...... ....... .. ,;;:-..:-. I Oi'£:'J ill/a. H i;l":, . ... _ .. ____ .._ ____ ~-----...... +

o-. ...

--••!!!!!!!! -==::J = -=:J = ~ = = ,.,.,.,., i ,....... v j ~ c:::=::::::J c=:=J •-o ... ,- , ... ---- - E:"':i n , ,., "° ;:.; ... · -~--.. ____ . ---.:::..-::.:;.--

.. __ ,-_ ... _ .. __ .... _._ .. ___ ~ ..................... . ---·----

:.....:--7 ... ..,.=~ ~~----== .. =:.-..!.o-:..=.i ....... :=Z;...:...!'~ 1 _.,

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-=-=~-=-=-==--=~;::~.1--::-_-_. , __ -------------... --.. --,--,..........,_ .. __ ., __ ,.._ ______ ............ _ .. _____ .. ....,.., ___ ..,.__ .. _ .. __

I

Disaster Loan Assistance __ .._,_..,._._,7111 ...__.

P•g•3 ot3

I

Form 5 – Pages 2 and 3

Page 2 of Form 5 allows

the business owner to

provide information

about any Partners or

Affiliate Businesses.

Note: If a business is a

partnership all members

must listed with the % of

ownership until the

combined entries equal

100%

Page 3

is used

for any

relevant

comme

nts

28

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Filing Requirements

The following sections are required for all loan applicaboo.s, A g reen check mark ind tcates that a section has been completed, Atternate dornroeot deliveQ! options are available if needed,

Complete the Disaster Business Loan Application (SBA Form 5) ,

./ Disaster Business Loan Application

Complete, sign a nd date each Personal Financial Statement (SBA Form 413) shown below.

CHADWICK R NELSON

CRAIG BLACKLEY

Compl et e each Schedule of Liabilities (SBA Form 2202) shown below.

CHADWICK G. NELSON

Compl et e each Request for Transcript of Tax Return ( IRS Form 4506-T) shown below.

CHADWICK G. NELSON

CHADWICK R NELSON

CRAIG BLACKLEY

Update

Complete copies, includin ,g all schedules, of the most recent Federal income tax retu rns for the- applicant business; a n explanation if not available

CHADWICK G. NELSON

Read and accept the Truthful Information Certification.

Truthful Information Certification Complete preceding section(s) first.

Submit Application a nd Supporting Documents .

Submit Application Complete preceding section(s) first.

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Filing Requirements

Now that the

application is

complete, the

filing

requirements on

this page must

be submitted /

uploaded to

complete the

process.

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Complete, sign and date each Personal Financial Statement (SBA Form 413) shown below.

CHADWICK R NELSON

CRAIG BL.ACKLEY

Disaster Loan Assistance Federal Dis3ster Loans for Businesses, Private Nonprofits, Homeowners, and Renters


Per-son a l I n co m e

Plaas. prCMde the IOIJKU of ~nal incoma cl CHADWICK R NELSON.

If you a,... unabl<O to Mltitr daU. fw this Penonal Financial stat1tm11nt now, cld< !!l!1 to downlGad a p.apar copy to submit offlin.,

SBA.gov

lncomitamountsshouldt.. b.sedonannw,lwholedolla

Salary «:s,ooo.@ PfftlnVtitm«IIIncomt ~--~

M of jt 2J1:5/2019 j (""'1100/YYYY)

t-Al~or-cnildwpportp.ay"-"'lneednotbitdisdosedin "O!her-Incorne"unlenit is 6e,;i,.dtoh.,,. wc:hp;iymanac....,_,,towardtctalinccml.

J.Step loan Process FEMA Disaster Assistance

!ilart

!ilart

Pin .. provid,e the infonn.tion fo< ,-1 -1:ot owned by a.AOWICK R NELSON. • Oick "AddAnothe~"toent•••-pr,,perfy • Scrollb<Jttonsb.lowtheraalMt.ataHCtionc.ant..uM<ltomov.~pag,osolA1al ut.1te. • To-ap,r,,perfy,dicktnered X nexttoth.t p"'p,trfy .

City, Stale,Zip Code

Datal'IJrchaHd(MM/YYYY)

City, Sbt1t,ZipCode

Mo<t\la,g,,,AccountNumbe,

!AddAnother l O ldonot ownrul H tate

ji2:sstONEY jAn.ANTA. GA 30303

h 21201s

f14:5,ooo.oo j

$450,ooo.oo l

Amount of P>,y,-nt ?e< Mo/Yr c:::::::J c:::::E st•tusofMortg-

! ·-.«Vill>e(l)-MIOUHG..a-°" l'e-1.....UQogl. 2 ·::;!"g,t&ollta(f)-Mtotale<l-~ ....... -C-,

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Personal Financial Statement

You can use

this form to

complete

your

personal

financial

statement or

upload a

financial

statement

you already

have by

scanning

and

uploading

that

document

If you indicated you have real

estate you must complete this

form, supplying additional

information

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Personal Assets

Please provide the personal nsets for CHADWICK R NELSON,

• Oick .. Add Another .. to enter a new Security (stocks and Bends). • To remo~ a Security, did the red X next to the Security (stt:,,:h and Bends),

stocks and Bonds-------------------------------,

Total Value of Stocks &. Bonds, $0.00 Tota l Villue for All Stocxs and Bonds will display in Assets section below.

C::: :;:H,:::o,;--;•;--;;"~"';-:"::;"':------------;:==,:;,,::::.,:;oo::::.oo:::;-1 ----;s:;:todo;:;::-:•;--;eo..=:;d::--, ------------,::: •. :::00:7 $45,ooo.oo! ~~=:rocks,mdaoods Section) Savings Accounts

!AA or other Retirement Account

Accoonts&.NotesR.ecewable

life Insurance - C.sh Surrender Value Only (Describe below)

Life Insurance He ld

Sl,000,564.00j f=~~T::~ep=JV,alue (Describe ~•ow, and indude Yur/M,1q/Mcttk/) othe<PersonalProperty (Desaibebeiow) OtherAJsets (Describe below)

$450,000.00

Toto1I Asset,; ----"$1"",5"'30"',5"-64".0"-0

(Give liJU! amount and c.sh surrender value ol po/id5 - name of insurana ~ny and benelidaries.}

2-40 characte~remaining

other Personal Property and other Assets (Describe, and if anyisp!~as security, stare~me ;mdaddres5 o//iefl holder, amounrof fJen, rerms ol~ymem andifdelinq(H!llt, describe delinquency.)

Disaste r loan Ap~ication #2000003 701 Progress -

Per sona l Debts

Pleil~ provid,e the pe.-sonill CH!bts for CHAOWICK R. NELSON.

• Click ~Add Another ~ to l!ntar ii r-.w Not.hold«. • ToremoveNoteholder, dick.thered ,C nexttotheNotehok:ler. Notes Pay.a bletoS..nks•otMrS-------------------------,

IC I TWlofCurrenlBalances:$0.00

CurntntBalancuwilldispbyintti.DebbSectionbelow.

--:::-~---------;::::======;---~~---------;::::==:::::;i Accounts Payable :f4 ,500.ooj l..oanonLif•lnwra,nc•

NotuPayabletoBanlcs&Oth..-s {ror.tlofCurrent&lanu/romabov.J lnstallmentAccount (Auto)

Monthly P~menl

In,UlllmentAccount (Ol:ti.r)

MonthlyP~ment (:==:]

$0.00 MorlgaguonR..,IEslat• (rocaffromRff/EsrareSeaio/lJ Un~icl Tues (Dticnbe~w) othe.-Wbilities (Dnaibe IM.'ow)

Unpa,id TilX(~ in~l,..- tol)l;>t, n towhom;,a,-.Ml,wn«l du,,,atn111.111t, andtowhatp,rw,erty, if.any,a tu /iM>atr.1<:Md.)

140 d,ara,dersn,maining

oth-o..bb (Des<ri~ in derail.)

240 d,ara,d•rsntmaining

$4:i,ooo.oo j

Total Debt,; _____ .. _,,_,oo_,oo_

A5Endon.rorCo·Mahr .- ProvisionforF•d•nllncomaTax .-r ContingenlUaobililie!ii --;2~~~~~~~-----:::---:--::--:::---:---:::--:::-~~~~~~~~;-------7

t..gail Oaimi; & ludgn-.nb; oth.r SpKial o.bt

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Personal Assets / Debits

The

applicant

and any

partner

would

need to

provide

informati

on on

assets

and

debits

31

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Com plete ea ch Schedule of Liabilities (SBA Form 2202) shown be low.

CHADWICIC G. NELSON Slat

,.........., FAQ& Help ?B* U.S. sm,I1 Bv:sln<1n

Administration Loim lnfor~ion Set1rch Oech11r~ions Apply Onlin• Mesuge Center



Schedule of Liabilities - {Notes, Mortgages and Accounts Payable)

This form is provided for- your convenience in responding to fil ing requirements in I tem 2 on the application, SBA Form 5. You may use your own fonn if you preJer. The information contained in this schedule is a S'Ul)p1eme nt to your balance sheet and should balance to the liabilities prese nted on that form.

If y ou are unable to ente.r data fo r the Schedu le of Lia bilities now, click he.r:e: to download a paper copy to submit offiine.

Name : CHADWICK G. NELSON

Date of Schedule : ~---~

� I have NO Debts

• Click "Add Another" to enter a new creditor, • To remove a creditOf", d ick the red ,C next to the creditor. Schedule of Liabilities

Dtiete IName of Credito, lor19'nal Amount lr~i:~n~~ I• Current Balance lcur.-ent1

• I I c::::::J I c::::::J I c::::::::J I �

I AddAnothe, I


lrN-:.u;~;te 1:.:0~::nt

I c=::J I c::::::::J

];.::nth or lttow secured

ICEI c::::::::J


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Schedule of Liabilities – SBA form 2202

32

Applicant would click on Schedule of Liabilities

and either complete the SBA form or upload the

applicant’s document

I

FAQa .. dp Conttct VII Hy Account Logoul ,ft

Lo.n lnforrTN1tion S.•rch Oe<:h•r•Uon• Apply OnliM Meu.ace C.nter


Disaster Loan Application #2000003701 Progress

Request for Transcript of Tax Return

SBA requires you to complete the IRS fonn 4506-T as a part of your disaster loan application submission. The form authorizes the income lax information directly to SBA. Pk!ase US4! this page to e nter the a.dditional data needed to populate IRS Fonn 4S06-T.

• You fDUsl check t he box in the signature area t o adcno~e you have the authority to sign and request the in l not be processed and returned to you if the box is unchecked.

Name shown on bx retum. If a joint retum, the name shown first.

CHADW I CK R NELSON

Cun-ent add.-ess ( including a pt., room , °" s uite no.}, city, sbt e, and ZI P code 123 MAIN, HERNDON, VA 20170

PN,vious add~ s shown on the last retum fi led if different from current add N!'55

i-'Ad~·~-~••~Li~·•~• ~• ---~F•dd==~•~Li~·••~'~---~ ,,,=°"'~---~, a 1n p Coclo,1

Tax Form Numbl!r(s) Year °" period requested

1040 20 18, 2017, 2016

Signature of taxpayer(s ) . I d-dare th.ail I am either the taxpayc,r who...,...,,.... i'I shown on line la or 2a, or a po!non auth<>rUC..d to obta in tho, tax informatio ,1pplies to a joint return , il l le,1st one spouse must sign. If signed by a corporate officer, 1 percent or more shareholder, partner, r guan:lian ,t..xm1ttenpartner, executor, receiver,.iidministrator, trustee, orp.1rtyotherthanthet.11xp.1yer,lcertifythitl have th KHlT1 4506-T on behalf of the t,1xpayer.

NOTE: For transcripts being sent to a thin:I party, this form must be recehted within 120 days of the signature date.

• !ill Signato ry a ttests that he/she has re ad the attestation clause a nd upon so re ading d ecla res that he/she h as the a uthori

the Fo rm 4506-T,


Request fo r T ra n script of Tax Retu rn - Download / Upload

• Download the completed Request for Transcript Of Tax Return for CHADWICK R NELSON

The data collection for your Request for Transcript of Tax Retum ( IRS Fann 4506-T) is complete. Click the download button below to save your dOCJment.

• Sign and date: t he document.

Once downloaded and printed, be sure to sign and date the document.

• Include: the signed document with your application.

Scan and attach your signed Request fo r Transcript ofTaox Return (IRS Form 4506-T) .

File Naome

l!miii~---------------~ ~ Atrach.d file must~ an unprotect.d fife in PDF Format less than 38MB

OR

If you are unable to attadi a, signed copy of the printed document, you may slcip this step and submit it offline by other methods outlined in th,, domment delivery options page.

The signed paopcr document must be received by the SBA before processing of your application can begin.

0 I agree lo d el ive r a copy of the completed docum e nt to the SBA.

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Uploaded 4506T

The 4506T

can be

uploaded

once the

form is

printed and

signed. You

would need

to save a

copy on

your

desktop,

once saved

browse find

the

document

and upload.

You could

also opt to

deliver

offline 33

I

Complete each Request for Transcript o f Tax Return (IRS Form 4506· T) shown below.

CHADWICK C. NELSON

CHADW ICK R N.ELSON

CRAIG BLACKLEY

,........, SB A US. sri:iaH Busln.n L......J Adm1 mstr.mon

FAQI Htlp

LOiln lnforfflilltion Surch Dechirations


Disaster loan Application #2000003701 PTOgre!is -


Cont•dtlill HVA«OIU'lt I.OO«lt * Apply Online Messac• Center

SBA requires you to complete the IRS Form 4506-T ilS a part of your disaster loan application submission. The form authorizes the IRS to provide federal income tax infonnation directfy to SB.A.. Please use this page to enter the additional data needed to populate IRS Form 4506-T.

Name shown on tax retum. If a joint retum, the name shown first.

CHADWICK G. NELSON

Cun-ent address (including apt., room, or surte no.), city, state, and ZIP code 123 MAIN, HERNDON, VA 20170

First SSN, individual taxpaye r identification number, or employer identification number

415-3 1-1234

Previous address shown on the last retum filed if different from current address

Address Line 1 Address Line 2 Fr ity~---~, l::j t ip Code)

• litle (of taxpaye r or person authorized to obtain the tax infonnation requested)

I Iv! Tax Fonn Number{s) Year or period requested

·I 12131v2018 •I 12131v20" •I 12131r 2••• Enter the ending date of the fiscal year or period using the MM/DD format for each of the years shown below,

Signature of taxpayer(s). t declare that I am either the taxpayer whose name is shown on line la Of" 2a, Of" a person authorized to obtain t he tax infonnation requested. If the request applies to a joint return, at least one spouse must sign. If signed by a corporate offk:er, 1 percent or mDf"e shareholder, partner, managing member, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify tha t I have the authority to execute Fonn 4506· Ton behalf of the taxpayer.

NOTE: FOi" tral'l5Cf'ipts being sent to a th ird party, this fonn must be received within 120 days of the signature date.

• 0 Signatory attests that he/she has read the attestation claus e and upon so reading declares that he/ she has the a uthority to sign

theform 4506-T,


Disaster Loan Application #2000003701 Progress 11111111111111


SBA requires: VOi.i to complete the JRS Form 4506-T as a part of your disaster loan application submission . The form authorizes the IRS to provide federal income tax infonna.tion directty to SBA, Please use this page to e nter the additional data needed to populate I RS Form 4506-T.

Name shown on bx return. U a joint return, the name s hown fi rst.

CHADWICK G. NELSON

First SSN, individ ual taxpaye,- identification number, or e mplo yer ide ntification number

Current address {induding apt. , room, or suite no.) , city, st.ate, and ZIP code 123 MAIN, HERN DON, VA 20170

4 15-31- 1234

Previous a ddress s hown on the last return fi led if different from current a ddress

Address Line 1 Address Line 2 .-r~•ty~---~, 1::j !Zip c.odel

• Title (o f taxpayer o r person authorized to obtain the tax information requested)

I H Tax Form Number{s) Year o r period requested

•I 1213 1V201a •I 12;31V2011 •I 1213 1V2016 Enter the ending date of the fiscal year or period using the MM/DD format for each of the years shown below.

Signature of taxpayer(s ). I dedare that I am either the taxpayer whose name is show n on line l a or 2a , or a person authorized to obtain the tax information requested. If the request applies to a joint return, at least one spouse must sign. If signed by a corporate officer, l percent o r more :shareholder, partner, ma naging member, guardia n, tax matters partner, executor, recaiver, a dministrator, trustee, or party other than the taxpayer, I certify that I have the authority to exeaite Form 4506-T on behalf of the taxpaye r.

NOTE: For transcripts be ing sent to a third party, this form must be received within 120 days of the signahJre date .

• @ Signatory attests that he/she has read t he attestation cbuse and upo n so reading declares tha t he/ she has the a uthority to sign

the Form 4506-T.


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Electronically file 4506T

Each Applicant and Partner must submit a 4506T

34

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fl't.Q& Htlp Cont1a Um Hy Account t.oaout ift

l0t1n lnformill t ion Search O.Cl•rat ion1 Ap ply OnliM ~ssag@ C@ntu


Disaster Loan Application #2000003701 Progress ........

Request for Transcript of Tax Return - Download / Upload

• Download the completed Request for Transcript Of Tax Return for CHADWICK G. NELSON

The data collection for your Request for Transcript of Tax Return (IRS Form 4506-T) is complete. Click the download button below to save your document.

• Sign and date the document.

Once downloaded and printed, be sure to sign and date the document .

• Include the signed document with your application.

Your document has been successfully uploaded.

The file 4506 T.pdf has been associated with your application. Remove this file to replace it.

Click th!! Next button to continue.


Complete each Request for Transcript of Tax Return (IRS Form 4506-T) shown below.

ff/ CHADWlCX G. NELSON

,/ CHADWICK R NELSON

.,/ CRAIG BL.ACKLEY


Document ati:Dched ~

Document attached ~

Document attached ~

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I

4506T Uploaded Successful

Once the 4506 T is uploaded you will

receive a message back indicating the

transmittal was successful. Make

sure all fields are complete. All

partners must submit this form for

their individual and business taxes.

35

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Complete copies, inclu ding a ll sche d ules , of t he most recent Federal income tax retu rns for the app lica nt business; an exp la nation if not avai lable

CHADWICK G. NELSON

.......... fAQ& Help

98❖ U.S. Sm,11 11 Bus.ln<Hs. Admi nistration

loiln lnformiltion Seilrc:h Oeclilriltiont



Federal Tax Return - Upload

• Include the document with your application.

Scan and attach the Federa l Tax Return for the Appli cant Business.

File Name

Attached fife must be an unprotected file in PDF format less than 38MB.

OR

Contact Us My Accoont LOoout 11

Apply Online Message C@nter

If you are unable to attach a completed copy of the doa.iment, you may s kip this step and submit it offline by other methods outlined in the document delivery options page.

The document must be received by t he SBA before processing of your application can begin .

D I agree to deliver a copy of the completed document to the SBA.

I Previous


Slart

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Tax Returns To complete your application you must

upload your most recent tax returns.

Taxes would be

scanned and saved

on the desktop. You

would browse your

desktop and then

upload the tax

returns.

36

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Read and accept t he Truthfu l Inform at ion Certification .

Truthful Information Certification

US. Sm H Ba.l~in $

dminisiration FAQs Help

Loin lriform11tion Search Dec:l,nations

Disaster Loan Assistance Federal Disaster Loans for Businesses, Private Nonprofits, Homeowners, and R,em:ers


Certification as to Truthfu l Information

-Contllct Us M Account Lo~out

Apply Onlina Mes.sage Center

By certifying this application, you certify tllat a ll information in you r application and submitted witll your application is true and correct to the best of your laiow!edge, and that you .-, ill submit trutftful information in the future.

WARNING: Whoeve:r wrongfully misapplies the proceeds of a n SBA disaster loan shall be civilly liab e to the Administrator in an amount equal to one-and•one llalf times bhe o.rigina I principal a mount of bhe loan under 15 U .S .C. 63'6(b). In addition, any false statement or misrep.resentation to SBA may result in crimina l, civil o, a dministrative sanctions induding, but not limited to: 1) fines and imprisonment; or botll, under 15 U.S.C. 645, 18 U.S.C. 1001, 18 U.S.C. 1014, 18 U.S.C. 1040, 18 U.S.C. 3571, and an\' other applicable lav/S; 2) treble damages and civil penalties under th.e False d aims Act, 31 U.S.C. 3729; 3) double damages and civil pe rnalties under the Program Fraud Civil Remedies Act, 31 U.S.C. 3802; and 4) suspensiorn and/or debarment from all Federal proa.J reme11t and non-procurement transactions .. Statutory fines ma\' increase if a mended by t he Fed era I Qvil Penalties Infla,tion Adjustment Act Improvemenh; Acl: oi 2015

* � I Certify

~revious

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Certificate as to Truthful Information

37

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Disaster Loan Applic.ation #2000003701 Progress -

Filing Requi r em ents

The following s-ections are ,-.quired for all ac,.n applications. A green check maric Indicates that a section hu been competed. Altermte doo,roe:ot rhliYf'CY 2m!5!!!I. ;u11 availabla if~.

Complete the Disas t er Business Loan Applica t ion (SBA Form 5).

./ Disaster Business Loan Application

Complete, sign a nd date each Personal Financial Sta te m e nt ( SBA Form 413) shown below.

CHADWICK R N ELSON

CRAIG BLAOCLEY

Complete each Schedule of Liabiliti es (SBA Form 2202) show n below.

CHADWI CK C:. NELSON

Co mplete each Request f o r Transcr ipt of Tax Return (IRS Form 4506· T) shown below.

CHADWIOC C. NELSON

CHA.DWIOC R N ELSON

CRAIG Bl.ACKLEY

Co mplete copies , inclu ding all sched ules, of the most recent f ederal inco me t ax returns fo r the applica nt business; an explanation if not available

CHAOWIOC C . NELSON

Read an d accept the Truthful Infor m ation Ce rtifica t ion .

Truthful Information Certif"teation

Submit Application and Supporting Docume nts .

Submit Application


Filing Re qui r e m e nts

The followi ng sections are required for all loan applications . A green check mark indicates that a section has been completed. Altemat., darnrnent df'livery ~ are available if needed.

Complete the Disaster Business loan Applicatio n (SBA Form 5) .

./ Disas t e r 8u!iiine55 Loan Application

Complet e, sig n and date ea ch Personal Finan cia l Statem ent (SBA Form 413) show n below .

.,/ CHADWICK R NELSON

,,,/ CRAIG BLACKLEY

Complete each Sched ule of Uabilit ies (SBA Form 2202) shown below.

.,/ CHADWICK G. NELSON

Complete each Request for Transcript o f Tax Return ( I RS Form 4506-T) s hown be low.


,t/ CHADWICK R NELSON

t/ CRAIG BLACKLEY

Document iltuched ~

Document iJtt.Khed ~

Documentiltuched ~

Complete copies , including al1 sched ules, of the most rece nt Federal incom e tax retu rns for the applicant business ; an explanation if not available


Read and accept the Truthfu l Info rmat ion Certification .

.,/ Truthful Informatio n Certification

Submit Applicatio n a nd Supporting Docume nts.

Preview Electronic Loan Application

Submit Application

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Filing Requirements Complete

You can see that all filing requirements no longer say “start” what shows now is all filing requirements have been updated and the application is ready to submit

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........., ~B~

U.S.Sm,11U8,us;ln.-sl Administration

FAQs Help

Loo1n lnfor~tion Sao1rch Ottclilrations



A ppl ication Submissio n Confirm ation

Application num ber 2000 003701 has been subm itt ed .

Please downl oad a nd retain your submitted document(s) for your reco rds.

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FAQ• Melp conuct Us Mr Accouftl Looout -fl

Loan lnfonnatioo Search Oeclaratiofls Apply Online Message Cet1tefQ

Disaster Loan Assistance Federal Disaster Loans tor Businesses, Private Nonprofits, Homeowners, and Renters

Message c enter Click on any message to view the contents. Clicking the Delete link will dele te the message immediately.

Sub1ed Received -SBA Appliution Ho. 1000003701 - Su b m it Confirmation 3/15/1010 ll:00:20 AM

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Application Successfully Submitted

Once the application is successfully

submitted you will get this page. In the

right hand corner a message indicator

will appear. The message confirms

submittal of the application

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II http</!tni,r>g.di,u:ulca , , , 1.go-,'ol,/Ac ,ount/togin'foturnl.ln-'l'..F. a~R.,•~~~I ca:icn'¾JHtl!t,bpliution

.onAtsisunce

.. ilC S.11ch

............ ·-· ..

Disaster Loan Assistance Feder.ii Ois.1ster Lo.1ns far Businesses, Priv.lte Nonprofits, Homecwners, "'"d Renters

Oi sai;t er Lo an Ai;i.i sta n c e - Login

• u..er lhme

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Loan lliform1tion Search Declarations A pply Online Message Centec-

Disaster Loan Assistance Federal Disaster Loons tor Businesses, Private Nonprofit$, Homeowners, and Renters

Hello, Chadwick My Applications & Loans

I Bu sineH Appliulion #2000003701

EEku A+>pliunt: CHADW I CK C . NELSON ~ Status: NOT SUBMITTED

Lu1 Upda1ed: 3/14/2020

SBA.gov

l::l1g1ble l)1saster Areas

3-Step Loan Process

L.tttt.utt• ffllMIOgo'l w .tt:HlttltlS, ZOZ0, 10 .0JAJ<fEDr.

1MrMll.tV<I _O........,ffUl'l>!I09VIHl•mi,tsliflt».,,,.,,M.flt.uttffllul'°91".

Apply Online


I Returning to Complete Application

Input your user name and password to

complete a started application, once in

click on “Continue”

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Disaster Loan Application

Business Losses

•Please select the type of organization that best describes your business. @ Sole-Proprietor (including individuals with income properties)

O Corporation

O Partnership

O Private Non-Profit Organization (e.g. religious, charitable, community organizations)

O Limited Partnership

O Trust

0 Limited Liability Entity {LLC, LLP, etc.)

•Are you applying for: (check all that apply)

0 Real Property (including Leasehold Improvements)

0 Business Contents (Machinery & Equipment, Furniture & Fixtures, and Other Business Assets, i.e. Inventory)

~ Economic Injury (EIDL)

Military Reservist Economic Injury (MREIDL)

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Previous

I Business Losses

A Sole Proprietor will use “Sole Proprietor” and “Economic Injury (EIDL).

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Disast r Loan A sistanc Federal Disaster Loans for Businesses, Private Nonprofits, Homeowners, and Renters

Disaster Loan Application

Home/Personal Property Losses

•Was the damaged property your primary residence at the time of the disaster? @Yes

Q No

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Previous

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Home/Personal Losses The Loan Application will walk you though the process. Click “Save” to save the input and click “Next” to navigate to the next page.

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Disaster Loa n Ap pl ication Progress I

!!! ALERT!!! Please save your data by clicking the SAVE button shown in the upper right.


Please enter the Sta te and County of t he property damaged by the d isaster.

• State I Virginia

• County I Fairfax

• Sele ct the Disas t e r that affected you.

Select Disaster Name Disaster Description State Disaster Date Filing Deadline

@ 2020 AGENCY DISASTER IN 2020 AGENCY DISASTER IN VIRGIN[A GEO - 1.50 VA 1/ 30/ 2020 3/ 30/ 2020 VIRG[N[A GEO - 1.50

0 2020 PRES [A D[SASTER I N

2020 PRES [A D[SASTER IN VIRGINI A GEO - 1.25 VA 1/ 28/ 2020 3/30/ 2020 VIRGINIA GEO - 1.25

0 ALICE DCMS 2.0 SF LV PRES Alice DCMS 2.0 SF LV PRES [A Disaster VA 11/ 1/ 2019 5/ 13/2020 IA DISATSER

0 NEW DCMS 2.0 PRES IA NEW DCMS 2.0 PRES IA D[SASTER FOR TRN/QA VA 8/ 29/ 20 18 10/ 29/ 2020

DISASTER FOR TRN/ OA

0 AUGUST DCMS 2.0 PRES [A AUGUST DCMS 2.0 PRES [A D[SASTER [N VA VA 8/ 15/ 20 18 10/ 15/ 2020 DISASTER IN VA

0 NEW DCMS 2.0 PRES IA NEW DCMS 2.0 PRES IA DISASTER IN VA VA 7/ 12/ 20 18 9/10/ 2020 DI SASTER I N VA

0 FEMA SCR 14936 Test ing fo r DCMS 2.0 VA 5/ 23/ 20 18 7/ 23/ 2020

0 NEW VA DISASTER I N DCMS 2.0 T2-DEVEVINT2 VA 5/ 1/ 2018 7/2/ 2020

0 qtp disaster desc VA 9/ 19/ 2006 11/ 20/ 2999

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Previous I

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On the same line as the “Save” icon you also can see the “Progress” of the Disaster Loan Application.

Enter your “State” and “County”

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Disaster Loan Application Progress I

Certification as lo Truthful Information

By certifying tlis ap~icatioo, you a,rtify !hat all infomiatioo in your ap~iratioo and submitted ,-th your ap~icatioo is true and correct to the best rl your knowledge, and that you MIi subnittrutliul informatioo in the ruture.

WARNING: 111ioever wrongful~ rrisapplies the procee<is of an SM disa~er loan shall be civil~ liable to the Adrrinistriltor in an arrount equal to ooe-andone ha~times the original p<incipalamoontof the kian under 15 U.S.C. 636{b). ln addi ·oo, anyfalsestatementormisrepresentation to SM may result in criminal, civil or adninistrative sanctions induding, but not linitedto: 1) fir.sand imprisooment, or ooth, under 15 U.S.C. 645, 18 U.S.C. 1001, 18 U.S.C. 1014, 18 U.S.C. 1040, 18 U.S.C. 3571, and any other awl"able ~ws; 2) treble damages and civil pa,alties under the false Claims Act, 31 U.S.C. 371<J; 3) double damages and civil penalties 111der the Program Fraoo CMI Remedies Act, 31 U.S.C. 3802; and 4) Suspeflson and/or debarment from all Fedeial procurement and noo-procurement transactions. StaMory fines may inorease , amended by the Federal Civil Penalties lnllatioo Adju~ent Act lmprovementsActof2015

I ~ I Certify

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Disaster Loan Application Progress I

STATEMENTS REQUIRED BY LAWS AND EXECUTIVE ORDERS

Coastal Barrier Resources Act (Public Law 97-348)

Applicants whose property has been determined by the Federal Emergency Management Agency's Flood Insurance Rate Maps (FIRM's), to be in a Coastal Barrier Resource Area (COORA), are ineligible for SBA loan assistance due to Pub6c Law.

The Coastal Barrier Resources Act (Pubk Law 97-348) prnhibits Federal financial assistance to applicants located in the Coastal Barrier System. Consequen~y, under the provisions of the law, for those applicants in the Coastal Barrier Resource Area, SBA Disaster Assistance is prevented from making any loan for:

(1.) replacement°' repair of physical damages or, (2.)fundsforeconomic injurylossesor, (3.) funds for relocations out of the Coastal Barrier Resources Area.

If you are a vacationer, or transient staying in the area on vacation, you may have erigibility for your personal property losses. To establish this eligibility you will be asked to provide documentation of your presence in the area at the time of the disaster and to support that your stay was temporary in nature.

REAL ESTATI REPAIRS/TEXAS HOMESTEAO LIW

If you intend to apply for any SBA funds to repair your home or family business, please carefully read and amply with the following. Texas law provides extensive protection for ~homesteads property. Homestead property includes your persona! residence, and, in many cases, your family business. Texas homestead law directly affects SBA, as well as other lenders, who provide funds for the repair or acquisition of homestead property.

In order for SBA to place a vaijd lien on homestead property, you and a contractor must: 1) sign a Mechanic's and Materialman's Lien Contract (M & M Lien), Mechanic's Lien Note and Assignment of Mechanic's Lien, before you OO]in your repairs, and; 2) file the signed cootract for record in the County Recorder's office of the county where your property is located. If you are waiting on SBA funds to begin your repairs, SBA will prepare and indude all required mechanic's lien documeots with yoor dosing papers, if and when your loan is approved.

1 ~ I have read the Statements Required by Laws and Executive Orders.

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Certification and Executive Order

Read the “Warning”, check “I Certify” then click “Next”.

Read the information, check “I have read…” then click “Next”.

44

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Disaster Loan Application #2000003700 Progress � Filing Reguirements

The following sect ions are requ ired for all loan appl ications. A green check mark indicates t hat a sect ion has been completed. Alternate document delive[¥. 2~ are ava ilable if needed.

Complete the Disaster Home/ Sole Proprietor Loan Application (SBA Form SC) .

Disaster Home/ Sole Proprietor Loan Applica ti on Shrt

Complete and sign each Request for Transcript of Tax Return (IRS Form 4506 -T} shown below. This income information, obta ined from t he IRS, will help us determine you r repayment abil it y.

Request for Transcript of Tax Return Complete preceding section(s) first.

Read and accept t he Truthful I nformation Certification .

Truthful Information Certification Complete preceding section(s) first.

Submit Applicat ion and Supporting Documents .

Submit Application Complete preceding section(s) first.

WHILE NOT NECESSARY TO ACCEPT YOUR APPLICATION, YOU MAY BE REQUIRED TO SUPPLY THE FOLLOWING INFORMATION TO PROCESS THE APPLICATION. IF REQUESTED, PLEASE PROVIDE WITHIN 7 DAYS OF THE INFORMATION REQUEST:

If any applica nt has changed e mployment within the past two years, provide a copy of a curre nt (within 1 month of the applica tion date) pay stub fo r al l applicants

I f we need addi t ional income informat ion, you may be asked to provide copies of your Federal income tax returns, includ ing al l schedu les

IF SBA APPROVES YOUR LOAN, WE MAY REQUIRE THE FOLLOWING ITEMS BEFORE LOAN CLOSING. WE WILL ADVISE YOU IN WRITING, OF THE DOCUMENTS WE NEED.

If you own your residence, a COMPLETE legible copy of the deed, including the lega l descript ion of the property

If the damaged property is you r primary residence, proof of residency at the damaged address

If you had damage to a manufactured home, a copy of the t it le. I f you own the lot where the home is located, a COMPLETE legible copy of the deed, including the lega l description of the property

I f you have damage to an automobile or other vehicle, proof of ownership (a copy of the reg istration, title, bill of sa le, etc.)

I Previous ) OMS Control No. 324 5-0018

Exp.07/ 31/ 202 1

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Filing Requirements

To continue with the application process click “Start” to complete SBA Form 5C.

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Disaster Loan Application #2000003704 Progress: I

Primary Applicant Information

INFORMATION ABOUT THE APPLICANT

CORY. User Registration Infor mat ion

* First Name

Middle Name

* Last Name

Suffix

* Socia l Security Number

* Marital Status

* Are you a U.S. Citizen?

* Are you an SBA Employee?

JOHN

WESLEY

JONES

Li * Date of Birth 101/01/1975

--11-1-1--2-2--3-4_5_6 ____ -,

0 Marrled

@ Yes

O ves

@ Not Married

O No

@ No

* Household Size Lil ____ ~

CONTACT INFORMATION

* Check your preferred method of con tact:

0 E-mail Address

0 Cell Phone

@ Home Phone

0 Work Phone

I E-mail Address

lcell Phone

1111-111-1111

lwork Phone

Closest Relative Not Living with You:

Name

Phone Number

Isam Jones

1222-222-2222

* Do you own more than 50% or are you a Managing Member or Genera l Partner of a corporation, partnership, lim ited partnersh ip, or LLC? @ Yes O No

MAILING ADDRESS

• Address

• Zip

101 HOMETOWN ST

~12_0_17_0_~1 • City I HERNDON

INCOME INFORMATION

vi • State ~[v_A __ ~I County ~I F_a_ir_fa_x __________ v~I

0 Employed D Unemployed C!'J Self Employed D Retired * Employer Name [JwJ Builders

~----;:====::::::::====:;--' * Tota l Annual Inco me (before deductions) 1$99,000.00 • Employer Phone Num ber ~[ 1_1_1-_2_2_20156_3_4_5 ______ ~

Note: Include all reoccurring income from all sources such as employment, self-employment, part-time work, socia l securit y, retirement income, disabil ity income, interest income, ch ild support, alimony, etc.

Do not include one-time or non-reoccurring income.

mm OMB Control No. 3245•00 18

Exp.08/31/202 1

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Completing Form 5C - Sole Proprietor Loan Application

Fill in the information blocks and then hit next. Fields marked with a red asterisk is a required field.

46

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Disaster Loan Application #2000003700 Progress: -

Damaged Property Information • At least one of the following fields are required: Real Estate, Personal Property, Automobi le

DAMAGED PROPERTY ADDRESS

Same as (!rimary..l!J!l!licant mailing address

1101 HOM ETOWN ST *Address

*Zip 120170 J *City I HERNDON v J *State Iv A J *County I Fairfax v J ~------------~ ~--~ ~------------~ *Type of Damage: l!il Real Estate

DAMAGED PROPERTY INFORMATION

*Do you own or rent th is property?

*Is this property your Primary Residence?

• rf No, please select from the list below:

@own

@Yes

l!il Personal Property

O Rent

No

D Automobile

Vacation/secondary home I own the property but a fam ily member/friend lives in the property

INSURANCE INFORMATION

Please check all insuran ce in force for the damaged property:

l!il Homeowner's D Flood D Automobile D Re nter's No Insura nce 0 Other:

Rental/Business Property

(describe)

I other Insurance Description

* l'olicy TyJ>e * Insurance Company Name Policy Number Phone Number Amount Received

Ill

=1 H=om=e=o=wn=e=r•s=======v Jl~Tru_ e_l_NS-------~J l._00_0_09_99_9_11_1_1 ___ _,J ._122_2_-3_33_-4_4_44 __ _,J I $0.00 J delete _______ _, Add Insurance

[ Previous J Ill 0MB Control No. 3245-0018

Exo. 08/ 31/ 202 1

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Form 5C continued - Damaged Property Information


47

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Disaster Loan Application #2000003700

Debts and Assets Information

DEBTS D I have no debts

Mortgage Holder or La ndlord 's Na m e (Pri mary Residen ce)

Name

Progress:

Monthly Payment/ Rent current Balance ~---------------------------~ ~M_o_r_tg_a_g_e_1 ________________________ ~ '-'1$_1_,o_o_o_.o_o __________ ~I ~1$_6_o_,o_o_o_.o_o _________ ~

2nd Mortgage Ho lde r Name (if appl icable )

Name Monthly Payment/Rent Current Balance rN_a_m_e--------------------------~ rlM_o_n-th_l_y_P_a-ym- e-nt_/_R-en- t-----~I rlc_u_r-re_n_t _B_a_la_n_ce--------~

Note : Please complete th e sect ion be low if the amounts are NOT included in your mortgage payment:

Rea l Est ate Ta xes (per year ) Homeown er' s Insura nce (pe r year ) Condo/Townhome/ HOA/Co-Op Fees (per yea r )

:1$=2=,s=oo=·=oo==================I :1$=1,=o=oo=·=oo==========================I '-'$_2_so_.o_o _________________ _, Oth er Debt including auto paymen t s, cr ed it cards, installm ent loans, student loans, etc. Not e : O nly incl ude debt s t h at w ill last l onger t ha n 10 months.

* N a m e of Credi tor * Month ly Payment

ASSETS

Pre-disaste r va lues:

* Cash, Bank Accounts a nd Ma rketa ble Securities (e .g . Stock & Bonds, CDs, etc .) ( Not incl ud ing retirement accounts)

* Retirement Accounts (e.g . IRAs, Keog h, TSP or other similar acco unts)

* Persona l Property (furnitu re, ap pliances, veh icles , RVs, etc. )

* Primary Reside nce

Current Balance

1 $9s,ooo.oo 1 $20,000.00 1 $35,ooo.oo 1 $2so,ooo.oo

All othe r Rea l Esta te (describe) rlo_t_h-er- Re_a_l_E_s_ta-te_ D_e-sc- r-ip-t-io-n--------------------,1 ~[$_0_.o_o _______ ~

OT H ER DISAST E R AS S ISTANCE

FEMA Reg is t r a tio n N u rnb e r l~r_r _M_A_R_e~q_ls_tr_a_tl_o _n _N_u_m_b_ •_r _________ ~

* O the r th a n FEMA, have y o u received any g rant awa r d ( i .e. c ity grants, county g ran t s, sta t e g ra n t s, e t c. ) : O ves @ No

State Amount l state Amount I Oth e r Am o u n t l ather Amount I D e scribe l ather Disaster Assistance Description

Previous ] ma 0MB Con t r ol No. 324 5-0018

e:.:p . oe/3 1/202 1

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Form 5C continued -Debts and Assets Information


48

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Disaster Loan Application #2000003704 Progress:

Disclosure Statements

DISCLOSURES

The responses below apply to the Applicant and Joint Applicant, if any. Please explain any "Yes" responses.

* 1. Are you delinquent on any Federal taxes, Federal loans, Federal grants, or 60 days past due on any child support obligation?

* 2. Are you currently a defendant in any lawsuits or have pending judgements against you?

* 3. Are you currently suspended or debarred from contracting with Federal government or receiving Federal grants or loans?

* 4. Do you have federal loans, federally guaranteed loans, or previous SBA loans?

* 5. Are you engaged in the product ion or distribution of any product that has been determined to be obscene by a court of competent ju risdiction?

* 6. In the past year, have you been convicted of a felony committed in connection with a riot or civil disorder?

* 7. Are you presently, a) subject to an indictment, criminal information, arraignment, or other means by which formal criminal charg es are brought in any jurisdiction; b) have you been arrested in the past six months for any criminal offense; c) for any crimina l offense -other than a minor vehicle violation -- have you ever: 1) been convicted, 2) plead guilty, 3) plead nolo contendere, 4) been placed on pretrial diversion, or 5) been placed on any form of parole or probation (including probation before judgment)?

BUSINESS ACTIVITY

-O ves @No

O ves @No

O ves @No

O ves @No

O ves @No

O ves @No

O ves @No

Business Activity *Date Business Established Number of Employees (pre-disaster)

~li w_J_B_u_ild_in_g _________________ ~J ~lo_11_01_1_2o_oo _______ ~J ~5---------~

REP RESENTATIVE INFORMATION

If you have paid a representative (packager, attorn ey, accountant, etc.) to assist you in completing the application, please complete the section below. Fee charged or ag reed

Representative Name Street Address City State Zip upon ~-------------~ r-------------~ ~--------~ r---~ ~---~ r--------~ I Representative Name I I street Address J ICity 11 .., I lzip I I Fee charged or agreed up J ~-------------~ ~-------------~ ~--------~ ~---~

[ Previous J Ill 0MB Control No. 3245-0018

Exp. 0B/ 31/ 202 1

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Form 5C continued - Disclosure Statements

Fill in the information as required and then hit next.

Fields marked with a red asterisk is a required field.

49

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Disaster Loan Application #2000003700 Progress:

Consent

CONSENT

I authorize my insurance company, bank, financial institution, or other creditors to release to SBA al records and financia l information necessary to process this application.

SBA has my permission, as required by the Privacy Act, to release any information collected in connection with this applfcation to Federal, state, local, tribal or nonprofit organizations (e.g. Red Cross, Salvation Army, Mennonite Disaster Services, SBA Resource Partners} for the purpose of assisting me with my SBA application, evaluating my el igibility for additional disaster assistance, ornotifymg me of theavai labihtyofsuch assistance.

If my loan is approved, I may be eligible for additional funds to safeguard my property from damages similar to those caused by this disaster. Although it is not necessary fN me to proVide with my applJcation. a description and cost estimate will be req uired prior to SBA approval of the mitigation measure.

I have received and read a copy of the •STATEMENTS REQUIRED BY LAWS AND EXECUTIVE ORDERS• which was attached to this application.

CERTIFlCATION AS TO TRUTHFUL INFORMATION: By signing this application, you cert ify that all information in your application and submitted with your application is true and correct to the best of your knowledge, and that you wm submit truthful information in the future.

WARNING: Whoever wrongfully misapplies the proceeds of an SBA disaster loan shall be civfll y liable to the Administrator in an amount equal to one-and-one half times the original principal amount of the loan under 15 U.S.C. 636(b). In addition, any false statement or misrepresentation to SBA may result in criminal, civil or administrative sanctions including, but not limited to: 1) fines and imprisonment, or both, under 15 u.s.c. 645, 18 u.s.c. 1001, 18 u.s.c. 1014, 18 u.s.c. 1040, 18 u .s.c. 3571, and any other applicable laws; 2) treble damages and civil penalt ies under the False aaims Act, 31 u.s.c. 3729; 3) double damages and civil penalties under the Program fraud CiVil Remedies Act, 31 u.s.c. 3802; and 4) suspension and/ or debarment from all Federal procurement and non-procurement transactions. Statutory fines may increase if amended by the Federal Civil Penalties lnHation Adjustment ActimprovementsActof2015.

-0,,16 Control No. 32~5-0018

Exp.08/31/2021

Dllilster loan Appliration 11000003700 Progress: -

Additional Comments

ADDITIONAL COMMENTS

401111d!aractff(s)151.

II

II Oll8 r..m No. ms-0011

Elp.~/31/2021

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Form 5C continued - Consent and Additional Comments

Read the information, check “All the information…” then click “Next”.

Additional Comments are used for clarifying or additional information.

Click “Next” to continue the process.

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Affiliated Businesses

Please complete t he affil iate information below for each applicant and/ or owner that owns more than 50% of, or are a Manag ing Member or Genera l Partner of a corporation, partnersh ip, lim ited partnership, or LLC.

After you've entered the affi liat ed business information, dick "Save" to add it to your list .

Affil iated Businesses ------------------------------------------~

* A licant o r Ow ne r Na me for Affilia te De ta ils JOHN WESLEY JONES Jr. v

• Bus iness Name • EIN !JWJ BULDERS !89-9988888

* Add r ess Line 1 !101 HOMETOWN ST

Ad d r ess Line 2

• Or a nizat io n T e LLC, LLP, OR LLE

i*z·p C di "C~ity~------~ • St a te County ! HERNDON v I ~ =1 F~A~IR=F:AX~ ========v=I

• %Owne d Title

~ I President

Cancel

The names listed below are the applicants or owners that answered YES to "Do you own more t han 50% or are you a Managing Member or General Partner of a corporation, partnersh ip, limited partnership, or LLC?" If the answer was ent ered incorrect ly for any applicant or owner, click the "Remove" button t o change the answer to NO and remove t hem from this list.

Remove I JOHN W ESLEY JON ES Jr .

Affi liate Name EI N Type % Owned Please ent er a ffilia t ed bus iness i nformation for JOHN WESLEY JONES J r ..

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Form 5C continued - Affiliated Businesses

Fill out the Affiliated Business information then click “Save”.

To continue the process click “Next”.

51

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Filing Requirements

The following sections are required for all loan applicati ons. A green check mark indicates that a section has been completed. Alternate document delive!}' QRtions are available if needed.

Complete the Disaster Home/ Sole Proprietor Loan Application {SBA Form SC) .

./ Disaster Home/ Sole Proprietor Loan Application I Update

Complete and sign each Request for Transcript of Tax Return (IRS Form 4506-T) shown below. This income info rmation, obtained from the IRS, will help us determine you r repayment abil ity.

JOHN WESLEY JONES Jr,

JWJ BULDERS



Submit Appl ication and Supporting Documents.

Submit Application

start

start

Complete preceding section(s) first.

Complete preceding section(s) first .

WHILE NOT NECESSARY TO ACCEPT YOUR APPLICATION, YOU MAY BE REQUIRED TO SUPPLY THE FOLLOWING INFORMATION TO PROCESS THE APPLICATION, IF REQUESTED, PLEASE PROVIDE WITHIN 7 DAYS OF THE INFORMATION REQUEST:

If any applicant has changed employment within the past two years, provide a copy of a current (within 1 month of the application date) pay stub for al l applicants

If we need addition al income information, you may be asked to provide copies of your Federal income ta x returns, includi ng all schedules

IF SBA APPROVES YOUR LOAN, WE MAY REQUIRE THE FOLLOWING ITEMS BEFORE LOAN CLOSING, WE WILL ADVISE YOU IN WRITING, OF THE DOCUMENTS WE NEED.

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Completing IRS Form 4506-T

Once you have finished the SBA Form 5C, the tax transcript information will need to be completed.

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Re uest for Transcript of Tax Return

SBA requires you to complete the IRS Form 4506-T as a pa rt of your disaster loan application submission. The form authorizes the IRS to provide federal income tax info rmation directly to SBA. Please use this page to enter the addit ional data needed to popu late IRS Form 4506-T.

Name shown on tax return. If a joint return, the name shown first. First SSN, individual taxpayer identification number, or employer identification number

JOH N W JONES Jr. 123-45-6789

Current address (including apt., room, or suite no.), city, state, and ZIP code 101 HOMETOWN ST, HERNDON, VA 20170

Previous address shown on the last return filed if different from current address

Address Line 1 Address Line 2 "C""ity"'---------, State IZip Codi

~----~~----~1 1� Tax Form Number(s) 1040

Signature of taxpayer(s).

Year or period requested 2018 , 2017

I declare that I am either the taxpayer whose name is shown on line l a or 2a, or a pe rson authorized to obtain the tax information requested. If the req uest applies to a joint retu rn, at least one spouse must sign. If signed by a corporate officer, 1 percent or more shareholder, partner, managing member, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority to execute Form 4 506-T on behalf of the taxpayer.

NOTE: For tra nscripts being sent to a third party, this form must be received within 120 days of the signatu re date.

• rJ Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she has the authority

to sign the Form 4506-T.

I Previous I

0 MB Control No. 1545- 1872

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Form 4506T can be submitted electronically, via upload or offline. If the eSign option populates click through the options until the document is successfully completed. If you upload the document you would save it on your desktop, select browse and then upload.

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ALERT - Documents Required

This is a requ ired document. The signed copy of this document must be manually delivered to the SBA by one of the methods specified for your region as out lined on the documen t delivery options link on this page.

Be sure to include your full name and application number on all correspondence submi tted to the SBA.

NOTE: You may still submit you r application online, however, the approval process WILL NOT BEGIN unti l this documen t has been provided to the SBA.


Reque t for TranscriR Tax Return - Download / URloa

• Download the completed Request for Transcript Of Tax Return for JOHN WESLEY JONES Jr.

The data collect ion for your Request for Transcript of Tax Return ( IRS Form 4506-T) is complete. Click the download button below to save your document.

,.


Once dow nloaded and printed , be su re to sign and date t he docu ment.


Scan and attach your signed Request for Transcript of Tax Return (I RS Form 4506-T).

File Name

Attached file must be an unprotected file in PDF format less than 38MB.

OR

If you are unable to attach a signed copy of the printed document, you may skip this step and submit it offl ine by other methods out lined in t he document del ivery_J)llliOfiS page.

The signed paper document must be received by the SBA before processing of your application ca n begin.

!ii I agree to deliver a copy of the completed document to the SBA.

Previous I

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If you chose to deliver a copy this alert will appear. And you will no longer be able to upload information. The document will have to be submitted offline.

54

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Disaster Loan App lication #1000003700 Progress

Request for Transcrii>t of Tax Return - Downlo~ Upload

• Download the completed Request for Transcript Of Tax Return for JOHN WESLEY JONES Jr,


• Sign and da te the documen t.


• Incl ude the s igned document with your application.

Scan and attach your signed Request for Transcript of Tax Return (IRS Form 4506-T).

File Name IELA2000003700-JOHN W JONES Jr.-Request for Transcript of Tax Retu~

Attached file must be an unprotected file in PDF format less than 38MB.

OR

If you are unable to attach a signed copy of the printed document, you may skip this step and submit it offiine by other methods outlined in thP document delivpry....QQ.ti.Qns. page.

The signed paper document must be received by the SBA before processing of your application can begin.

0 I agree to deliver a copy of the completed document to the SBA.

-

Disaster Loan Application #Z000003700 Progress

!!! ALERT!!! Please save your data by dicking the SAVE button shown in the upper right.


• Download the completed Request for Transcript Of Tax Return for JOHN WESLEY JONES Jr.





Your document has been successfully uploaded.

The file ElA2000003700·JOHN W JONES Jr.·Request for Transcript of Tax Return.pd/ has been associated with your application. Remove this file to replace it.

Click the Next button to continue.

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Once you have downloaded your tax returns you can upload.

Successfully Uploaded will appear when finished. Then click “Next” to continue the process.

55

I

n;~~~~~~~l!!!!!!!!!!!-._ _______ l)~~~~~~~~~~~~~~~iiiiii===============iiL ~"'ster Loan Application #lOOooo37o4 Progress ~ isaster Loan Application #2000003700 Progress Filing Requirements

The following sections are required fOf aD loan applications. A green check marlt indicates that a section has been completed. Alternate document del,very ~ are ava1lah'e if needed.

Complete the Disaster Home I Sole Proprietor Loan Application {SBA Form SC).

./ Disaster Home / Sole Proprietor Loan Application

Complete and sign each Request for Transcript of Tax Return (IRS Form 4506-T) shown below. This income information, obtained from the IRS, will help us determine your repayment ability.

t/ JOHN WESLEY JONES Jr.

./ JWJ BULOERS



Submit Application and Supporting Documents.

Submit Application

Document acrached ~

Dorumencattached ~

WHILE NOT NECESSARY TO ACCEPT YOUR APPLICATION, YOU HAY BE REQUIRED TO SUPPLY THE FOLLOWING l NFORMATION TO PROCESS THE APPLICATION. lF REQUESTED, PLEASE PROVIDE WITHlN 7 DAYS OF THE l NFORMATION REQUEST:

Certification as to Truthful Information

By certifying this application, you certify that all information in your application and submitted with your application is true and correct to the best of your knowledge, and that you will submit truthful information in the future.

WARNING: Whoever wrongfully misapplies the proceeds of an SBA disaster loan shall be civilly liable to the Administrator in an amount equal to one-andone half times the original principal amount of the loan under 15 U.S.C. 636(b). In addition, any false statement or misrepresentation to SBA may result in criminal, civil or administrative sanctions including, but not limited to: 1) fines and imprisonment, or both, under 15 U.S.C. 645, 18 U.S.C. 1001, 18 U.S.C. 1014, 18 U.S.C. 1040, 18 U.S.C. 3571, and any other applicable laws; 2) treble damages and civil penalties under the False Claims Act, 31 U.S.C. 3729; 3) double damages and civil penalties under the Program Fraud Civil Remedies Act, 31 U. S.C. 3802; and 4) suspension and/or debarment from all Federal procurement and non-procurement transactions. Statutory fines may increase if amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015

• ~ I Certify

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Filing Requirements

Once the tax returns are complete sign the final Truthful Information Statement.

56

I


Filing Requirements

The fo llowing sections are required fo r all loan applications. A green check mark ind icates tha t a sect ion has been complet ed. Alternate document deliveey: QQtions are avai lable if needed.

Complete the Disaster Home/ Sole Proprietor Loan Application (SBA Form SC} .

./ Disaster Home / Sole Proprietor loan Application Update

Complete and sign each Request for Transcript of Tax Return (IRS Form 4506-T) shown below. This income informat ion, obt ained from the IRS, will help us determine you r repayment abil ity.

t/ JOHN W ESLEY JONES Jr.

Read and accept the Truthful I nformation Certification .

./ Truthful Information Certification

Submit Appl ication and Supporting Documents.

Preview Electronic Loan Application

Submit Ap plicat ion

Document attached I Update

Update

Preview

Submit

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Submit Application

Finally you can submit your application when the “Submit” icon appears.

57

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FAQs Hielp U.S. Small Busi ness Administration loan Information Search Declarations



Application Submission Confirmation

Application number 2000003700 has been submitted.

Please download and reta in y our submitted document(s)_for you r records.

Click here to return to your home page.

Contact Us My Account Looout -ft,

Apply Online Message Center 0

If you are finished , you can ).Qg out of t he application . Logging out of the application will cl ear your activ it y from your browser 's memory. This is especially important if you use a shared or pub lic computer.

I

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Application Submission Confirmation

After submission you will see that your application number has been submitted.

58

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U.S. Sma ll Business Administration

FAQs Help

Loan Information Search Declarations


essage Center Clic k o n any m essage to view t he content s. Click ing the Delet e li nk w il l de let e t he m essage im m ediate ly.

Subject Received

SBA Application No. 2000003700 - Submit Confirmation 3/14/2020 4:11:39 PM

I « Home Page I


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Contact Us My Account Logout _,.

Apply Online Message CenterO

-FEMA Disaster Assistance

I

Message Center

59

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Disaster Loan Assistance l=edera l Disaster Loans for Busines ses , Private Nonprofits, Home owners, and Renters

Hello, John My Applications & Loans

I ous ln ess Appll catlon •20000037 04

EEk:z::J Applica nt : JONES, JOl-tN W ESLEY ~ Stat us : SU BMITTE D

Last u pdated: 3/15/2020

0 • Statu• Document•

I Home A1>1> l i ca tlo11 #2000003 700

'-", Applica nt : JON ES, JOI-IN W ESLEY L:.aJ S tatus: R ECEIV ED- I N REVIEW

Last Updated : 3/15/2020

0 • Sla t ua Document.II

SBA.go v 3-Step Loan Process FEMA Disast er Assist a n ce

I

Home Page

After competing application you automatically return to the home page.

From here you can check the status of your application by clicking the “Status” icon.

60

I

Disaster Loan Assistance 'ederal Disaster Loans for Businesses, Private Nonprofits, Homeowners, and Renters

~pplication Status

Current Application Status: RECEIVED-IN REVIEW

Application Number:

Loan Type:

D isaster Name:

Status Change Date:

Status Description:

I « Home Page I

;BA.gov

2000003700

Home

VA-00485 - 2020 AG ENCY DISASTER IN VIRGINIA GEO - 1.50

March 14, 2020

We received you r SBA disaster loa n ap plicatio n and we are reviewing it to m ake

sure you have su bmit ted t he req u ired docum en ts needed to process your loan

request. We w ill con tact you if you need to subm it ad ditiona l information in o rder

to complete your loa n app licat ion.

3-Step Loan Process

I


I

Application Status

61

I

r-c-uc1a1 u-1:::a,a::a,1c1 L.V..-:111:::ai 1u1 a;iu::a,111·c:::a,.:)c:::a, , r 1 1vau: n ·u11t,11v111::ai, nva11·cvn11e1->, c.111u n.c11,e1 :::a,


!!! ALERT ~~! Please save your data by clicking the SAVE button shown in the upper right.

Per sonal Real Est at e Owned

Please provide the information for r eal estate owned by CHADWI CK R NELSON. List ead, parcel separately,

• ~[C~1" 1A~-~ An~t~r•: 1 to en~r ~ ~ w pr.~perty

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Special Note

If you receive a message like the one below, depress “SAVE”

so that you don’t lose your information.

62