This tool generates a pre-filled PDF of the official government application for the Paycheck Protection Program. You will be able to download the pre-filled form, sign, insert social security numbers and submit it to an approved SBA Lender.
Be sure to check if your business banking relationship is offering an official online application, as this service may or may not be useful to you.
**This PDF tool is especially helpful for organizations with more than one owner. If you're a single owner organization, you're welcome to use it too, but you can also download the form on the treasury website.*
You complete this web-based wizard, and our system will generate the official government Paycheck Protection Application with your answers, owner's sheets, and any addendums. You will download the pre-filled application via email.
** Important ** the pre-filled application will NOT have each owner's SSN numbers or signatures. You will need to add those before you submit the application.
**READ THIS *** If there are multiple owners who own more than 20% of your business, you will need to add each one at the bottom of the first part of this page and provide information for their title, ownership, and address. Each owner will need to attest to the questions and good faith statements. Complete the initial information for yourself and add additional owners at the bottom.
Failure to add all the owners over 20% may result in denial of your application.
The service will generate a pre-filled PDF that you can sign and submit. The fee is $25 per owner of your business which properly creates additional pages automatically for each owner to sign.
This stuff is important. This is a service that pre-fills the official government application for the Paycheck Protection Program. Here are a few things to acknowledge...
Payroll Calculation Instructions: For purposes of calculating “Average Monthly Payroll”, most Applicants will use the average monthly payroll for 2019, excluding costs over $100,000 on an annualized basis for each employee. For seasonal businesses, the Applicant may elect to instead use average monthly payroll for the time period between February 15, 2019 and June 30, 2019, excluding costs over $100,000 on an annualized basis for each employee. For new businesses, average monthly payroll may be calculated using the time period from January 1, 2020 to February 29, 2020, excluding costs over $100,000 on an annualized basis for each employee.
Take monthly payroll amount and multiple it by 2.5 and insert the number below.
If questions (1) or (2) below are answered “Yes,” the loan will not be approved.
Is the Business or any owner presently suspended, debarred, proposed for debarment, declared ineligible, voluntarily excluded from participation in this transaction by any Federal department or agency, or presently involved in any bankruptcy? *
Has the Business, any of its owners, or any business owned or controlled by any of them, ever obtained a direct or guaranteed loan from SBA or any other Federal agency that is currently delinquent or has defaulted in the last 7 years and caused a loss to the government?
Is the Business or any owner an owner of any other business or have common management with any other business? If yes, attach a listing of all Affiliates and describe the relationship as addendum A.
Has the Business received an SBA Economic Injury Disaster Loan between January 31, 2020 and April 3, 2020? If yes, provide details on a separate sheet identified as addendum B.
Remember, any owners that are 20% or greater will need to be added and attest to the statements and good faith certification.
When you get the official form, you need to insert each owner's social security number in the PDF. For security reasons, we are not collecting it nor storing it.
Applicants who are individuals and all 20% or greater owners of the business must answer the following questions. If questions (5) or (6) are answered “Yes” or question (7) is answered “No”, the loan will not be approved.
Is this owner presently subject to an indictment, criminal information, arraignment, or other means by which formal criminal charges are brought in any jurisdiction, or presently incarcerated, on probation or parole?
Within the last 7 years, for any felony or misdemeanor for a crime against a minor, has this owner: 1) been convicted; 2) pleaded guilty; 3) pleaded nolo contendere; 4) been placed on pretrial diversion; or 5) been placed on any form of parole or probation (including probation before judgment)?
This owner is a U.S. Citizen or I have Lawful Permanent Resident status
REPRESENTATIONS AND AUTHORIZATIONS
I represent that:
For Applicants who are individuals and all Associates: I authorize the SBA to request criminal record information about me from criminal justice agencies for the purpose of determining my eligibility for programs authorized by the Small Business Act, as amended.
The business and each 20% or greater owner must certify in good faith to all of the below by initially next to each one.
Certification #1
Current economic uncertainty makes this loan request necessary to support the ongoing operations of the Applicant.
Certification #2
The funds will be used to retain workers and maintain payroll or make mortgage payments, lease payments, and utility payments; I understand that if the funds are used for unauthorized purposes, the federal government may pursue criminal fraud charges.
Certification #3
Documentation verifying the number of full-time equivalent employees on payroll as well as the dollar amounts of payroll costs, covered mortgage interest payments, covered rent payments, and covered utilities for the eight week period following this loan will be provided to the lender
Certification #4
Loan forgiveness will be provided for the sum of documented payroll costs, covered mortgage interest payments, covered rent payments, and covered utilities. Due to likely high subscription, it is anticipated that not more than twenty-five percent (25%) of the forgiven amount may be for non-payroll costs.
Certification #5
During the period beginning on February 15, 2020 and ending on December 31, 2020, the Applicant has not and will not receive another loan under this program
Certification #6
I further certify that the information provided in this application and the information that I have provided in all supporting documents and forms is true and accurate. I realize that knowingly making a false statement to obtain a guaranteed loan from SBA is punishable under 18 USC 1001 and 3571 by imprisonment of not more than five years and/or a fine of up to $250,000; under 15 USC 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a Federally insured institution, under 18 USC 1014 by imprisonment of not more than thirty years and/or a fine of not more than $1,000,000.
Certification #7
I acknowledge that the lender will calculate the eligible loan amount using tax documents I have submitted. I affirm that these tax documents are identical to those I submitted to the IRS. I also understand, acknowledge and agree that the Lender can share the tax information with SBA's authorized representatives, including authorized representatives of the SBA Office of Inspector General, for the purpose of compliance with SBA Loan Program Requirements and all SBA reviews
Each owner will need to provide their signature in the space provided on the official PDF after submission.
