SBA PPP Application
Tax Identification #
Primary Business Location
Street Address Line 2
State / Province
Postal / Zip Code
Are you an existing APFCU member?
If you are working with a member representative, enter their name below.
Submit the Paycheck Protection Program Borrower Application Form here:
Upload supporting documentation.
Did you apply for or receive an EIDL advance?
Yes, I applied for it
Yes, I received an advance
Are you or your business currently in Bankruptcy?
Have you received a PPP loan already?
Have you applied for a PPP loan with another institution?
Compensation (e.g., Salaries,Wages, Commissions, and CashTips (Total from 2019*)
For employees making over$100,000 annually, please subtract the amount over$100,000 for each employee and add that amount here. (Total from 2019*)
Vacation, Parental, Family,Medical or Sick Leave (Total from 2019* )
Group Health Insurance (Total from 2019*)
Retirement Plan Funding Paid by Employer (e.g., 401(k)match) (Total from 2019*)
State/Local Taxes on Employee Compensation (i.e., EmployerUC Tax) (Total from 2019*)
Self-Employment Income (andSub-Contractors) not to exceed$100,000 per year per selfemployed persons (Total from 2019*)
Potential Maximum Loan Amount
In order to submit your Application to the Small Business Administration, we must identify the names of individuals, or entities, who have an aggregate ownership of 20% or more. Please list the Applicant’s owners and the respective ownership percentage.
Percent of Ownership
Should be Empty: