D & D Solutions - SBA Loan Form

D & D Solutions - SBA Loan Form

Assistance with processing your SBA Loan Application
SBA Loan Assistance *

EIDL ($149) PPP ($249) Both - EIDL & PPP ($379)
Please select and ensure your payment reflects the selection choosen.
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Social Security Number *
Phone *
Please enter a valid phone number.
U.S. Citizen *

Yes No
Place of Birth *
Residential Street Address *
Additional Owner Information
Name/ DOB/ Social Security #/ Phone #/ Place of Birth/ US Citizen/ Address
Business Information
Business Legal Name *
(Only use business name if you have a business bank account that matches) If you don't have a business bank account please use YOUR NAME.
Trade Name (Type of Business) *
Example: Contractor, Uber Driver
Organization Type *

LLC Sole Prop S-Corp C-corp General Partnership LLC Partnership Other
EIN/SSN for Sole Proprietorship *
PPP Application? *

Yes No
Is the Applicant a Non-Profit Organization? *

Yes No
Is the Applicant a Franchise? *

Yes No
Gross Revenues for the Twelve (12) Month Prior to the Date of the Disaster (January 31, 2020) **Income** *
Cost of Goods Sold for the Twelve (12) Month Prior to the Date of the Disaster (January 31,2020) **Expenses** *
Primary Business Address (Cannot be P.O. Box) *
Business Phone *
Website
Business Email *
Date Business Established *

Month Day Year
Current Ownership Since *

Month Day Year
Date
Business Activity *
Number of Employees (As of January 31, 2020) *
Detailed Business Activity *
If applying for PPP only please upload... *

Cancel of
1040 and Schedule C

Articles of Organization

W3 if any employees besides yourself and your spouse

Photo ID

Dec 2020 Bank Statement or Business Invoice (Sole Prop only)

ALL REQUIRED TO PROCESS PPP LOAN!
I would like to be considered for an advance up to $10,000. **Grant Money**
Bank Name (If using Business Name please use business bank account) *
(If using Business Name please use business bank account) Funds will be returned if this doesn't match. We have no control over this.
Account Number
Routing Number
Business Name vs Bank Information
I hereby certify the bank name and business name matches. Providing a business name and a personal bank account will cause a return in funding.
I hereby certify UNDER PENALTY OF PERJURY UNDER THE LAW OF THE UNITED STATES that the above is true and correct.
Signature

Clear
Applicant is not engaged in any illegal activity (as defined by Federal guidelines).

No principal of the Applicant with a 50 percent or greater ownership interest is more than sixty (60) days delinquent on child support obligations.

Applicant does not present live performances of a prurient sexual nature or derive directly or indirectly more than de minimis gross revenue through the sale of products or services, or the presentation of any depictions or displays, of a prurient sexual nature.

Applicant does not derive more than one-third of gross annual revenue from legal gambling activities.

Applicant is not in the business of lobbying.

Applicant cannot be a state, local, or municipal government entity and cannot be a member of Congress.
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