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COVID-19
EMERGENCY RELIEF FUND

The Federal Government has created a $850 Billion COVID-19 Recovery Fund for All Small Businesses who are currently being impacted by the coronavirus outbreak.

Loan Intake Specialists are standing by to help you NOW.

Thank you for connecting with us. We will respond to you shortly.

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*First Name
Borrower First Name

*Last Name
Borrower Last Name

*Email

*Phone Number

Business Ownership

Business Title

Requested Loan Amount

Business Legal Name

DBA if Applicable

Business EIN

Business Phone

Business Address

City

State

Zip

How long have you. been in business?

What is the legal structure of your business?

What industry does your business fall under?

Have you ever defaulted on a Government Loan?
SBA Loan, Student Loan, Etc.

Have you exhausted all personal and non MI SBA financing options?

Are the majority owners of the business US Citizens or Legal Permanent Residence

Yes

No

Number of Employees as of March 1st 2020

Number of Employees as of December 31st 2019

Is your personal Credit Score below 620?

Yes

No

Prior to February 15th, 2020 was your business producing positive revenue?

Yes

No

Is there Real Estate Collateral connected to your loan request?

Yes

No

Do any members of the company own investment properties?

Yes

No

What kind of properties are they?

In a paragraph please explain how the COVID-19 affected your business ?
How will you be using the funds? Payroll, Inventory, etc.

What was your annual gross revenue in 2019?

What is your estimated monthly revenue for January and February?

Resources:
CDC Coronavirus (COVID-19)

Coronavirus attack in microscopic view. Virus from Wuhan — Coronavirus Global Pandemic 2020

African American Woman Working From Home — Social Distancing

Virus epidemic in the office — Practice Safety & Precaution

Man is washing hands with soap. Coronavirus pandemic. Covid-19 — Wash Thoroughly

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