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SBA Form 2483 SD 2021
(select all that
apply):
x 2.5 (or x 3.5 for NAICS
72 applicants) equals Loan
Request Amount (may not
exceed $2,000,000):
$
$
DBA or Tradename (if
applicable)
Year of Establishment (if
applicable)
NAICS Code
Business TIN (EIN, SSN)
Business Phone
Primary Contact
Email Address
Number of Employees
(including affiliates, if
applicable; may not exceed 300):
☐Payroll Costs
☐Rent / Mortgage Interest
☐Utilities
☐Covered Operations
☐Covered Property
☐Covered Supplier Costs
☐Covered...
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