• Small Business Emergency Loan Application
  • Small Business Emergency Loan Application
    • If you need assistance contact Tina Mengine (814) 480-0337
    • Business Name*
       
      Business Address*
       
       
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      *
      First name*
       
      Last name*
       
      Is this contact an owner with 20% equity or more?*
      *
      Business phone*
        x
      Cell phone*
       
      Email address*
       
      Rent or Own Business Property?*
      *
      Monthly Rent/Mortgage*
       
      EIN/SSN*
       
      Date Business Established*
      April 2021
      April 2021
       SMTWTFS
      1428293031123
      1545678910
      1611121314151617
      1718192021222324
      182526272829301
      192345678
       
      Primary Industry*



















      *
      Ownership Structure*
      *
      If Other, please specify
      Name of Owners with 20% equity or more
      Owner 1
      First name
      Last name
      Owner Address
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      • GA
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      • HI
      • IA
      • ID
      • IL
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      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
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      • MS
      • MT
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      • NC
      • ND
      • NE
      • NH
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      • NU
      • NV
      • NY
      • OH
      • OK
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      • PE
      • PR
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      • QC
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      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 2
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 3
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Owner 4
      First name
      Last name
      Owner Address
      • AA
      • AB
      • AE
      • AK
      • AL
      • AP
      • AR
      • AS
      • AZ
      • BC
      • CA
      • CO
      • CT
      • DC
      • DE
      • FL
      • FM
      • GA
      • GU
      • HI
      • IA
      • ID
      • IL
      • IN
      • KS
      • KY
      • LA
      • MA
      • MB
      • MD
      • ME
      • MH
      • MI
      • MN
      • MO
      • MP
      • MS
      • MT
      • NB
      • NC
      • ND
      • NE
      • NH
      • NJ
      • NL
      • NM
      • NS
      • NT
      • NU
      • NV
      • NY
      • OH
      • OK
      • ON
      • OR
      • PA
      • PE
      • PR
      • PW
      • QC
      • RI
      • SC
      • SD
      • SK
      • TN
      • TX
      • UT
      • VA
      • VI
      • VT
      • WA
      • WI
      • WV
      • WY
      • YT
      • Afghanistan
      • Albania
      • Algeria
      • Andorra
      • Angola
      • Antigua/Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bhutan
      • Bolivia
      • Bosnia/Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina
      • Burma/Myanmar
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Central Africa
      • Chad
      • Chile
      • China
      • Colombia
      • Comoros
      • Congo
      • Costa Rica
      • Cote
      • Croatia
      • Cuba
      • Cyprus
      • Czech
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • East Timor
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Fiji
      • Finland
      • France
      • Gabon
      • Gambia
      • Georgia
      • Germany
      • Ghana
      • Greece
      • Grenada
      • Guatemala
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jordan
      • Kazakstan
      • Kenya
      • Kiribati
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall
      • Mauritania
      • Mauritius
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Morocco
      • Mozambique
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • New Zealand
      • Newfoundland
      • Nicaragua
      • Niger
      • Nigeria
      • North Korea
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Poland
      • Portugal
      • Qatar
      • Romania
      • Russia
      • Rwanda
      • Saint Kitts
      • Saint Lucia
      • Saint Vincent
      • Samoa
      • San Marino
      • Sao Tome
      • Saudi Arabia
      • Senegal
      • Serbia/Montenegro
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • South Africa
      • South Korea
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Swaziland
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Togo
      • Tonga
      • Trinidad/Tobago
      • Tunisia
      • Turkey
      • Turkmenistan
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • United States
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • Yemen
      • Zambia
      • Zimbabwe
      Please provide Small Business Emergency Loan Application documentation.Please click here for additional information.
      *
      Last year gross sales*
       
      Last year net earnings*
       
      Number of Employees (Full Time Equivalent)*
       
      Monthly fixed expenses*
       
      Reason and Purpose for Loan*
       
      Amount Requested*
       
      Have you filed for bankruptcy within the past ten (10) years?*
      *
      Are there any outstanding judgments entered against you?*
      *
      Are you presently a party to any lawsuits?*
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      Are there any local, state or federal tax liens filed against you?*
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      Are you current with all local, state, and federal taxes?*
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      Signature*
       
      I understand that making a false statement on this form is a violation of law and could result in criminal prosecution, significant civil penalties, and a denial of the loan.*
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      I also understand that there will be $350 application and filing fee.*
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      Please verify that you are a real person*