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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Applicant section, including your name, street address, city, state, and zip code. Ensure all information is accurate for a smooth application process.
In Section I – Real Estate, list all parcels of real estate used as collateral. Attach a copy of the deed(s) with a full legal description and provide details about improvements such as size and condition.
For each parcel listed, include the year acquired, original cost, market value, amount of lien, and name of lienholder. Use additional sheets if necessary.
Move to Section II – Personal Property. List items valued over $5,000 with their manufacturer details, model, serial number (if applicable), year acquired, original cost, market value, current lien balance, and name of lienholder.
Finally, review your entries for accuracy. Sign and date the form to certify that all information is true and correct before submitting it to your lender.
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The information in this form is to be provided by individuals and business seeking technical assistance services from the Small Business Administration (SBA)
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