Crestmark

PPP Loan Forgiveness


The dollar amount for which forgiveness is requested:

  • was used to pay costs that are eligible for forgiveness (payroll costs to retain employees; business mortgage

  • interest payments; business rent or lease payments; or business utility payments);

  • includes all applicable reductions due to decreases in the number of full-time equivalent employees and

  • salary/hourly wage reductions;

  • does not include nonpayroll costs in excess of 25% of the amount requested; and

  • does not exceed eight weeks’ worth of 2019 compensation for any owner-employee or self-employed

  • individual/general partner, capped at $15,385 per individual.

I understand that if the funds were knowingly used for unauthorized purposes, the federal government may pursue recovery of loan amounts and/or civil or criminal fraud charges.

The Borrower has accurately verified the payments for the eligible payroll and nonpayroll costs for which the Borrower is requesting forgiveness.

I have submitted to the Lender the required documentation verifying payroll costs, the existence of obligations and service (as applicable) prior to February 15, 2020, and eligible business mortgage interest payments, business rent or lease payments, and business utility payments.

The information provided in this application and the information provided in all supporting documents and forms is true and correct in all material respects. I understand that knowingly making a false statement to obtain forgiveness of an SBA-guaranteed loan is punishable under the law, including 18 USC 1001 and 3571 by imprisonment of not more than five years and/or a fine of up to $250,000; under 15 USC 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a Federally insured institution, under 18 USC 1014 by imprisonment of not more than thirty years and/or a fine of not more than $1,000,000.

The tax documents I have submitted to the Lender are consistent with those the Borrower has submitted/will submit to the IRS and/or state tax or workforce agency. I also understand, acknowledge, and agree that the Lender can share the tax information with SBA’s authorized representatives, including authorized representatives of the SBA Office of Inspector General, for the purpose of ensuring compliance with PPP requirements and all SBA reviews.

I understand, acknowledge, and agree that SBA may request additional information for the purposes of evaluating the Borrower’s eligibility for the PPP loan and for loan forgiveness, and that the Borrower’s failure to provide information requested by SBA may result in a determination that the Borrower was ineligible for the PPP loan or a denial of the Borrower’s loan forgiveness application.

The Borrower’s eligibility for loan forgiveness will be evaluated in accordance with the PPP regulations and guidance issued by SBA through the date of this application. SBA may direct a lender to disapprove the Borrower’s loan forgiveness application if SBA determines that the Borrower was ineligible for the PPP loan.

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Signature Certificate
Document name: PPP Loan Forgiveness
Unique Document ID: ebf82296066d41db37657b52dba4b337c6deee2a
Timestamp Audit
06/12/2020 12:54 pm EST PPP Loan Forgiveness Uploaded by Crestmark SBA Department - legaldd@crestmark.com IP 68.230.219.249, 23.219.163.166