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The form requests payroll figures to compute the loan request, identifies eligible loan purposes, and records gross receipts reduction data and ownership information for equity holders of 20% or more. It also includes optional demographic reporting and eligibility questions requiring yes/no responses, followed by borrower representations, authorizations, and certifications upon signing.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/paycheck-protection-program-second-draw-borrower-application-form-revised-march-18-2021/306743/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/paycheck-protection-program-second-draw-borrower-application-form-revised-march-18-2021/306743.png","ImageObject",442,249,{"name":88,"@type":89},"Stanley","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What borrower details are requested at the start of the PPP Second Draw application?","Question",{"text":109,"@type":110},"The form collects the business entity type, DBA/trade name, year of establishment (if applicable), business legal name, NAICS code, business address, TIN, and primary contact email and information.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is the loan request amount calculated in the form?",{"text":114,"@type":110},"It uses the Average Monthly Payroll multiplied by 2.5 (or 3.5 for NAICS 72 applicants) to determine the Loan Request Amount, subject to the stated maximum.",{"name":116,"@type":107,"acceptedAnswer":117},"What are the required eligibility questions and what happens if answers are “Yes”?",{"text":118,"@type":110},"The form includes numbered eligibility questions (e.g., suspension/debarment, prior SBA/Federal loan delinquency or default, related business ownership/common management, incarceration/charges, and fraud-related convictions). If questions (1), (2), (4), or (5) are answered “Yes,” the loan will not be approved.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},306743,1790364313,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":76},2336477405376,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Paycheck Protection Program Second Draw Borrower Application Form  \nRevised March 18, 2021  \nOMB Control No.: 3245-0417  \nExpiration Date: 9/30/2021  \n\n| Check One: 􀂉 Sole proprietor 􀂉 Partnership 􀂉 C-Corp 􀂉 S-Corp 􀂉 LLC\u003Cbr>􀂉 Independent contractor 􀂉 Self-employed individual\u003Cbr>􀂉 501(c)(3) nonprofit 􀂉 501(c)(6) organization\u003Cbr>􀂉 501(c)(19) veterans organization\u003Cbr>􀂉 Other 501(c) organization 􀂉 Housing cooperative\u003Cbr>􀂉 Tribal business 􀂉 Other | DBA or Tradename (if applicable) |  | Year of Establishment (if applicable) |\n| --- | --- | --- | --- |\n|  |  |  |  |\n| Business Legal Name | NAICS Code |  |  |\n|  |  |  |  |\n| Business Address (Street, City, State, Zip Code-No P.O. Box addresses\u003Cbr>allowed) | Business TIN (EIN, SSN, ITIN) | Business Phone |  |\n|  |  |  |  |\n|  | Primary Contact | Email Address |  |\n|  |  |  |  |\n\n\n| Average Monthly Payroll: | $ | x 2.5 (or x 3.5 for NAICS 72 applicants) equals Loan Request Amount (may not exceed $2,000,000): |  | $ |  | Number of Employees (including affiliates, if applicable; may not exceed 300 unless “per location”exception applies): |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Purpose of the loan (select all that apply): | ☐Payroll Costs |  | ☐Rent / Mortgage Interest |  | ☐Utilities |  | ☐Covered Operations Expenditures |  |\n|  | ☐Covered Property Damage |  | ☐Covered Supplier Costs |  | ☐Covered Worker Protection Expenditures |  | ☐Other (explain): |  |\n| PPP First Draw\u003Cbr>SBA Loan Number: |  |  |  |  |  |  |  |  |\n\n\n| Reduction in Gross Receipts of at Least 25%(Applicants for loans of $150,000 or less may leave blank but must provide upon or before seeking loan forgiveness or upon SBA request): | 2020 Quarter (e.g., 2Q 2020) : |  | Reference Quarter (e.g., 2Q 2019): |  |\n| --- | --- | --- | --- | --- |\n|  | Gross Receipts: | $ | Gross Receipts | $ |\n\nApplicant Ownership  \nList all owners of 20% or more of the equity of the Applicant. Attach a separate sheet if necessary.  \n\n| Owner Name | Title | Ownership % | TIN (EIN, SSN, ITIN) | Address |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nPPP Applicant Demographic Information (Optional)  \nVeteran/gender/race/ethnicity data is collected for program reporting purposes only. Disclosure is voluntary and will have no bearing on the loan application decision.  \n\n| Principal Name |  | Principal Position |\n| --- | --- | --- |\n|  |  |  |\n|  | Select Response Below: |  |\n| Veteran | ☐ Non-Veteran; ☐ Veteran; ☐ Service-Disabled Veteran; ☐ Spouse of Veteran; ☐ Not Disclosed |  |\n| Gender | ☐ Male; ☐ Female; ☐ Not Disclosed |  |\n| Race (more than 1 maybe selected) | ☐ American Indian or Alaska Native; ☐ Asian; ☐ Black or African-American;\u003Cbr>☐ Native Hawaiian or Pacific Islander; ☐ White; ☐ Not Disclosed |  |\n| Ethnicity | ☐ Hispanic or Latino; ☐ Not Hispanic or Latino; ☐ Not Disclosed |  |\n\nPaycheck Protection Program  \nSecond Draw Borrower Application Form Revised March 18, 2021  \nIf questions (1),(2),(4), or (5) are answered “Yes,” the loan will not be approved.  \n\n| Question | Yes | No |\n| --- | --- | --- |\n| 1. Is the Applicant or any owner of the Applicant presently suspended, debarred, proposed for debarment, declared ineligible, voluntarily excluded from participation in this transaction by any Federal department or agency, or presently involved in any bankruptcy? |  |  |\n| 2. Has the Applicant, any owner of the Applicant, or any business owned or controlled by any of them, ever obtained a direct or guaranteed loan from SBA or any other Federal agency (other than a Federal student loan made or guaranteed through a program administered by the Department of Education) that is (a) currently delinquent, or (b) has defaulted in the last 7 years and caused a loss to the government? |  |  |\n| 3. Is the Applicant or any owner of the Applicant an owner of any other business, or have common management (including a management agreement) with any other business? If yes, list all such businesses (including t","cbCaiiEwv2ZzioAI","https://ap.wps.com/l/cbCaiiEwv2ZzioAI","pdf",590635,7,"English","# Check One (Business Entity Type)\n# Business Information\n# Loan Request Amount and Employees\n# Purpose of the Loan\n# PPP First Draw SBA Loan Number\n# Reduction in Gross Receipts (25% Threshold)\n# Applicant Ownership\n# PPP Applicant Demographic Information (Optional)\n# Eligibility Questions (Yes/No)\n# Representations, Authorizations, and Certifications","[{\"question\":\"What borrower details are requested at the start of the PPP Second Draw application?\",\"answer\":\"The form collects the business entity type, DBA/trade name, year of establishment (if applicable), business legal name, NAICS code, business address, TIN, and primary contact email and information.\"},{\"question\":\"How is the loan request amount calculated in the form?\",\"answer\":\"It uses the Average Monthly Payroll multiplied by 2.5 (or 3.5 for NAICS 72 applicants) to determine the Loan Request Amount, subject to the stated maximum.\"},{\"question\":\"What are the required eligibility questions and what happens if answers are “Yes”?\",\"answer\":\"The form includes numbered eligibility questions (e.g., suspension/debarment, prior SBA/Federal loan delinquency or default, related business ownership/common management, incarceration/charges, and fraud-related convictions). If questions (1), (2), (4), or (5) are answered “Yes,” the loan will not be approved.\"}]","Paycheck Protection Program Second Draw Borrower Application Form - Revised March 18, 2021 | PDF",1789840671]