Application for Lien Subordination 12/15/2020 V1.2
Application for Lien Subordination
(Business with Existing EIDL from $25K to $150K)
1. BUSINESS NAME (as listed on the SBA Loan): 2. SELECT BUSINESS TYPE: 3. SBA LOAN NUMBER:
Temporarily Closed
4. IS THE BUSINESS CURRENTLY OPERATIONAL?
Permanently Closed - Provide
the Business Dissolution Paperwork
or Final Tax Returns
8. LIST COLLATERAL TO BE SUBORDINATED AND INCLUDE IDENTIFYING INFORMATION:
a.
b.
c.
d.
YES - List the State(s)
in which the Business
is registered to operate:
9.
PROVIDE A LISTING OF ALL OWNERS OR PRINCIPALS OF THE BUSINESS AND INCLUDE THE PERCENTAGE OF OWNERSHIP
FOR EACH. THIS APPLICATION APPROVAL IS SUBJECT TO ALL OWNERS OR PRINCIPALS WITH 20% OR MORE OWNERSHIP
PLEDGING A PERSONAL GUARANTEE FOR THE BALANCE OF THE SBA LOAN.
5. PROVIDE THE REASON FOR THE LIEN SUBORDINATION REQUEST:
6. LENDER NAME (if applicable): 7. NEW LOAN AMOUNT (if applicable):
10. A PERSONAL GUARANTEE IS REQUIRED FOR THIS APPLICATION TO BE APPROVED; MONETARY CONSIDERATION MAY
ALSO BE REQUIRED IN ADDITION TO THE PERSONAL GUARANTEE. (Not applicable to Sole Proprietorship.)
11. SEND THE FOLLOWING FORMS/DOCUMENTATION TO bham.realty@sba.gov:*
Application for Lien Subordination (this form)
SBA Form 912 – Statement of Personal History from each Owner with 20% or more ownership (hyperlink to PDF)
Borrower Authorization from each Owner with 20% or more ownership (hyperlink to PDF)
A copy of the UCC Lien Search
indicating the SBA’s lien
If the business is permanently closed, provide Dissolution Paperwork or Final Tax Returns
Proof of Hazard Insurance on the business assets, as required by the SBA Loan Agreement
NAME OF OWNER(S)/PRINCIPAL(S)
*Please note, edits to SBA approved forms are not permitted.
SIGNATURE OF OWNER(S)/PRINCIPAL(S)
click to sign
signature
click to edit
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