Paycheck Protection Program OMB Control No. 3245-0407
PPP Loan Forgiveness Application Form 3508S Expiration date: 10/31/2020
SBA Form 3508S (10/20)
A BORROWER MAY USE THIS FORM ONLY IF THE BORROWER RECEIVED A PPP LOAN OF $50,000 OR LESS.
A Borrower that, together with its affiliates, received PPP loans totaling $2 million or greater cannot use this form.
Business Legal Name (“Borrower”)
DBA or Tradename, if applicable
Business Address
Business TIN (EIN, SSN)
Business Phone
( ) -
Primary Contact
E-mail Address
SBA PPP Loan Number: ________________________ Lender PPP Loan Number: __________________________
PPP Loan Amount: _____________________________ PPP Loan Disbursement Date: ________________________
Employees at Time of Loan Application: ___________ Employees at Time of Forgiveness Application: __________
EIDL Advance Amount: ________________________ EIDL Application Number: __________________________
Forgiveness Amount: ___________________________
By Signing Below, You Make the Following Representations and Certifications on Behalf of the Borrower:
The Authorized Representative of the Borrower certifies to all of the below by initialing next to each one.
_____ The dollar amount for which forgiveness is requested does not exceed the principal amount of the PPP loan and:
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 payroll costs equal to at least 60% of the forgiveness amount;
if a 24-week Covered Period applies, does not exceed 2.5 months’ worth of 2019 compensation for any owner-
employee or self-employed individual/general partner, capped at $20,833 per individual; and
if the Borrower has elected an 8-week Covered Period, does not exceed 8 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, and has accurately calculated the forgiveness amount requested.
_____ 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 SBAs 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.
_____________________________________________________ ____________________________
Signature of Authorized Representative of Borrower Date
____________________________________________________ ____________________________
Print Name Title
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Paycheck Protection Program
PPP Loan Forgiveness Application Form 3508S
SBA Form 3508S (10/20)
Page 2
PPP Borrower Demographic Information Form (Optional)
Instructions
1. Purpose. Veteran/gender/race/ethnicity data is collected for program reporting purposes only.
2. Description. This form requests information about each of the Borrower’s Principals. Add additional sheets if necessary.
3. Definition of Principal. The term “Principal” means:
For a self-employed individual, independent contractor, or a sole proprietor, the self-employed individual, independent
contractor, or sole proprietor.
For a partnership, all general partners and all limited partners owning 20% or more of the equity of the Borrower, or any
partner that is involved in the management of the Borrowers business.
For a corporation, all owners of 20% or more of the Borrower, and each officer and director.
For a limited liability company, all members owning 20% or more of the Borrower, and each officer and director.
Any individual hired by the Borrower to manage the day-to-day operations of the Borrower (“key employee”).
Any trustor (if the Borrower is owned by a trust).
For a nonprofit organization, the officers and directors of the Borrower.
4. Principal Name. Insert the full name of the Principal.
5. Position. Identify the Principal’s position; for example, self-employed individual; independent contractor; sole proprietor;
general partner; owner; officer; director; member; or key employee.
Principal Name
Position
Disclosure is voluntary and will have no bearing on the loan forgiveness decision
Paperwork Reduction Act You are not required to respond to this collection of information unless it displays a currently valid OMB Control
Number. The estimated time for completing this application, including gathering data needed, is 15 minutes. Comments about this time or the
information requested should be sent to Small Business Administration, Director, Records Management Division, 409 3rd St., SW, Washington DC
20416, and/or SBA Desk Officer, Office of Management and Budget, New Executive Office Building, Washington DC 20503. PLEASE DO NOT
SEND FORMS TO THESE ADDRESSES.
1=Non-Veteran; 2=Veteran; 3=Service-Disabled Veteran; 4=Spouse of Veteran; X=Not
Disclosed
M=Male; F=Female; X=Not Disclosed
1=American Indian or Alaska Native; 2=Asian; 3=Black or African-American; 4=Native
Hawaiian or Pacific Islander; 5=White; X=Not Disclosed
H=Hispanic or Latino; N=Not Hispanic or Latino; X=Not Disclosed
Paycheck Protection Program OMB Control No. 3245-0407
PPP Loan Forgiveness Application Form 3508S Expiration Date: 10/31/2020
SBA Form 3508S (10/20)
Page 1
PPP LOAN FORGIVENESS APPLICATION FORM 3508S INSTRUCTIONS FOR BORROWERS
You (the Borrower) can apply for forgiveness of your Paycheck Protection Program (PPP) loan using this SBA Form 3508S only
if the total PPP loan amount you received from your Lender was $50,000 or less. However, a borrower that, together with its
affiliates (see 85 FR 20817
(April 15, 2020) regarding application of SBA’s affiliation rules and the exemption of otherwise
qualified faith-based organizations from SBA’s affiliation rules), received PPP loans totaling $2 million or more cannot use this
form. If you are not eligible to use this form, you must apply for forgiveness of your PPP loan using SBA Form 3508 or 3508EZ
(or lender’s equivalent form).
SBA Form 3508S requires fewer calculations and less documentation for eligible borrowers. Borrowers that use SBA Form 3508S
are exempt from reductions in loan forgiveness amounts based on reductions in full-time equivalent (FTE) employees or in salaries
or wages. SBA Form 3508S also does not require borrowers to show the calculations used to determine their loan forgiveness
amount. However, SBA may request information and documents to review those calculations as part of its loan review process.
Complete this SBA Form 3508S in accordance with the instructions below, and submit it to your Lender (or the Lender that is
servicing your loan). Borrowers may also complete this application electronically through their Lender.
Instructions for PPP Loan Forgiveness Application Form 3508S
Business Legal Name (“Borrower”)/DBA or Tradename (if applicable)/Business TIN (EIN, SSN): Enter the same
information as on your Borrower Application Form (SBA Form 2483 or lender’s equivalent).
Business Address/Business Phone/Primary Contact/E-mail Address: Enter the same information as on your Borrower
Application Form, unless there has been a change in address or contact information.
SBA PPP Loan Number: Enter the loan number assigned by SBA at the time of loan approval. Request this number from the
Lender if necessary.
Lender PPP Loan Number: Enter the loan number assigned to the PPP loan by the Lender.
PPP Loan Amount: Enter the disbursed principal amount of the PPP loan (the total loan amount you received from the Lender).
Employees at Time of Loan Application: Enter the total number of employees at the time of the PPP Loan Application.
Employees at Time of Forgiveness Application: Enter the total number of employees at the time the Borrower is applying for
loan forgiveness.
PPP Loan Disbursement Date: Enter the date that you received the PPP loan proceeds from the Lender. If loan proceeds were
received on more than one date, enter the first date on which you received PPP loan proceeds.
EIDL Advance Amount: If the Borrower received an Economic Injury Disaster Loan (EIDL) advance, enter the amount.
EIDL Application Number: If the Borrower applied for an EIDL, enter the Borrower’s EIDL Application Number.
Forgiveness Amount: Enter the total amount of your payroll and nonpayroll costs eligible for forgiveness. The amount entered
cannot exceed the principal amount of the PPP loan. Use the following instructions to determine your forgiveness amount.
1. Eligible payroll costs. Borrowers are generally eligible for forgiveness for the payroll costs paid and payroll costs incurred
during the 24-week (168-day) or 8-week (56-day) Covered Period or Alternative Payroll Covered Period (“payroll costs”).
Covered Period: The Covered Period is either: (1) the 24-week (168-day) period beginning on the PPP Loan Disbursement
Date, or (2) if the Borrower received its PPP loan before June 5, 2020, the Borrower may elect to use an eight-week (56-
day) Covered Period. For example, if the Borrower is using a 24-week Covered Period and received its PPP loan proceeds
on Monday, April 20, the first day of the Covered Period is April 20 and the last day of the Covered Period is Sunday,
October 4. In no event may the Covered Period extend beyond December 31, 2020.
Alternative Payroll Covered Period: For administrative convenience, Borrowers with a biweekly (or more frequent) payroll
schedule may elect to calculate eligible payroll costs using the 24-week (168-day) period or for loans received before June
5, 2020 at the election of the borrower, the eight-week (56-day) period that begins on the first day of their first pay period
following their PPP Loan Disbursement Date. For example, if the Borrower is using a 24-week Alternative Payroll
Covered Period and received its PPP loan proceeds on Monday, April 20, and the first day of its first pay period following
its PPP loan disbursement is Sunday, April 26, the first day of the Alternative Payroll Covered Period is April 26 and the
last day of the Alternative Payroll Covered Period is Saturday, October 10. Borrowers that elect to use the Alternative
Payroll Covered Period must apply the Alternative Payroll Covered Period wherever there is a reference in this application
to “the Covered Period or the Alternative Payroll Covered Period.” However, Borrowers must apply the Covered Period
Paycheck Protection Program
PPP Loan Forgiveness Application Form 3508S
SBA Form 3508S (10/20)
Page 2
(not the Alternative Payroll Covered Period) wherever there is a reference in this application to “the Covered Period” only.
In no event may the Alternative Payroll Covered Period extend beyond December 31, 2020.
To calculate eligible payroll costs incurred or paid during the Covered Period or the Alternative Payroll Covered Period,
sum Cash Compensation, Employee Benefits, and Owner Compensation, as follows:
Cash Compensation: The sum of gross salary, gross wages, gross tips, gross commissions, paid leave (vacation, family,
medical or sick leave, not including leave covered by the Families First Coronavirus Response Act), and allowances for
dismissal or separation paid or incurred during the Covered Period or the Alternative Payroll Covered Period. For each
individual employee, the total amount of cash compensation eligible for forgiveness may not exceed an annual salary of
$100,000, as prorated for the Covered Period. For an 8-week Covered Period, that total is $15,385. For a 24-week Covered
Period, that total is $46,154 for purposes of this 3508S. You can only include compensation of employees who were
employed by the Borrower at any point during the Covered Period or Alternative Payroll Covered Period and whose
principal place of residence is in the United States.
Employee Benefits: The total amount paid by the Borrower for:
1. Employer contributions for employee health insurance, including employer contributions to a self-insured,
employer-sponsored group health plan, but excluding any pre-tax or after-tax contributions by employees. Do not
add employer health insurance contributions made on behalf of a self-employed individual, general partners, or
owner-employees of an S-corporation, because such payments are already included in their compensation.
2. Employer contributions to employee retirement plans, excluding any pre-tax or after-tax contributions by
employees. Do not add employer retirement contributions made on behalf of a self-employed individual or general
partners, because such payments are already included in their compensation, and contributions on behalf of owner-
employees are capped at 2.5 months’ worth of the 2019 contribution amount.
3. Employer state and local taxes paid by the borrower and assessed on employee compensation (e.g., state
unemployment insurance tax), excluding any taxes withheld from employee earnings.
Owner Compensation: Include any amounts paid to owners (owner-employees, a self-employed individual, or general
partners). For a 24-week Covered Period, this amount is capped at $20,833 (the 2.5-month equivalent of $100,000 per year)
for each individual or the 2.5-month equivalent of their applicable compensation in 2019, whichever is lower. For an 8-
week Covered Period, this amount is capped at 8/52 of 2019 compensation (up to $15,385).
Payroll costs are considered paid on the day that paychecks are distributed or the Borrower originates an ACH credit
transaction. Payroll costs are considered incurred on the day that the employee’s pay is earned. Payroll costs incurred but
not paid during the Borrower’s last pay period of the Covered Period (or Alternative Payroll Covered Period) are eligible
for forgiveness if paid on or before the next regular payroll date. Otherwise, payroll costs must be paid during the Covered
Period (or Alternative Payroll Covered Period). For each individual employee, the total amount of cash compensation
eligible for forgiveness may not exceed an annual salary of $100,000, as prorated for the Covered Period. Count payroll
costs that were both paid and incurred only once. For information on what qualifies as payroll costs, see Interim Final Rule
on Paycheck Protection Program posted on April 2, 2020 (85 FR 20811
), as amended by the Revisions to First Interim Final
Rule, posted on June 11, 2020 (85 FR 36308)). Include only payroll costs for employees whose principal place of residence
is in the United States.
2. Eligible nonpayroll costs. Nonpayroll costs eligible for forgiveness consist of:
(a) covered mortgage obligations: payments of mortgage interest (not including any prepayment or payment of principal)
on any business mortgage obligation on real or personal property incurred before February 15, 2020 (“business mortgage
interest payments”);
(b) covered rent obligations: business rent or lease payments pursuant to lease agreements for real or personal property in
force before February 15, 2020 (“business rent or lease payments”); and
(c) covered utility payments: business payments for a service for the distribution of electricity, gas, water, telephone,
transportation, or internet access for which service began before February 15, 2020 (“business utility payments”).
An eligible nonpayroll cost must be paid during the Covered Period or incurred during the Covered Period and paid on or
before the next regular billing date, even if the billing date is after the Covered Period. Eligible nonpayroll costs cannot
exceed 40% of the total forgiveness amount. Count nonpayroll costs that were both paid and incurred only once.
Paycheck Protection Program
PPP Loan Forgiveness Application Form 3508S
SBA Form 3508S (10/20)
Page 3
Documents that Each Borrower Must Submit with its PPP Loan Forgiveness Application Form 3508S
PPP Loan Forgiveness Application Form 3508S
Payroll: Documentation verifying the eligible cash compensation and non-cash benefit payments from the Covered Period or the
Alternative Payroll Covered Period consisting of each of the following:
a. Bank account statements or third-party payroll service provider reports documenting the amount of cash compensation paid
to employees.
b. Tax forms (or equivalent third-party payroll service provider reports) for the periods that overlap with the Covered Period
or the Alternative Payroll Covered Period:
i. Payroll tax filings reported, or that will be reported, to the IRS (typically, Form 941); and
ii. State quarterly business and individual employee wage reporting and unemployment insurance tax filings reported,
or that will be reported, to the relevant state.
c. Payment receipts, cancelled checks, or account statements documenting the amount of any employer contributions to
employee health insurance and retirement plans that the Borrower included in the forgiveness amount.
Nonpayroll: Documentation verifying existence of the obligations/services prior to February 15, 2020 and eligible payments from
the Covered Period.
a. Business mortgage interest payments: Copy of lender amortization schedule and receipts or cancelled checks verifying
eligible payments from the Covered Period; or lender account statements from February 2020 and the months of the Covered
Period through one month after the end of the Covered Period verifying interest amounts and eligible payments.
b. Business rent or lease payments: Copy of current lease agreement and receipts or cancelled checks verifying eligible
payments from the Covered Period; or lessor account statements from February 2020 and from the Covered Period through
one month after the end of the Covered Period verifying eligible payments.
c. Business utility payments: Copy of invoices from February 2020 and those paid during the Covered Period and receipts,
cancelled checks, or account statements verifying those eligible payments
Documents that Each Borrower Must Maintain but is Not Required to Submit
All records relating to the Borrower’s PPP loan, including documentation submitted with its PPP loan application, documentation
supporting the Borrower’s certifications as to its eligibility for a PPP loan, documentation necessary to support the Borrower’s loan
forgiveness application, and documentation demonstrating the Borrower’s material compliance with PPP requirements. The
Borrower must retain all such documentation in its files for six years after the date the loan is forgiven or repaid in full, and permit
authorized representatives of SBA, including representatives of its Office of Inspector General, to access such files upon request.
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