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U. S. Small Business Administration (U.S. Small Business Administration)

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SBA Form 1368 (02-15) Reference SOP 50-30 Previous editions are obsolete.
U. S. Small Business Administration
OMB No. 3245-0017
Expiration Date: 01/31/2018
ADDITIONAL FILING REQUIREMENTS
ECONOMIC INJURY DISASTER LOAN (EIDL), and
MILITARY RESERVIST ECONOMIC INJURY DISASTER LOAN (MREIDL)
*
An EIDL is limited to providing working capital that is unavailable from other sources, as determined by the U.S. Small Business
Administration (SBA), for an eligible business to continue operations until the effects of the declared disaster have passed.
*
A MREIDL is limited to providing working capital that is unavailable from other sources, as determined by the SBA, for an
eligible business to continue
operations until the effects of a call-up to active duty (as a result of a military conflict) of an
essential employee have passed.
*
The APPLICANT must be a small business or small agricultural cooperative, as defined in SBA's published size standards, or
an eligible private non-profit organization of any size.
*
The APPLICANT must establish that the claimed economic injury is substantial and is a direct result of the declared disaster.
For MREIDL, the applicant must establish the claimed economic injury is substantial and is a direct result of the call-up of an
essential employee. Substantial economic injury generally means a decrease in income from operations or working capital
with the result that the business is unable to meet its obligations and pay ordinary and necessary operating expenses in the
normal course of business.
PROVIDE THE FOLLOWING INFORMATION IN ADDITION TO THE REQUIREMENTS ON THE
“DISASTER BUSINESS LOAN APPLICATION,” SBA FORM 5
Monthly Sales Figures
Provide monthly sales figures (you may estimate if actual figures are not available) beginning 3 years prior to the disaster and
continuing through the most recent month available.
PLEASE NOTE: Identify any estimates with a small letter “e” after the number.
Month
Fiscal year Fiscal year Fiscal year Current year/
to date
*Totals
*Please note: the total figures for each year should reconcile to the sales figures on your tax returns for the
corresponding fiscal year.
CONTINUED ON REVERSE
PLEASE SUBMIT ANY ADDITIONAL NARRATIVE OR FINANCIAL INFORMATION
YOU FEEL WILL HELP ESTABLISH YOUR ECONOMIC LOSS
It can be helpful to provide a financial forecast to illustrate what the income and expenses for the business
will be during the period affected by the disaster until normal operations resume. This is not required.
This optional format is provided for your convenience.
Period covered by this forecast. From To
Net sales (receipts)
Less cost of goods sold
Gross profit
Less expenses
Officers salaries
Employee wages
Advertising
Rent
Utilities
Interest
Taxes
Insurance
Other expenses
Total expenses
Net profit <Loss> before income taxes
PLEASE SUBMIT ANY ADDITIONAL NARRATIVE OR FINANCIAL INFORMATION
YOU FEEL WILL HELP ESTABLISH YOUR ECONOMIC LOSS
Please note: The estimated burden for completing this form is 1 hour. You are not required to respond to any collection of information unless it displays a
current valid OMB approval number. Comments on the burden should be sent to U.S. Small Business Administration; Chief, AIB; 409 3rd St., SW,
Washington, DC 20416 and Desk Officer for the Small Business Administration; Office of Management and Budget, New Executive Office Building, Room
10202, Washington, DC 20503. OMB Approval (3245-0017).
Please do not send forms to OMB
.
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Completed 8 December 2020

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