Payment Protection Program Applications
Welcome to the Access Private Capital Loan Application Center
Paycheck Protection Program Loan Application
Business Information
Business Address
To continue the application process, please upload the following documents as individual files:
• 2019 Business Tax Returns or Year End Financial Statements as of December 31, 2019
• 2019 Payroll Cost and YTD Payroll Cost through February 15, 2020
• Number of employees as of December 31, 2019 – W2 and 1099
• Number of employees as of February 15, 2020 – W2 and 1099
Verification Documents to Include:
• IRS Form 940 Employers Annual Federal Unemployment Tax Return (FUTA
• IRS Form 941 Employer’s QUARTERLY Federal Tax Return
• Detailed Payroll Reports for 2019 with corresponding bank statements
• W2 Summary
• 099 Summary
• Breakdown of payroll benefits (vacation, allowance for dismissal, group healthcare benefits, retirement benefits, etc.)
• Copy of 2019 1099s (if Independent Contractor)
• Copy of 2019 W2s (for wage earners)
Primary Contact Information
Please upload Primary Applicant Driver's License or State Issued ID
Applicant Ownership
List all owners of Applicant with greater than 20% ownership stakes. Attach a separate sheet if necessary.
Please upload Copy of US Permanent Resident card
Please upload documents signed by owners
Decision
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1. Is the Business or any owner 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?
2. Has the Business, any of its owners, or any business owned or controlled by any of them, ever obtained a direct or guaranteed loan from SBA or any other Federal agency that is currently delinquent or has defaulted in the last 7 years and caused a loss to the government?
3. Is the Business or any owner an owner of any other business or have common management with any other business? If yes, attach a listing of all Affiliates and describe the relationship as addendum A.
4. Has the Business received an SBA Economic Injury Disaster Loan between January 31, 2020 and April 3, 2020? If yes, provide details on a separate sheet identified as addendum B.
Applicants who are individuals and all 20% or greater owners of the business must answer the following questions. If questions (5) or (6) are answered “Yes” or question (7) is answered “No”, the loan will not be approved.
5. Are you presently subject to an indictment, criminal information, arraignment, or other means by which formal criminal charges are brought in any jurisdiction, or presently incarcerated, on probation or parole?
6. Within the last 7 years, for any felony or misdemeanor for a crime against a minor, have you: 1) been convicted; 2) pleaded guilty; 3) pleaded nolo contendere; 4) been placed on pretrial diversion; or 5) been placed on any form of parole or probation (including probation before judgment)?
7.