COVID-19 Impact Survey | Northwest Business Development Association

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Section 1. Your Information:

First and Last Name

Business Name

SBA Loan Number

Is Your Business Closed or Operating with Reduced Hours?

Business ClosedReduced HoursOperating at Full Hours

If Your Business is Open, is Capacity Restricted?

YesNoNot Open

Have You Had to Layoff Employees and/or Reduce Employees Hours?

Laid OffReduced HoursBothNeither

How Much Of A Drop in Revenue Have You Experienced?

Has Your Supply Chain Been Impacted?

YesNo

If Your Company Has Receivables, Have They Been Impacted?

YesNo

Have You Received Funds from a PPP, EIDL, and/or Other Loan? Provide All New Loans and Dollar Amounts.

PPP

EDIL

Other

None

Do Any of These Loans Have Forgiveness Options? If Yes, How Much Will Be Eligible For Forgiveness.

YesNo

Has Your Senior Lender (1st Trust Deed Loan) Allowed You To Make Reduced Payments Or Deferred Any Payments and For How Long?

Are Your Property and Personal Taxes Current?

YesNo

Are You Delinquent on Any of Your Loans or Other Obligations?

YesNo

How Have The SBA's Six Free Payments Helped You?

Are You Concerned About Having to Resume Your Monthly SBA 504 Loan Payment in October?

YesNo

Time is Up!

9019 E Appleway Blvd, Suite 200, Spokane Valley, WA 99212 | (509) 458-8555 or 1 (800) 540-1748 | info@nwbusiness.org or Contact Us