[City of Oceanside] Small Business Emergency Loan Application

City of Oceanside

Small Business Emergency Loan Application

Applicant Name

Business Name

Business Address

City

State

ZIP

Contact Phone Number

Federal Employer Identification Number

Oceanside Business License Number

1. Please describe the main function of your business.

2. Loan Amount Requested: minimum: $2,500; maximum $20,000

3. Number of employees currently working in Oceanside

4. Do you own the building out of which your business is run?

Yes

4A. If you do not own your building, are you current on your rent through February 2020?

Yes

If yes, please provide contact info for landlord.

4B. Landlord Email

4C. Landlord Phone

5. Have you requested a rent deferral or reduction from your landlord?

Yes

5A. Has your landlord provided you with a decision?

Yes

5B. What was that decision?

6. How long have you been at your current location?

7. If available, please provide the business's credit standing immediately prior to March 16, 2020.

8. Is the business currently the subject of a collection action or have a court judgment against it?

Yes

9. Does the business have any existing outstanding loans?

Yes

9A. Please describe.

10. What is the current debt payment load of the business?

11. Does the business have any outstanding taxes assessed or owed, including but not limited to corporate taxes, franchise taxes, employment taxes, real property taxes, special assessment taxes, business property taxes, use taxes, and/or any other taxes or assessments levied on the business?

Yes

11A. List each tax category or type that has been assessed, levied, and/or is owed by the business, list the amount for each such tax, and also provide the current total unpaid tax liability for the business.

12. Average Monthly Net Revenue prior to March 2020

13. Average Monthly Gross Revenue prior to March 2020

14. How have government mandates during the COVID-19 emergency impacted your business? Any documentary evidence of those impacts may be attached.

14A. Attachment 1

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15. Have you applied for any other governmental assistance as a result of the COVID-19 emergency?

Yes

15A. Please indicate which one(s).

16. Please describe how you intend to utilize the funds from this loan to support your Oceanside business.

Please provide proof of application and approval for a Federal Small Business Emergency Loan that includes amount and expected date of funding, 2019 Profit & Loss Statement, Balance Sheet and Statement of Cash Flow.

17. Application for Federal Small Business Emergency Loan

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18. Approval for Federal Small Business Emergency Loan

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19. 2019 Profit & Loss Statement

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20. Balance Sheet

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21. Statement of Cash Flow

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Applicant warrants and represents that no City Council Member, or City Staff Member, Commission Member, Committee Member, and/or any person who is subject to the provisions of the City’s Conflict of Interest Code, has any ownership interest of any kind or amount in the business for which the loan would be issued, or would otherwise receive a financial benefit from any loan which may be extended to Applicant and/or for the business.

I attest that I have read and understood the application, and that the City of Oceanside will review the same to determine whether or not to provide a loan. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.