NLD Paycheck Protection Program

Phase 2 PPP SBA Intake Form

Please complete one intake form per business loan request. Please complete the entire form to be able to proceed to the full application.
Qualification Guidelines:

1. Less than 300 Employees. Document Second Draw Borrower Application should show current Employers.

2. If in business prior to 2020 then you must prove that your income declined by 25% or more from one quarter/year to the previous quarter/year. Please provide 2019 and 2020 Profit and Loss breakdown by month.

3. Have payroll expenses that you can prove. Please provide 940 for 2020 and 941's each quarter in 2020.

To read more about the New SBA PPP Rules and Guidelines, please click HERE.
Did you apply and receive funding during PPP Phase 1? *

Yes I was funded Yes but I was not funded No, this is a new application
Name *

First Name Last Name
Phone *

Area Code Phone Number
Business Legal Name *
Business E-mail *
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Estimated Credit Score *
(i.e. 700)
Estimated Annual Revenue for 2020 *
(i.e. 100,000)
Were you referred by anyone? *
Representative Name

First Name Last Name
Representative Email
[email protected]
Are you interested in additional financial products you may qualify for?

Business Loans Residential Loans Commercial Loans
Note: By completing this form you authorize Nationwide Lending Direct and its authorized affiliates to utilize the information provided to present you with a potential loan offer.
Please verify that you are human *
DISCLAIMER: Any submitted applications, especially for COVID-19 SBA Paycheck Protection Program Relief loan applications, do not guarantee any funding and are subject to the funding lender or bank final acceptance and approval with SBA. We provide business and real estate lending and advisory services nationwide. We do not lend or broker loans in states that require financial licenses for lending to businesses or to specific property classifications. All loan approvals are conditional and subject to qualification requirements being fully met by the borrower. Nationwide Lending Direct, LLC, is not a United States Securities Dealer, Broker or US Investment Advisor.
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Paycheck Protection Program

Phase 2 PPP SBA Intake Form