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Statement of Personal History

SBA uses Form 912 as one part of its assessment of program eligibility. Please reference SBA Regulations and Standard Operating Procedures if you have any questions about who must submit this form and where to submit it.

OMB Approved: 
OMB Approved
OMB No.: 
3245-0178
SBA Form No.: 
912
Version #: 
2-13
Expiration Date: 
Saturday, April 30, 2016
Attachments Size
SBA Form 912 2-13.pdf 296Kb