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This form is provided for your convenience in responding to filing requirements in item 2 on the application, SBA Form 5. You may use your own form if you prefer. The information contained in this schedule is a supplement to your balance sheet and should balance to the liabilities presented on that form.

For agent services in connection with an SBA Disaster Assistance Loan.

The APPLICANT must establish that the claimed economic injury is substantial and is a direct result of the declared disaster. For MREIDL, the applicant must establish the claimed economic injury is substantial and is a direct result of the call-up of an essential employee. Substantial economic injury generally means a decrease in income from operations or working capital with the result that the business is unable to meet its obligations and pay ordinary and necessary operating expenses in the normal course of business.

This form is to be used by SBA’s disaster loan borrowers to account for expenditures to repair or replace your disaster damaged property. Use this form when you are ready to request a subsequent disbursement.

Agreement of Compliance.

To induce the Certified Development Company (CDC) to make the above-referenced U.S. Small Business Administration (SBA) 504 Loan to Borrower (and Operating Company, if loan is to an Eligible Passive Company) for purposes of financing the Project described in the Authorization for Debenture Guarantee (Authorization), Borrower and Operating Company each hereby certifies to CDC and SBA the following.

CDC has agreed to make a loan (the 504 Loan) to Borrower and Co-Borrower, if any (Borrower) for purposes of financing the Project described in the “Authorization for Debenture Guarantee (SBA 504 Loan),” as amended (the Authorization). The 504 Loan will be funded by a debenture issued by CDC and guaranteed by the U.S. Small Business Administration (SBA). One of the conditions for the 504 Loan is that Interim Lender executes this Interim Lender Certification.

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Supplemental Information for PCLP Processing

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