Paycheck Protection Loan Program Borrower Information Form and Lender's Application for Loan Guaranty

Paycheck Protection Program

PPP Loan Forgiveness Application Form 3508EZ Revised July 30, 2021

OMB Control No.: 3245-0407
Expiration Date: XX/XX/XXXX

PPP LOAN FORGIVENESS APPLICATION FORM 3508EZ INSTRUCTIONS FOR BORROWERS
Checklist for Using SBA Form 3508EZ
You (the Borrower) can apply for forgiveness of your First or Second Draw Paycheck Protection Program (PPP) Loan using this
SBA Form 3508EZ if your PPP loan amount is more than $150,000 and you can check at least one of the two boxes below. If
your loan amount is $150,000 or less, please use SBA Form 3508S. Do not submit this Checklist with your SBA Form 3508EZ.
Each PPP loan must use a separate loan forgiveness application form. You cannot use one form to apply for forgiveness of both a
First Draw PPP Loan and a Second Draw PPP loan. For a Second Draw PPP Loan in excess of $150,000, you must submit a loan
forgiveness application for your First Draw PPP Loan before or simultaneously with the loan forgiveness application for your
Second Draw PPP Loan, even if the calculated amount of forgiveness on your First Draw PPP Loan is zero.
☐ The Borrower did not reduce annual salary or hourly wages of any employee by more than 25 percent during the Covered
Period compared to the most recent full quarter before the Covered Period. (For purposes of this statement, “employees”
means only those employees that did not receive, during any single period during 2019, wages or salary at an annualized
rate of pay in an amount more than $100,000.);
AND
The Borrower did not reduce the number of employees or the average paid hours of employees between January 1, 2020
and the end of the Covered Period.
• Ignore reductions that arose from an inability to rehire individuals who were employees on February 15,
2020 if the Borrower was unable to hire similarly qualified employees for unfilled positions on or before
December 31, 2020 (or, for a PPP loan made after December 27, 2020, the last day of the Covered
Period).
• Also ignore reductions in an employee’s hours that the Borrower offered to restore and the employee
refused. See 85 FR 33004, 33007 (June 1, 2020) for more details.
----------------------------------------------------------------------------------------------------------------☐ The Borrower did not reduce annual salary or hourly wages of any employee by more than 25 percent during the Covered
Period compared to the most recent full quarter before the Covered Period. (For purposes of this statement, “employees”
means only those employees that did not receive, during any single period during 2019, wages or salary at an annualized
rate of pay in an amount more than $100,000,);
AND
The Borrower was unable to operate during the Covered Period at the same level of business activity as before February
15, 2020, due to compliance with requirements established or guidance issued between March 1, 2020 and December 31,
2020 (or, for a PPP loan made after December 27, 2020, requirements established or guidance issued between March 1,
2020 and the last day of the Covered Period) by the Secretary of Health and Human Services, the Director of the Centers
for Disease Control and Prevention, or the Occupational Safety and Health Administration, related to the maintenance of
standards of sanitation, social distancing, or any other work or customer safety requirement related to COVID-19.
If you can check at least one of the two boxes above, complete this SBA Form 3508EZ in accordance with the instructions below,
and submit it to your Lender (or the Lender that is servicing your loan). Borrowers may also complete this application
electronically through their Lender. If your loan is for more than $150,000 and you are unable to check one of the boxes above,
you cannot use SBA Form 3508EZ and instead you must apply for forgiveness of your PPP loan using SBA Form 3508.
If this application is being submitted for a First Draw PPP Loan approved on or before August 8, 2020 and the Borrower is
required to submit an SBA Form 3508D disclosure of a controlling interest, that disclosure must be submitted to the Lender not
later than 30 days after submission of this loan forgiveness application. See subsection B.16 of SBA’s interim final rule posted on
January 6, 2021 (86 FR 3692).
Instructions for PPP Loan Forgiveness Calculation Form 3508EZ
Business Legal Name (“Borrower”)/DBA or Tradename (if applicable)/Business TIN (EIN, SSN, ITIN): Enter the same
information as on your Borrower Application Form (SBA Form 2483, SBA Form 2483-SD, SBA Form 2483-C, SBA Form 2483SD-C, or lender’s equivalent).
Business Address/NAICS Code/Business Phone/Primary Contact/E-mail Address: Enter the same information as on your
Borrower Application Form, unless there has been a change in address or contact information. If NAICS Code was not on the
Borrower Application Form, match the business activity code provided on IRS income tax filings, if applicable.
SBA Form 3508EZ (07/21)
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Paycheck Protection Program

PPP Loan Forgiveness Application Form 3508EZ Revised July 30, 2021

OMB Control No.: 3245-0407
Expiration Date: XX/XX/XXXX

First Draw PPP Loan or Second Draw PPP Loan: Select the box that describes the PPP loan that this forgiveness application is
for. If you only have one PPP loan, select First Draw PPP Loan.
SBA PPP Loan Number: Enter the loan number assigned by SBA at the time of loan approval. Request this number from the
Lender if necessary.
Lender PPP Loan Number: Enter the loan number assigned to the PPP loan by the Lender.
PPP Loan Amount: Enter the original disbursed principal amount of the PPP loan (the original loan amount you received from
the Lender).
PPP Loan Disbursement Date: Enter the date that you received the PPP loan proceeds from the Lender. If loan proceeds were
received on more than one date, enter the first date on which you received PPP loan proceeds. If you received an authorized increase
on your First Draw PPP Loan after December 27, 2020, you must enter the date on which you received the original disbursement of
your PPP loan proceeds.
Amount of PPP Loan Increase: Enter the disbursed amount of an authorized increase on your First Draw PPP Loan received
after December 27, 2020 (if applicable).
Date of PPP Loan Increase: Enter the date that you received the proceeds of the authorized increase on your First Draw PPP
Loan from the Lender (if applicable).
Employees at Time of Loan Application: Enter the total number of employees at the time of the PPP loan application.
Employees at Time of Forgiveness Application: Enter the total number of employees at the time the Borrower is applying for
loan forgiveness.
Covered Period: The Covered Period begins on the date the loan was originally disbursed. It ends on a date selected by the
Borrower that is at least 8 weeks following the date of loan disbursement and not more than 24 weeks after the date of loan
disbursement. For example, if the Borrower received their PPP loan proceeds on Monday, April 20, 2020, the first day of the
Covered Period is Monday, April 20, 2020 and the final day of the Covered Period is any date selected by the Borrower between
Sunday, June 14, 2020 and Sunday, October 4, 2020.
Forgiveness Amount Calculation (see Summary of Costs Eligible for Forgiveness below):
Line 1: Enter total eligible payroll costs incurred or paid during the Covered Period. To calculate these costs, add the following:
Cash Compensation: The sum of gross salary, gross wages, gross tips, gross commissions, paid leave (vacation, family,
medical or sick leave, not including leave covered by the Families First Coronavirus Response Act), and allowances for
dismissal or separation paid or incurred during the Covered Period. Do not include qualified wages taken into account in
determining (a) the Employee Retention Credit under section 2301 of the CARES Act, as amended by sections 206 and 207
of the Taxpayer Certainty and Disaster Tax Relief Act of 2020; (b) the Employee Retention Credit under section 3134 of the
Internal Revenue Code of 1986, as enacted by the American Rescue Plan Act of 2021; and (c) the disaster credit under
section 303 of the Taxpayer Certainty and Disaster Tax Relief Act of 2020. For each individual employee, the total amount
of cash compensation eligible for forgiveness may not exceed an annual salary of $100,000, as prorated for the Covered
Period. For example, for an 8-week Covered Period, the maximum is $15,385, for a 24-week Covered Period, the
maximum is $46,154. You can only include compensation of employees who were employed by the Borrower at any point
during the Covered Period and whose principal place of residence is in the United States.
Employee Benefits: The total amount paid by the Borrower for:
1. Employer contributions for employee group health, life, disability, vision, or dental insurance, including employer
contributions to a self-insured, employer-sponsored group health plan, but excluding any pre-tax or after-tax
contributions by employees. Do not add contributions for these benefits made on behalf of a self-employed
individual, general partners, or owner-employees of an S-corporation, because such payments are already included
in their compensation. Additionally, do not add premiums for COBRA continuation coverage taken into account in
determining the credit under section 6432 of the Internal Revenue Code of 1986.

SBA Form 3508EZ (07/21)
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Paycheck Protection Program

PPP Loan Forgiveness Application Form 3508EZ Revised July 30, 2021
2.
3.

OMB Control No.: 3245-0407
Expiration Date: XX/XX/XXXX

Employer contributions to employee retirement plans, excluding any pre-tax or after-tax contributions by
employees. Do not add employer retirement contributions made on behalf of a self-employed individual or general
partners, because such payments are already included in their compensation.
Employer state and local taxes paid by the borrower and assessed on employee compensation (e.g., state
unemployment insurance tax), excluding any taxes withheld from employee earnings.

Owner Compensation: Any amounts paid to owners (owner-employees (with an ownership stake of 5% or more), a selfemployed individual, or general partners). For each individual owner in total across all businesses, this amount is capped at
(a) $20,833 (the 2.5-month equivalent of $100,000 per year), or (b) the 2.5-month equivalent of the individual’s applicable
compensation in the year that was used to calculate the loan amount (2019 or 2020), whichever is lower. If Borrower
applied for the loan using SBA Form 2483-C or 2483-SD-C, owner compensation includes proprietor expenses (business
expenses plus owner compensation). Proprietor expenses equal the difference between the Borrower’s gross income and
employee payroll costs. The Borrower’s proprietor expenses are capped at (a) $20,833 (the 2.5-month equivalent of
$100,000 per year), or (b) the 2.5-month equivalent of the borrower’s gross income in the year that was used to calculate the
loan amount (2019 or 2020), whichever is lower.
Line 2: Enter the amount of business mortgage interest payments paid or incurred during the Covered Period for any business
mortgage obligation on real or personal property in force before February 15, 2020. Do not include prepayments.
Line 3: Enter the amount of business rent or lease payments paid or incurred for real or personal property during the Covered
Period, pursuant to lease agreements in force before February 15, 2020.
Line 4: Enter the amount of business utility payments paid or incurred during the Covered Period for business utilities for which
service began before February 15, 2020.
Line 5: Enter the amount of covered operations expenditures paid or incurred during the Covered Period.
Line 6: Enter the amount of covered property damage costs paid or incurred during the Covered Period.
Line 7: Enter the amount of covered supplier costs paid or incurred during the Covered Period pursuant to a contract, order, or
purchase order in effect prior to the beginning of the Covered Period (for perishable goods, the contract, order, or purchase order
shall have been in effect before or at any time during the Covered Period).
Line 8: Enter the amount of covered worker protection expenditures paid or incurred during the Covered Period.
NOTE: For lines 2-8, you are not required to report payments that you do not want to include in the forgiveness amount.
Line 9: Add lines 1 through 8 enter the total.
Line 10: Enter the PPP Loan Amount.
Line 11: Divide the amount on line 1 by 0.60, and enter the amount. This determines whether at least 60% of the potential
forgiveness amount was used for payroll costs.
Line 12: Enter the smallest of lines 9, 10, or 11.
Summary of Costs Eligible for Forgiveness:
Borrowers are eligible for loan forgiveness for the following costs:
1. Eligible payroll costs. Borrowers are generally eligible for forgiveness for the payroll costs paid and payroll costs incurred
during the Covered Period (“payroll costs”). Payroll costs are considered paid on the day that paychecks are distributed or
the Borrower originates an ACH credit transaction. Payroll costs are considered incurred on the day that the employee’s
pay is earned. Payroll costs incurred but not paid during the Borrower’s last pay period of the Covered Period are eligible
for forgiveness if paid on or before the next regular payroll date. Otherwise, payroll costs must be paid during the Covered
Period. For each individual employee, the total amount of cash compensation eligible for forgiveness may not exceed an
annual salary of $100,000, as prorated for the Covered Period. Count payroll costs that were both paid and incurred only
once. Include only payroll costs for employees whose principal place of residence is in the United States. For information
on what qualifies as payroll costs, see SBA’s interim final rule posted on January 6, 2021 (86 FR 3692), as amended by
SBA’s interim final rule posted on March 18, 2021 (86 FR 15083). For information on what qualifies as payroll costs for a
Borrower that applied for the loan using SBA Form 2483-C or 2483-SD, see SBA’s interim final rule on loan amount
SBA Form 3508EZ (07/21)
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Paycheck Protection Program

PPP Loan Forgiveness Application Form 3508EZ Revised July 30, 2021

OMB Control No.: 3245-0407
Expiration Date: XX/XX/XXXX

calculation and eligibility posted on March 3, 2021 (86 FR 13149), as amended by SBA’s interim final rule posted on
March 18, 2021 (86 FR 15083).
2.

Eligible nonpayroll costs. Nonpayroll costs eligible for forgiveness consist of:
(a) covered mortgage obligations: payments of mortgage interest (not including any prepayment or payment of principal)
on any business mortgage obligation on real or personal property incurred before February 15, 2020 (“business mortgage
interest payments”);
(b) covered rent obligations: business rent or lease payments pursuant to lease agreements for real or personal property in
force before February 15, 2020 (“business rent or lease payments”);
(c) covered utility payments: business payments for a service for the distribution of electricity, gas, water,
telephone, transportation, or internet access for which service began before February 15, 2020 (“business utility
payments”);
(d) covered operations expenditures: payments for any business software or cloud computing service that facilitates
business operations, product or service delivery, the processing, payment, or tracking of payroll expenses, human
resources, sales and billing functions, or accounting of tracking of supplies, inventory, records, and expenses;
(e) covered property damage costs: costs related to property damage and vandalism or looting due to public disturbances
that occurred during 2020 that were not covered by insurance or other compensation;
(f) covered supplier costs: expenditures made to a supplier of goods for the supply of goods that are essential to the
operations of the Borrower at the time at which the expenditure is made, and made pursuant to a contract, order, or
purchase order in effect prior to the beginning of the Covered Period (for perishable goods, the contract, order, or
purchase order may have been in effect before or at any time during the Covered Period); and
(g) covered worker protection expenditures: operating or capital expenditures that facilitate the adaptation of the business
activities of an entity to comply with the requirements established or guidance issued by the Department of Health and
Human Services, the Centers for Disease Control, or the Occupational Safety and Health Administration, or any
equivalent requirements established or guidance issued by a State or local government, during the period starting March
1, 2020 and ending on the date on which the national emergency declared by the President with respect to the
Coronavirus Disease 2019 (COVID-19) expires related to maintenance standards for sanitation, social distancing, or any
other worker or customer safety requirement related to COVID-19, but does not include residential real property or
intangible property.
Eligible nonpayroll costs cannot exceed 40% of the total forgiveness amount. An eligible nonpayroll cost either must be paid
during the Covered Period or incurred during the Covered Period and paid on or before the next regular billing date, even if
the billing date is after the Covered Period. Count nonpayroll costs that were both paid and incurred only once.
Documents that Each Borrower Must Submit with its PPP Loan Forgiveness Application Form 3508EZ

PPP Loan Forgiveness Calculation Form 3508EZ
Payroll: Documentation verifying the eligible cash compensation and non-cash benefit payments from the Covered Period consisting
of each of the following:
a. Bank account statements or third-party payroll service provider reports documenting the amount of cash compensation paid
to employees.
b. Tax forms (or equivalent third-party payroll service provider reports) for the periods that overlap with the Covered Period:
i. Payroll tax filings reported, or that will be reported, to the IRS (typically, Form 941); and
ii. State quarterly business and individual employee wage reporting and unemployment insurance tax filings reported,
or that will be reported, to the relevant state.
c. Payment receipts, cancelled checks, or account statements documenting the amount of any employer contributions to
employee group health, life, disability, vision or dental insurance and retirement plans that the Borrower included in the
forgiveness amount.
d. If you checked only the first box on the checklist on page 1 of these instructions, the average number of full-time equivalent
employees on payroll employed by the Borrower on January 1, 2020 and at the end of the Covered Period.
Nonpayroll: For categories a-c, documentation verifying existence of the obligations/services prior to February 15, 2020 and, for all
categories, eligible payments from the Covered Period.
a. Business mortgage interest payments: Copy of lender amortization schedule and receipts or cancelled checks verifying
eligible payments from the Covered Period; or lender account statements from February 2020 and the months of the Covered
Period through one month after the end of the Covered Period verifying interest amounts and eligible payments.
b. Business rent or lease payments: Copy of current lease agreement and receipts or cancelled checks verifying eligible
payments from the Covered Period; or lessor account statements from February 2020 and from the Covered Period through
one month after the end of the Covered Period verifying eligible payments.
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Paycheck Protection Program

PPP Loan Forgiveness Application Form 3508EZ Revised July 30, 2021
c.
d.
e.

f.
g.

OMB Control No.: 3245-0407
Expiration Date: XX/XX/XXXX

Business utility payments: Copy of invoices from February 2020 and those paid during the Covered Period and receipts,
cancelled checks, or account statements verifying those eligible payments.
Covered operations expenditures: Copy of invoices, orders, or purchase orders paid during the Covered Period and receipts,
cancelled checks, or account statements verifying those eligible payments.
Covered property damage costs: Copy of invoices, orders, or purchase orders paid during the Covered Period and receipts,
cancelled checks, or account statements verifying those eligible payments, and documentation that the costs were related to
property damage and vandalism or looting due to public disturbances that occurred during 2020 and such costs were not
covered by insurance or other compensation.
Covered supplier costs: Copy of contracts, orders, or purchase orders in effect at any time before the Covered Period (except
for perishable goods), copy of invoices, orders, or purchase orders paid during the Covered Period and receipts, cancelled
checks, or account statements verifying those eligible payments.
Covered worker protection expenditures: Copy of invoices, orders, or purchase orders paid during the Covered Period and
receipts, cancelled checks, or account statements verifying those eligible payments, and documentation that the expenditures
were used by the Borrower to comply with applicable COVID-19 guidance during the Covered Period.
Documents that Each Borrower Must Maintain but is Not Required to Submit

Documentation supporting the certification that annual salaries or hourly wages were not reduced by more than 25 percent during the
Covered Period relative to the most recent full quarter before the Covered Period. This documentation must include payroll records
that separately list each employee and show the amounts paid to each employee during the most recent full quarter before the
Covered Period, and the amounts paid to each employee during the Covered Period.
Documentation regarding any employee job offers and refusals, refusals to accept restoration of reductions in hours, firings for cause,
voluntary resignations, written requests by any employee for reductions in work schedule, and any inability to hire similarly qualified
employees for unfilled positions on or before December 31, 2020 (or, for a PPP loan made after December 27, 2020, the last day of
the Covered Period).
Documentation supporting the certification, if applicable, that the Borrower did not reduce the number of employees or the average
paid hours of employees between January 1, 2020 and the end of the Covered Period, other than any reductions that arose from an
inability to rehire individuals who were employees on February 15, 2020, if the Borrower was unable to hire similarly qualified
employees for unfilled positions on or before December 31, 2020 (or, for a PPP loan made after December 27, 2020, the last day of
the Covered Period). This documentation must include payroll records that separately list each employee and show the amounts paid
to each employee between January 1, 2020 and the end of the Covered Period.
Documentation supporting the certification, if applicable, that the Borrower was unable to operate between February 15, 2020 and the
end of the Covered Period at the same level of business activity as before February 15, 2020 due to compliance with requirements
established or guidance issued between March 1, 2020 and December 31, 2020 (or, for a PPP loan made after December 27, 2020,
requirements established or guidance issued between March 1, 2020 the last day of the Covered Period) by the Secretary of Health and
Human Services, the Director of the Centers for Disease Control and Prevention, or the Occupational Safety and Health
Administration, related to the maintenance of standards of sanitation, social distancing, or any other work or customer safety
requirement related to COVID-19. This documentation must include copies of the applicable requirements for each borrower location
and relevant borrower financial records.
All records relating to the Borrower’s PPP loan, including documentation submitted with its PPP loan application, documentation
supporting the Borrower’s certifications as to the necessity of the loan request and its eligibility for a PPP loan (including the
Borrower’s gross receipt reduction certification for a Second Draw PPP Loan, if applicable), documentation necessary to support the
Borrower’s loan forgiveness application, and documentation demonstrating the Borrower’s material compliance with PPP
requirements.
Records Retention Requirement: The Borrower must retain all such documentation in its files for six years after the date the loan is
forgiven or repaid in full, and permit authorized representatives of SBA, including representatives of its Office of Inspector General,
to access such files upon request. The Borrower must provide documentation independently to a lender to satisfy relevant Federal,
State, local or other statutory or regulatory requirements or in connection with an SBA loan review or audit.

SBA Form 3508EZ (07/21)
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