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5 | Page <br /> <br />COVID-19 Small Business Emergency Microloan <br />Program Application <br /> <br /> <br />Applicant Information <br /> <br />DBA - Legal Name of the Business: _______________________________________________ <br /> <br /> Sole Proprietorship  Partnership  Corporation  LLC <br />Length of Time in <br />Business <br /> Years <br />Months <br />Fed <br />Tax Id# <br />MN State <br />License <br />Mailing Address City Zip <br />Location Address City Zip <br />Business Phone ( ) Business Fax ( ) <br />E-Mail Address Web Address <br />Contact Name Title <br />Is your business <br />currently registered <br />with the Minnesota <br />Secretary of State? <br /> <br />Is your business <br />currently in good <br />standing with the <br />Minnesota <br />Secretary of State? <br /> <br />Amount of Funding <br />Requested <br /> <br />$______ - Loan <br /> <br />$_______ - <br />Forgivable Loan <br />(Property Tax Relief) <br /> <br />Total number of employees: _______ <br />The number of your employees <br />who have been impacted by the <br />Governor’s Executive Orders? _______ <br />Was your business subject to the Governor’s Executive Orders 20-04 and 20-08? How has <br />the Governor’s Executive Orders financially affected your business? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />