Sba Form 5C – Fill Out and Use This PDF

The SBA 5C form is an essential document for homeowners and sole proprietors seeking disaster-related financial assistance through the U.S. Small Business Administration (SBA). It serves as a loan application for those affected by disasters, enabling them to apply for help with physical and economic damage. Completing this form accurately is crucial for accessing vital funds to recover and rebuild. For guidance on filling out the form and to take the first step towards relief, click the button below.

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Sba Form 5C PDF Details

The landscape of disaster recovery for individuals and small businesses, particularly sole proprietors, is marked by numerous processes and forms, among which the SBA 5C form is a critical component. This form is essentially a beacon for those seeking financial aid in the aftermath of a disaster. Recognizing the vast implications of natural and man-made disasters on homes and businesses, the U.S. Small Business Administration (SBA) offers the SBA Form 5C specifically for disaster home and sole proprietor loan applications. This application plays a pivotal role in facilitating recovery efforts by enabling affected parties to apply for loans that cover physical damage and economic injury. Comprehensive in nature, the form requests detailed information about the applicant, including personal data, contact preferences, income, property damage, and more. It equally touches on insurance information, disaster assistance received, and assets, ensuring a thorough evaluation of an applicant's financial state and needs post-disaster. Further, it incorporates sections pertaining to legal and ethical disclosures, representative information, and a certification of truthfulness, all designed to streamline the aid process while upholding integrity and compliance with legal standards. In essence, the SBA 5C form encapsulates a vital step towards recovery, providing a structured path for individuals and sole proprietors to regain stability after unforeseen calamities.

Question	Answer
Form Name	Sba Form 5C
Form Length	6 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 30 sec
Other names	sba form 5c printable, sba disaster loan forms, form 5c application form, sba loan form 5c

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U. S. SMALL BUSINESS ADMINISTRATION DISASTER HOME / SOLEPROPRIETOR LOAN APPLICATION

OMB No. : 3245-0018

Expiration: 07/31/2021

SBA Internal Use Only:

Date Received

Location

SBA Application Number:

FEMA Registration Number:

Filing Deadline:

Declaration Number:

ARE YOU APPLYING FOR:

Primary Residence

Sole Proprietor - Physical Damage

Sole Proprietor - Economic Injury

INFORMATION ABOUT THE APPLICANT(S)

Primary Applicant

Joint Applicant

First Name

Middle Name

First Name

Middle Name

Last Name

Suffix

Last Name

Suffix

Social SecurityNumber

Date of Birth

Social SecurityNumber

Date of Birth

Household Size

Marital Status

Married

Not Married

Marital Status

Married

Not Married

Are you a U.S. Citizen?

Yes

AreyouanSBA Employee?

Yes

AreyouanSBA Employee?

Yes

CONTACT INFORMATION

Checkyourpreferredmethodofcontact:

E-mail Address

CellPhone

HomePhone

Work Phone

Check your preferred method of contact:

E-mail Address

Cell Phone

Home Phone

Work Phone

ClosestRelativeNot	Name:	Phone Number:
Living WithYou:

DAMAGED PROPERTY ADDRESS additional damaged properties added in "additional comments" section

Address
City		County	State	Zip
Type of Damage:		Real Estate	Personal Property	Automobile
Type of Damage:		Real Estate	Personal Property	Automobile
MAILING ADDRESS	ifdifferentthanthedamagedpropertyaddress.
Address
City		County	State	Zip

DAMAGED PROPERTY INFORMATION

Do you own or rent	Own	Rent
Do you own or rent
this property?



Isthis propertyyour	Yes	No
Isthis propertyyour
Primary Residence?
Primary Residence?

If No, please select from the list below: Vacation/secondary home

I own the property but a family member/friend lives in the property

Rental/Business Property

INCOME INFORMATION

Primary Applicant

Joint Applicant

	Employed		Unemployed		SelfEmployed		Retired
Total Annual Income (before deductions)					$

EmployerName

Employer PhoneNumber

Note: Includeallreoccurringincomefromallsourcessuchasemployment, self-employment, part-time work, social security, retirement income, disability income, interest income, child support, alimony, etc.

Do not include one-time or non-reoccurring income.

	Employed		Unemployed		SelfEmployed		Retired
Total Annual Income (before deductions)					$

Employer Name

Employer Phone Number

Note: Includeallreoccurringincomefromallsourcessuchasemployment, self-employment, part-time work, social security, retirement income, disability income, interest income, child support, alimony, etc.

Do not include one-timeor non-reoccurring income. Do not include items covered by Primary Applicant

SBA Form 5C (05-18) Ref SOP 50 30

Page 1 of 6

DEBTS

I have no debts

Mortgage Holder or Landlord's Name (Primary Residence)

MonthlyPayment/Rent

Current Balance

Name

2nd MortgageHolderName(ifapplicable)

MonthlyPayment/Rent

Current Balance

Name

Note: Please complete the section below if the amounts are NOT included in your mortgage payment:

RealEstateTaxes

Homeowner's Insurance

Condo/Townhome/HOA/Co-Op Fees

per year

OtherDebtincludingautopayments,creditcards,installmentloans,studentloans,etc.

Note: Only include debts that will last longer than 10 months.

Nameof Creditor

Monthly Payment

Current Balance

$ $ $ $ $ $

INSURANCE INFORMATION

Pleasecheckallinsuranceinforceforthedamagedproperty:

(describe)

Homeowner's

Flood

Automobile

Renter's

NoInsurance

Other:

PolicyType

Insurance Company Name

PolicyNumber

PhoneNumber

Amount Received

OTHER DISASTER ASSISTANCE

Other than FEMA, have you received any grant award (i.e. city grants, county grants, state grants, etc.):

Yes

ASSETS

Pre-disaster values:

Cash, Bank Accounts and Marketable Securities (e.g. Stock & Bonds, CDs, etc.) (Not including retirement accounts) . . . . . . . . . . . . . . . . . . . ... . . .. . $ Retirement Accounts (e.g. IRAs, Keogh, TSP or other similar accounts). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . .$ Personal Property (furniture, appliances, vehicles, RVs, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

Primary Residence	$
All Other Real Estate (describe)	$

DISCLOSURES

The responses below apply to the Applicant and Joint Applicant, if any. Please explain any "Yes" responses on the last page.

1.	. . . . . .. .Are you delinquent on any Federal taxes, Federal loans, Federal grants, or 60 days past due on any child support obligation?		Yes	No
1.
2.	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Are you currently a defendant in any lawsuits or have pending judgements against you?		Yes	No

3.	....................AreyoucurrentlysuspendedordebarredfromcontractingwithFederalgovernmentorreceivingFederalgrantsorloans?		Yes	No

4.	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Do you have federal loans, federally guaranteed loans, or previous SBA loans?		Yes	No
5. Are you engaged in the productionor distribution of any product that has been determined to be obscene by a court of competent			Yes	No

	jurisdiction?
		. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..


6.	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .In the past year, have you been convicted of a felony committed in connection with a riot or civil disorder?		Yes	No
7.	Areyoupresently, a)subject toan indictment,criminal information, arraignment, orothermeans by whichformalcriminal charges arebrought inany
	jurisdiction;b)haveyoubeenarrestedinthepastsixmonthsforanycriminaloffense;c)foranycriminaloffense-otherthanaminorvehicleviolation		Yes	No

	-- haveyouever:1)beenconvicted,2)pleadguilty,3)pleadnolocontendere,4)beenplacedonpretrialdiversion,or5)beenplacedonanyformof
	. . . . . . . . . . . . .parole or probation (including probation before judgment)?	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SBA Form 5C (05-18) Ref SOP 50 30	Page 2 of 6

REPRESENTATIVE INFORMATION

If you have paid a representative (packager, attorney, accountant, etc.) to assist you in completing the application, please complete the section below:

NameandAddressofRepresentative:	Fee charged or agreed upon
	$

CONSENT

I authorize my insurance company, bank, financial institution, or other creditors to release to SBA all records and financial information necessary to process this application.

SBA has my permission, as required by the Privacy Act, to release any information collected in connection with this application to Federal, state, local, tribal or nonprofit organizations (e.g.RedCross,SalvationArmy, MennoniteDisasterServices,SBAResource Partners)forthepurposeof assistingme withmySBA application, evaluatingmyeligibilityforadditional disaster assistance, or notifying me of the availability of such assistance.

If my loan is approved, I may be eligible for additional funds to safeguard my property from damages similar to those caused by this disaster. Although it is not necessary for me to provide with my application, a description and cost estimate will be required prior to SBA approval of the mitigation measure.

I have received and read a copy of the "STATEMENTS REQUIRED BY LAWS AND EXECUTIVE ORDERS" which was attached to this application.

CERTIFICATIONASTOTRUTHFULINFORMATION:Bysigningthisapplication,youcertifythatallinformationin yourapplicationandsubmitted with yourapplicationistrueandcorrectto the best of your knowledge, and that you will submit truthful information in the future.

WARNING: Whoever wrongfully misapplies the proceeds of an SBA disaster loan shall be civilly liable to the Administrator in an amount equal to one-and-one half times the original principal amount of the loan under 15 U.S.C. 636(b). In addition, any false statement or misrepresentation to SBA may result in criminal, civil or administrative sanctions including, but not limitedto: 1)finesandimprisonment,orboth,under15U.S.C.645,18U.S.C.1001,18U.S.C.1014,18U.S.C.1040,18U.S.C.3571,andanyotherapplicablelaws;2)trebledamagesandcivil penalties under the False Claims Act, 31 U.S.C. 3729; 3) double damages and civil penalties under the Program Fraud Civil Remedies Act, 31 U.S.C. 3802; and 4)suspension and/or debarment from all Federal procurement and non-procurement transactions. Statutory fines may increase if amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of2015.

Signature of Applicant

Date

Signature of Joint Applicant

Date

ADDITIONAL COMMENTS

SBA Form 5C (05-18) Ref SOP 50 30

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U.S. Small Business Administration

DISASTER HOME LOAN APPLICATION

If you have questions about this application or problems providing the required information, please contact our Customer Service Center at 1-800-659-2955 or disastercustomerservice@sba.gov. If more space is needed for any section of this application, please attach additional sheets.

SBA will contact you by phone or Email to discuss your loan request.

FILING REQUIREMENTS

REQUIRED FOR ALL LOAN APPLICATIONS:

■Complete and sign this application form (SBA Form 5C)

■Complete and sign the Tax Information Authorization (IRS Form 4506T) enclosed with this application. This income information, obtained from the IRS, will help us determine your repayment ability. U.S. Territories that have their own taxing authority outside of the IRS may require additional form(s) in order to obtain copies of their transcripts. The exact form(s) required will be determined at the onset of the declared disaster. All other filing requirements remain the same.

WHILE NOT NECESSARY TO ACCEPT YOUR APPLICATION, YOU MAY BE REQUIRED TO SUPPLY THE FOLLOWING INFORMATION TO PROCESS THE APPLICATION. IF REQUESTED, PLEASE PROVIDE WITHIN 7 DAYS OF THE INFORMATION REQUEST:

■If any applicant has changed employment within the past two years, provide a copy of a current (within 1 month of the application date) pay stub for all applicants

■If we need additional income information, you may be asked to provide copies of your

Federal income tax returns, including all schedules

IF SBA APPROVES YOUR LOAN, WE MAY REQUIRE THE FOLLOWING ITEMS BEFORE LOAN CLOSING. WE WILL ADVISE YOU, IN WRITING, OF THE DOCUMENTS WE NEED.

■If you own your residence, a COMPLETE legible copy of the deed, including the legal description of the property

■If the damaged property is your primary residence, proof of residency at the damaged address

■If you had damage to a manufactured home, a copy of the title. If you own the lot where the home is located, a COMPLETE legible copy of the deed, including the legal description of the property

■If you have damage to an automobile or other vehicle, proof of ownership (a copy of the registration, title, bill of sale, etc.)

SBA Form 5C (05-18) Ref SOP 50 30

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NOTE: PLEASE READ, DETACH AND KEEP FOR YOUR RECORDS

STATEMENTS REQUIRED BY LAWS AND EXECUTIVE ORDERS

TocomplywithlegislationpassedbytheCongressandExecutiveOrdersissuedbythePresident,Federalexecutiveagencies, includingtheSmallBusinessAdministration(SBA),mustnotifyyouofcertaininformation.Youcanfindtheregulationsandpolicies implementing these laws and Executive Orders in Title 13, Code of Federal Regulations (CFR), Chapter 1, or our Standard Operating Procedures(SOPs).Inordertoprovidetherequirednotices,thefollowingisabriefsummaryofthevariouslawsandExecutive Orders that affect SBA's Disaster Loan Programs. A glossary of terms can be found at Disasterloan.SBA.GOV

FREEDOM OF INFORMATION ACT (5 U.S.C. 552)

This law provides, with some exceptions, that we must make records or portions of records contained in our files available to persons requesting them. This generally includes aggregate statistical information on our disaster loan programs and other information suchasnames of borrowers (andtheirofficers,directors,stockholders orpartners),loanamounts at maturity,the collateral pledged, and the general purpose of loans.Wedo not routinely make available to third parties your proprietary data withoutfirstnotifyingyou,asrequiredbyExecutiveOrder#12600,orinformationthatwouldcausecompetitive harmorconstitute a clearly unwarranted invasion of personal privacy.

FreedomofInformationAct(FOIA)requestsmustdescribethespecificrecordsyouwant.ForinformationabouttheFOIA,contact the Chief, FOI/PA Office, 4093rd Street, SW, Suite 5900,Washington, DC 20416, or by e-mail at foia@sba.gov.

PRIVACY ACT (5 U.S.C. § 552a)

Anyonecanrequestto seeor getcopies of anypersonal informationthat wehavein your file.Anypersonal informationinyourfile that is retrieved by individual identifiers, such asname or social security number is protected bythe Privacy Act, which means requests for information about you may be denied unless we have your written permission to release the information to the requestor or unless the information is subject to disclosure under the Freedom of Information Act. The Agreements and Certifications section of this form contains written permission for us to disclose the information resulting from this collection to state, local or private disaster relief services.

ThePrivacyActauthorizesSBAtomakecertain"routineuses"ofinformationprotectedbythatAct.OnesuchroutineuseforSBA's loan system of records is that when this information indicates a violation or potential violation of law, whether civil, criminal, or administrative in nature, SBA may refer it to the appropriate agency, whether Federal, State, local or foreign, charged with responsibilityfororotherwiseinvolvedininvestigation,prosecution,enforcementorpreventionofsuchviolations.Anotherroutine use of personal information isto assist in obtaining credit bureau reports, on the Disaster Loan Applicants and guarantors for purposesoforiginating,servicing,andliquidatingDisasterloans.See,69F.R.58598,58617(andasamendedfromtimetotime)for additional background and other routine uses.

UndertheprovisionsofthePrivacyAct,youarenotrequiredtoprovidesocialsecuritynumbers.(Butseetheinformationunder DebtCollectionActbelow)Weusesocialsecuritynumberstodistinguish betweenpeoplewithasimilarorthesamenamefor credit decisions andfor debt collection purposes. Failure toprovide this number may not affectanyright, benefit or privilege to which you are entitled bylaw, but having the number makes it easier for us to more accurately identify to whom adverse credit information applies and to keep accurate loan records.

Note: Any person concerned with the collection, use and disclosure of information, under the Privacy Act may contact the Chief, FOI/PA Office, 409 3rd Street, SW, Suite 5900, Washington, DC 20416 or by e-mail at foia@sba.gov

for information about the Agency's procedures relating to the Privacy Act and the Freedom of Information Act.

SBA Form 5C (05-18) Ref SOP 50 30

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DEBT COLLECTION ACT OF 1982; DEFICIT REDUCTION ACT OF 1984; DEBT COLLECTION IMPROVEMENT ACT OF 1996 & other titles (31 U.S.C. 3701 et seq.)

These laws require us to aggressively collect any delinquent loan payments and to require you to give your taxpayer identification number to us when you apply for a loan. If you receive a loan and do not make payments when theybecome due, we may take one or more of the following actions (this list may not be exhaustive):

*Report the delinquency to credit reporting bureaus.

*Offset your income tax refunds or other amounts due to you from the Federal Government.

*Refer the account to a private collection agency or other agency operating a debt collection center. *Suspend or debar you from doing business with the Federal Government.

*Refer your loan to the Department of Justice.

*Foreclose on collateral or take other actions permitted in the loan instruments. *Garnish wages.

*Sell the debt.

*Litigate or foreclose.

RIGHT TO FINANCIAL PRIVACY ACT OF 1978 (12 U.S.C. § 3401 et seq.)

Thisnotifiesyou,asrequiredbytheRighttoFinancialPrivacyActof1978(Act),ofourrighttoaccessfinancialrecords heldbyfinancialinstitutionsthatwereoraredoingbusinesswithyouoryourbusiness.Thisincludesfinancialinstitutions participating in loans or loan guarantees.

ThelawprovidesthatwemayaccessyourfinancialrecordswhenconsideringoradministeringGovernmentloanorloan guarantyassistancetoyou.Wemustgiveafinancial institutionacertificate of ourcompliancewiththeActwhenwefirst requestaccesstoyourfinancialrecords.Noothercertificationisrequiredforlateraccess.Ouraccessrightscontinuefor the term of any approved loan or loan guaranty. We do not have to give you any additional notice of our access rights during the term of the loan or loan guaranty.

We may transfer to another Government authority any financial records included in a loan application or about an approvedloanorloanguarantyasnecessarytoprocess,service,liquidate,orforeclosealoanorloanguaranty.Wewill notpermitanytransferof your financial recordstoanother Governmentauthorityexceptasrequiredorpermitted bylaw.

CONSUMER CREDIT PROTECTION ACT (15 U.S.C. 1601 et seq.)

This legislation gives an applicant who is refused creditbecause of adverse information about the applicant's credit, reputation,characterormode oflivinganopportunitytorefuteorchallengetheaccuracyofsuchreports.Therefore,ifwe decline your loan in whole or in part because of adverse information in a credit report, you will be given the name and address of the reporting agency so you can seek to have that agency correct its report, if inaccurate. If we decline your loaninwholeorinpart becauseof adverseinformationreceivedfromasourceother thana creditreportingagency, you will be given information but not the source of the report.

Within3daysaftertheconsummation of thetransaction,anyrecipientof anSBAloanwhichissecuredinwholeorinpart byalienontherecipient'sresidenceorhouseholdcontentsmayrescindsuchaloaninaccordancewith"RegulationZ"of the Federal Reserve Board.

PLEASE NOTE: The estimated burden for completing this form is 1.25 hours. Your responses to the requested information are required in order to obtain a benefit under our Disaster Home Loan Program. However, you are not required to respondtoanycollectionofinformation unlessitdisplaysacurrentlyvalidOMBapprovalnumber.Ifyouhavequestions or comments concerning any aspects of this information collection, please contact the U.S. Small Business Administration InformationBranch,4093rdStreet,SW,Washington,DC20416andDeskOfficerforSBA,OfficeofManagementand Budget, Office ofInformation and Regulatory Affairs, 725 17th Street,NW,Washington, DC20503. (3245-0018)PLEASE DO NOT SEND FORMS TO OMB.

SBA Form 5C (05-18) Ref SOP 50 30

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How to Edit Sba Form 5C Online for Free

The PDF editor that you can take advantage of was developed by our best web programmers. You can easily prepare the form 5c form instantly and conveniently using this app. Merely keep up with the following guideline to start out.

Step 1: Click on the "Get Form Here" button.

Step 2: At this point, you are able to update the form 5c. This multifunctional toolbar makes it possible to include, eliminate, alter, highlight, and also perform many other commands to the content and areas inside the form.

In order to create the document, enter the content the software will ask you to for each of the following segments:

In the Check your preferred method of, Check your preferred method of, Email Address, Cell Phone, Home Phone, Work Phone, Email Address, Cell Phone, Home Phone, Work Phone, Closest Relative Not Living With, Phone Number, Name, Address, and City box, type in your data.

It's important to note some information within the section DEBTS, I have no debts, Mortgage Holder or Landlords Name, Monthly PaymentRent, Current Balance, Name, nd Mortgage Holder Name if, Monthly PaymentRent, Current Balance, Name, Note Please complete the section, Homeowners Insurance, CondoTownhomeHOACoOp Fees, per year, and per year.

The INSURANCE INFORMATION Please check, describe, Homeowners, Flood, Automobile, Renters, No Insurance, Other, Policy Type, Insurance Company Name, Policy Number, Phone Number, Amount Received, OTHER DISASTER ASSISTANCE, and Other than FEMA have you received area has to be used to write down the rights or obligations of both parties.

Entering details in sba 5c business step 4

Finish by checking all these sections and filling them out as required: DISCLOSURES, The responses below apply to the, Are you delinquent on any Federal, Are you currently a defendant in, Are you currently suspended or, Do you have federal loans, Are you engaged in the production, jurisdiction, In the past year have you been, SBA Form C Ref SOP, Page of, Yes, Yes, Yes, and Yes.

Step 3: After you have clicked the Done button, your document is going to be available for upload to every device or email you specify.

Step 4: Make a duplicate of every file. It will save you time and enable you to avoid concerns as time goes on. Also, your information isn't going to be shared or checked by us.

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