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If you have applied for assistance,which type? <br /> SBA Payroll Protection Program ❑ SBA Emergency Injury Disaster Loan ❑ EIDL ❑ <br /> SBA$10,000 Cash Advance ❑ MN DEED Small Biz Emergency Loan ❑ <br /> Other <br /> *Applications must include proof of application submittal, acceptance, approval and/or denial of state <br /> and federal emergency financing programs. <br /> If the applicant has applied for additional funding sources through the SBA, State, or Federal Programs, <br /> please briefly describe how the business intends to use the funds and the amount of assistance <br /> received. <br /> What will the funds be used for? Please provide information on the intended use of the grant funds. <br /> Funds may be used for previously incurred expenses beginning March 1, 2020 and up to November 15, <br /> 2020. Please note:This round of funding is capped at$5,000 per request. However, additional funding <br /> may be available at a later date. <br /> Lease or Mortgage Payments: <br /> Payroll (Wages excluding Federal and State withholdings): <br /> Utilities: <br /> Insurance: <br /> Payments to Suppliers: <br /> Business consulting to modify operations due to COVID: <br /> Other Business Expenses(please list below): <br /> TOTAL GRANT REQUEST: (Max. $5,000) <br /> Are all of the expenses you are seeking funding for incurred after March 1, 2020 and prior to <br /> November 15, 2020?Yes ❑ No ❑ <br /> 3 <br />