ABCDEFW
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PPP Loan Forgiveness Application
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Prepared on May 17, 2020
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Business Legal Name (“Borrower")
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DBA or Tradename, if applicable
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Business Address
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Business TIN (EIN, SSN
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Business Phone
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Primary Contact
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E-mail Address
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SBA PPP Loan Number
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Lender PPP Loan Number
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PPP Loan Amount
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PPP Loan Disbursement Date
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Employees at Time of Loan Application
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Employees at Time of Forgiveness Application
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EIDL Advance Amount
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EIDL Application Number
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Payroll Schedule
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Covered Period
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Alternative Payroll Covered Period, if applicable
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Loans in excess of $2M
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Forgiveness Amount Calculation
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Payroll and Non Payroll Costs
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Line 1. Payroll Costs (enter the amount from PPP Schedule A, line 10).0
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Line 2. Business Mortgage Interest Payments.
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Line 3. Business Rent or Lease Payments.
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Line 4. Business Utility Payments.
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Adjustments for Full-Time Equivalency (FTE) and Salary/Hourly Wage Reductions
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Line 5. Total Salary/Hourly Wage Reduction (enter the amount from PPP Schedule A, line 3).0
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Line 6. Add the amounts on lines 1, 2, 3, and 4, then subtract the amount entered in line 5.0
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Line 7. FTE Reduction Quotient (enter the number from PPP Schedule A, line 13).#DIV/0!
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Potential Forgiveness Amounts
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Line 8. Modified Total (multiply line 6 by line 7).#DIV/0!
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Line 9. PPP Loan Amount.
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Line 10. Payroll Cost 75% Requirement (divide line 1 by 0.75).0
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Forgiveness Amount
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Line 11. Forgiveness Amount (enter the smallest of lines 8, 9, and 10).
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PPP Schedule A
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PPP Schedule A Worksheet, Table 1 Totals
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Line 1. Enter Cash Compensation (Box 1) from PPP Schedule A Worksheet, Table 1.0
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Line 2. Enter Average FTE (Box 2) from PPP Schedule A Worksheet, Table 1.0
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Line 3. Enter Salary/Hourly Wage Reduction (Box 3) from PPP Schedule A Worksheet, Table 1.
0
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PPP Schedule A Worksheet. Table 2 Totals
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Line 4. Enter Cash Compensation (Box 4) from PPP Schedule A Worksheet, Table 2.0
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Line 5. Enter Average FTE (Box 5) from PPP Schedule A Worksheet, Table 2.0
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Line 6. Total amount paid by Borrower for employer contributions for employee health insurance.
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Line 7. Total amount paid by Borrower for employer contributions to employee retirement plans.
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Line 8. Total amount paid for employer state and local taxes assessed on employee compensation.
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Compensation to Owners
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Line 9. Total amount paid to owner-employees/self-employed individual/general partners.
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Total Payroll Costs
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Line 10. Payroll Costs (add lines 1, 4, 6, 7, 8, and 9)0
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Full-Time Equivalency (FTE) Reduction Calculation
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Line 11. Average FTE during the Borrower's chosen reference period.
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Line 12. Total Average FTE (add lines 2 and 5)0
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Line 13. FTE Reduction Quotient (divide line 12 by line 11) or enter 1.0 if FTE Safe Harbor is met.
#DIV/0!
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See The Next Sheet [Tables 1&2]
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PPP Schedule A Worksheet, Table 1
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Employee's Name
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Employee Identifier
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Cash Compensation [Box 1]
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Average FTE [Box 2]
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Salary/ Hourly Wage Reduction [Box 3]
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FTE Reduction Exceptions
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PPP Schedule A Worksheet, Table 2
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Employee's Name
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Employee Identifier
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Cash Compensation [Box 4]
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Average FTE [Box 5]
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