SBA Form 1919 "SBA 7(A) Borrower Information Form"

What Is the SBA Form 1919?

SBA Form 1919, SBA 7(a) Borrower Information Form - also referred to simply as the Borrower Information Form - is a form issued by the Small Business Administration (SBA) and used for collecting information about a 7(a) Borrower. The form reports on the Borrower's indebtedness, their business, and information about any current or previous government financing.

An SBA Form 1919 fillable version is available for download through the link below or can be found through the SBA website. The new SBA Form 1919 was released by the agency on September 1, 2020, with all previous editions obsolete.

The form is mainly used for determining whether the small business is eligible to be provided with a loan and facilitates a background check on the Borrower. The form is required for all businesses applying for a loan through the SBA 7(a) Program or the Community Advantage (CA) Program.

SBA Form 1919 and SBA Form 1920

The SBA Form 1920 (Lender's Application for Guaranty) is required to be provided with the Borrower Information Form during the 7(a) loan application process. The SBA 1920 should be filled out by the Lender in order to provide information regarding loan terms, the use of proceeds, and other necessary information to the SBA.

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What Are SBA 7(a) Loans?

The SBA 7(a) Loan Guarantee Program is one of the most well-known loan programs offered by the SBA. The program is designed to help small businesses get access to funding. The maximum sum a Borrower may request is a $2 million loan for 25 years for purchasing real estate and equipment for business use or 7 years for working capital.

The SBA does not lend money directly to the small businesses, it only guarantees the loan for the bank, acting as a co-signer. The Borrower can choose the Lender that best suits their demand. All paperwork required by the SBA is completed through the Lender. To be considered eligible for the SBA 7(a) Loan Program, the business has to operate for profit within the United States and meet SBA's small size standards. The size of the business is determined by the number of employed personnel and the average loan receipts. Non-eligible businesses include lending companies, companies that engage in illegal or speculative activities and non-profit organizations.

SBA Form 1919 Instructions

All small business owners who proceed with the 7(a) application are required to complete the SBA Borrower Information Form. The following categories of Borrowers are required to file the SBA 1919:

  • Sole proprietors,
  • All general partners and all limited partners who own 20% of the business or more;
  • All individuals who own 20% or more of a corporation;
  • All directors, managers or members of staff owning 20% or more of an LLC;
  • Any individual hired by the small business to manage day-to-day operations.

How to Fill out SBA Form 1919?

  1. Section I requires the information about the small Borrower's lending history and needs to be filled out by an authorized representative of the applicant business (in most cases - the president or the majority owner of a business). This section also requires the requested loan amount, its purpose, and the amount of the last tax return. Section I should also contain information about the operating licenses, agreements, and branch offices of the applicant business, the ownership stake and contact information of all equity owners and the staff headcount.
  2. Section II requires information related to the principals of a business and includes questions about the Borrower's criminal and professional records, personal obligations, citizenship, and business history.
  3. The final part of the form verifies all of the information provided above. The completed SBA Form 1919 should be submitted to the Lender who will forward all paperwork to the SBA.
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SBA 7a Borrower Information Form
OMB Control No.: 3245-0348
For use with all 7(a) Programs
Expiration Date: 09/30/2023
Purpose of this form:
The purpose of this form is to collect information about the Small Business Applicant ("Applicant") and its owners, the loan
request, existing indebtedness, information about current or previous government financing, and certain other topics. The
information also facilitates background checks as authorized by section 7(a)(1)(B) of the Small Business Act, 15 U.S.C.
636(a)(1)(B). Submission of the requested information is required for SBA or the Lender to determine eligibility for financial
assistance. Failure to submit the information would affect that determination.
Instructions for completing this form:
This form is to be completed by the Applicant and all individuals identified
below and submitted to an SBA Participating Lender. This form is divided into three sections: Section I requests
information about the Small Business Applicant and must be completed in its entirety, signed and dated by an authorized
representative of the Small Business Applicant that is requesting a business loan. A separate Section I is required to be
completed and signed for each co-applicant (e.g. "Eligible Passive Company (EPC)" or "Operating Company (OC)").
Sections II and III of this form requests information about each of the Applicant's owners - Section II for individuals, Section
III for each entity owning an equity interest in the Applicant (e.g. Employee Stock Ownership Plan ("ESOP"), 401(k) plan,
Limited Liability Company, or other entity owner entities and trusts. A separate Section II and/or Section III is required to
be completed and signed by:
o For a sole proprietorship, the sole proprietor;
o For a partnership, all general partners, and all limited partners owning 20% or more of the equity of the firm;
or any partner that is involved in management of the applicant business;
o For a corporation, all owners of 20% or more of the corporation, and each officer and director;
o For limited liability companies, all members owning 20% or more of the company, each officer, director,
and managing member;
o Any person hired by the Applicant to manage day-to-day operations of the Applicant business ("key
employee"); and
o Any Trustor (if the Applicant is owned by a trust).
o Each entity owning an equity interest in the Applicant.
All parties listed above are considered "Associates" of the Small Business Applicant as defined in
13 CFR §
120.10. A separate
Section I (for the Applicant and each Co-Applicant), Section II (for individuals), and Section III (for entities) is required to be
completed and signed by each Associate of the Small Business Applicant.
Definitions:
1. Affiliation - Concerns and entities are affiliates of each other when one controls or has the power to control the
other, or a third party (or parties) controls or has power to control both. For example, affiliation may arise through
ownership, common management (including through a management agreement), or when there is an identity of interest
between close relatives with identical, or substantially identical, business interests. The complete definition of
"affiliation" is found at 13 CFR § 121.301(f).
2. Close Relative - Close Relative is a spouse; a parent; or a child or sibling, or the spouse of any such person.
3. Eligible Passive Company ("EPC") - is a small entity or trust which does not engage in regular and continuous
business activity which leases real or personal property to an Operating Company for use in the Operating Company's
business, and which complies with the conditions set forth in 13 CFR § 120.111.
4. Household Member - A "household member" of an SBA employee includes: a) the spouse of the SBA employee;
b) the minor children of said individual; and c) the blood relatives of the employee, and the blood relatives of the
employee's spouse who reside in the same place of abode as the employee. [13 CFR § 105.201(d)]
5. Operating Company ("OC") - is an eligible small business actively involved in conducting business operations
now or about to be located on real property owned by an Eligible Passive Company, or using or about to use in its
business operations personal property owned by an Eligible Passive Company.
For clarification regarding any of the questions or terms contained herein, please contact your Lender.
1
SBA Form 1919 (Revised 09/20)
SBA 7a Borrower Information Form
OMB Control No.: 3245-0348
For use with all 7(a) Programs
Expiration Date: 09/30/2023
Purpose of this form:
The purpose of this form is to collect information about the Small Business Applicant ("Applicant") and its owners, the loan
request, existing indebtedness, information about current or previous government financing, and certain other topics. The
information also facilitates background checks as authorized by section 7(a)(1)(B) of the Small Business Act, 15 U.S.C.
636(a)(1)(B). Submission of the requested information is required for SBA or the Lender to determine eligibility for financial
assistance. Failure to submit the information would affect that determination.
Instructions for completing this form:
This form is to be completed by the Applicant and all individuals identified
below and submitted to an SBA Participating Lender. This form is divided into three sections: Section I requests
information about the Small Business Applicant and must be completed in its entirety, signed and dated by an authorized
representative of the Small Business Applicant that is requesting a business loan. A separate Section I is required to be
completed and signed for each co-applicant (e.g. "Eligible Passive Company (EPC)" or "Operating Company (OC)").
Sections II and III of this form requests information about each of the Applicant's owners - Section II for individuals, Section
III for each entity owning an equity interest in the Applicant (e.g. Employee Stock Ownership Plan ("ESOP"), 401(k) plan,
Limited Liability Company, or other entity owner entities and trusts. A separate Section II and/or Section III is required to
be completed and signed by:
o For a sole proprietorship, the sole proprietor;
o For a partnership, all general partners, and all limited partners owning 20% or more of the equity of the firm;
or any partner that is involved in management of the applicant business;
o For a corporation, all owners of 20% or more of the corporation, and each officer and director;
o For limited liability companies, all members owning 20% or more of the company, each officer, director,
and managing member;
o Any person hired by the Applicant to manage day-to-day operations of the Applicant business ("key
employee"); and
o Any Trustor (if the Applicant is owned by a trust).
o Each entity owning an equity interest in the Applicant.
All parties listed above are considered "Associates" of the Small Business Applicant as defined in
13 CFR §
120.10. A separate
Section I (for the Applicant and each Co-Applicant), Section II (for individuals), and Section III (for entities) is required to be
completed and signed by each Associate of the Small Business Applicant.
Definitions:
1. Affiliation - Concerns and entities are affiliates of each other when one controls or has the power to control the
other, or a third party (or parties) controls or has power to control both. For example, affiliation may arise through
ownership, common management (including through a management agreement), or when there is an identity of interest
between close relatives with identical, or substantially identical, business interests. The complete definition of
"affiliation" is found at 13 CFR § 121.301(f).
2. Close Relative - Close Relative is a spouse; a parent; or a child or sibling, or the spouse of any such person.
3. Eligible Passive Company ("EPC") - is a small entity or trust which does not engage in regular and continuous
business activity which leases real or personal property to an Operating Company for use in the Operating Company's
business, and which complies with the conditions set forth in 13 CFR § 120.111.
4. Household Member - A "household member" of an SBA employee includes: a) the spouse of the SBA employee;
b) the minor children of said individual; and c) the blood relatives of the employee, and the blood relatives of the
employee's spouse who reside in the same place of abode as the employee. [13 CFR § 105.201(d)]
5. Operating Company ("OC") - is an eligible small business actively involved in conducting business operations
now or about to be located on real property owned by an Eligible Passive Company, or using or about to use in its
business operations personal property owned by an Eligible Passive Company.
For clarification regarding any of the questions or terms contained herein, please contact your Lender.
1
SBA Form 1919 (Revised 09/20)
SBA 7(a) Borrower Information Form
OMB Control No.: 3245-0348
(Section I: Business Information)
Expiration Date: 09/30/2023
Applicant Business Legal Name ( OC
):
EPC
Operating Business Legal Name (OC):
DBA or Trade name, if applicable:
Is the Applicant a?: Cooperative:
ESOP:
401(k) Plan:
Trust:
Other:
N/A:
Do you plan to use a 401(K) Plan (including a Rollover for Business Start Up (ROBS) Plan) for equity?
Yes
No
Will a Management Company be hired by the Applicant to manage the day-to-day operations?
Yes
No
(If yes, provide a copy of the management agreement)
Primary Business Address
Business Tax ID
Primary Business Phone
Project Address (if other than primary business address)
Primary Contact Name
Email Address
# of existing employees employed by business?
(including owners):
Amount of Loan Request:
$
# of jobs to be created as a result of the loan? (including
owners):
# of jobs that will be retained as a result of the loan that otherwise would have been lost?
(including owners):
Purpose of the loan (i.e. Purchase
$
$
for:
for:
Real Estate; Construction;
Equipment; Inventory; Eligible
$
for:
$
for:
Debt Refinancing; Working
$
for:
$
for:
Capital; etc.):
If financial statements provided to the lender do not include a schedule of business debt, provide on a separate attachment.
Ownership of the Applicant
List all proprietors, partners, officers, directors, members, and holders of outstanding stock. 100% of ownership must be
reflected. Attach a separate sheet if necessary. Based on the instructions to this form not all owners will need to complete the
Associate's Information section of this form.
Owner's Legal Name
Title
%
TIN
Address
Address
ESOP* 401K* COOP*
Owned
(SSN/EIN)
If any owner(s) is an ESOP, a 401(k) plan, or a Cooperative, please provide details and relevant documentation to the Lender as
appropriate.
* Any Applicant owned in part, or in whole, by an ESOP or 401(k) plan must also provide to the Lender evidence that the
Applicant, ESOP or the 401(k) plan are in compliance with all applicable IRS, Treasury, and Department of Labor requirements
and it will comply with all relevant operating and reporting requirements.
2
SBA Form 1919 (Revised 09/20)
SBA 7(a) Borrower Information Form
OMB Control No.: 3245-0348
(Section I: Business Information)
Expiration Date: 09/30/2023
Unless stated otherwise, if any of the questions below are answered "Yes," please provide details on a separate sheet.
#
Question
Yes
No
Are there co-applicants? (If "Yes," please complete a separate Section I: Applicant Business
1
Information for each.)
Has an application for the requested loan ever been submitted to the SBA, a lender, or a Certified
2
Development Company, in connection with any SBA program?
Has the Applicant and/or its Affiliates ever obtained or applied for a direct or guaranteed loan from
3
SBA, or another Federal agency loan program (including, but not limited to USDA, B&I, FSA, EDA),
or been a guarantor on such a loan? (if "Yes," answer questions 3.a) and 3.b) below.)
3
a) Is any of the financing currently delinquent?
3
b) Did any of this financing ever default and cause a loss to the Federal Government?
Is the Applicant presently suspended, debarred, proposed for debarment, declared ineligible, or
4
voluntarily excluded from participation in this transaction by any Federal department or agency?
Does the Applicant Business operate under a Franchise/License/Distributor/Membership/Dealer/
5
Jobber or other type of Agreement? (If "Yes," provide copies of your agreement(s) and any other
relevant documents.)
Does the Applicant have any Affiliates per
13 CFR
121.301? (If "Yes", attach a listing of all
6
Affiliates.)
7
Has the Applicant and/or its Affiliates ever filed for bankruptcy protection?
8
Is the Applicant and/or its Affiliates presently involved in any pending legal action?
Are any of the Applicant's products and/or services exported (directly or indirectly), is there a plan to
9
begin exporting (directly or indirectly) as a result of this loan, or is this an Export Working Capital
Program (EWCP)* loan? (If "Yes," answer questions 9.a) and 9.b) below.)
a) Provide the estimated total export sales this loan will support.
$
9
* (For EWCP loans, in a separate attachment, provide details of the underlying transaction(s) for which the loan
9
is needed, countries where the buyers are located and a description of products and/or services to be exported.)
9
b) List of principal countries of export (list at least 1)
Has the Applicant paid or committed to pay a fee to the Lender or a third party to assist in the
10
preparation of the loan application or application materials, or has the Applicant paid or committed to
pay a referral agent or broker a fee?
Are any of the Applicant's revenues derived from gambling, loan packaging, or from the sale of
11
products or services, or the presentation of any depiction, displays or live performances, of a prurient
sexual nature? If "Yes," provide details under a separate attachment.
3
SBA Form 1919 (Revised 09/20)
SBA 7(a) Borrower Information Form
OMB Control No.: 3245-0348
(Section I: Business Information)
Expiration Date: 09/30/2023
SBA may not provide financial assistance to an applicant where there is any appearance of a conflict of interest with an
SBA or other Federal government employee. If any of the questions below are answered "Yes," please provide details on
a separate sheet.
With the exception of question 15, if any of the questions below are answered "Yes," this application may not be
submitted under any delegated processing method, but must be submitted by the Lender under non-delegated
processing. Note: This does not mean that your loan will be denied, only that your Lender will need to use different
SBA procedures to process this loan. If the answer to question 15 is "Yes," the application may be processed under a
lender's delegated authority only after the lender receives clearance to do so from SBA.
#
Question
Yes
No
Is any sole proprietor, partner, officer, director, stockholder with a 10 percent or more interest in the
Applicant an SBA employee or a Household Member of an SBA employee?
(13 CFR
105.204).
12
"Household Member" means spouse and minor children of an employee, all blood relations of the employee
and any spouse who resides in the same place of abode with the employee
(13 CFR
§105.201(d)).
Is any employee, owner, partner, attorney, agent, owner of stock, officer, director, creditor or debtor of the
13
Applicant a former SBA employee who has been separated from SBA for less than one year prior to the
request for financial assistance?
(13 CFR 105.203)
Is any sole proprietor, general partner, officer, director, or stockholder with a 10 percent or more interest in
14
the Applicant, or a household member of such individual, a member of Congress, or an appointed official or
employee of the legislative or judicial branch of the Federal Government?
(13 CFR 105.301(c))
Is any sole proprietor, general partner, officer, director, or stockholder with a 10 percent or more interest in
15
the Applicant, or a household member of such individual, a Federal Government employee or Member of the
Military having a grade of at least GS-13 or higher (or Military equivalent)?
(13 CFR 105.301(a))
Is any sole proprietor, general partner, officer, director, or stockholder with a 10 percent or more interest in
16
the Applicant, or a household member of such individual, a member or employee of a Small Business
Advisory Council or a SCORE volunteer?
(13 CFR 105.302(a))
4
SBA Form 1919 (Revised 09/20)
SBA 7(a) Borrower Information Form
OMB Control No.: 3245-0348
(Section I: Business Information)
Expiration Date: 09/30/2023
By Signing Below, You Make the Following Representations, Acknowledgement, and Certification
REPRESENTATIONS
I represent that:
I have read the Statements Required by Law and Executive Order included in this form, and I understand them.
I will comply, whenever applicable, with the hazard insurance, lead-based paint, civil rights and other limitations
in this form.
• All SBA loan proceeds will be used only for business related purposes as specified in the loan
application.
The Applicant is not knowingly engaged and will not knowingly engage in any activity that is illegal under
federal, state, or local law or that can reasonably be determined to support or facilitate any activity that is illegal
under federal, state, or local law.
I understand, acknowledge, agree, and consent that the Lender can use and share any tax information that I have
provided and/or that the Lender has obtained from the Internal Revenue Service with SBA's authorized
representatives, including authorized representatives of the SBA Office of Inspector General, for the purpose of
compliance with SBA Loan Program Requirements and all SBA reviews.
ACKNOWLEDGEMENT
I acknowledge that:
SBA encourages the purchase, to the extent feasible, of American-made equipment and supplies.
ACCURACY CERTIFICATION
I certify that the information provided in this application and the information that I have provided in all supporting documents
and forms is true and accurate. I realize that the penalty for knowingly making a false statement to obtain a guaranteed loan
from SBA is that I may be fined up to $250,000 and/or be put in jail for up to 5 years under 18 USC § 1001; under 15 USC
645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if false statements are submitted
to a Federally insured institution, I may be fined up to $1,000,000 and/or be put in jail for up to 30 years under 18 USC §
1014.
Signature of Authorized Representative of Applicant
Date:
Title
Print Name
5
SBA Form 1919 (Revised 09/20)
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