Gross Receipts ComparisonWorksheet for Second Draw PPP Loans - PDF document

1 Gross Receipts ComparisonWorksheet for S
Gross Receipts ComparisonWorksheet for Second Draw PPP Loans Important: Truist Bank requires every applicant for a Second Draw PPP Loan to complete this worksheet and to submit the completed and certified worksheet with the relevant documentation demonstrating theapplicant’sreduction in gross receipts. Failure to submit the completed and certified worksheet may significantly delay the processing of your applicat Draw Loans of $150,000 or lessmay elect to wait to providedocumentationdemonstrating a 25% or greater decline in gross receipts to confirm eligibility for a Second Draw Loan until they file their loan forgiveness application. An applicant that elects to waitto provide documentation demonstrating such decline in gross receipts does not need to complete this worksheet until the documentation Applicants with affiliates must complete and certify a separate worksheet for the applicant and each affiliate unless the applicant is providing audited consolidated financial statements for 2019 and 2020 or the relevant quarters of 2019 and 2020. Special rules relating to affiliates can be found onthe SBA’s website at www.sba.gov Gro Name of Applicant (or affiliate):_____________________________________ Gross Receipts Information for 2019 Measurement Period(check one): Annual or Single Quarter ___________ [insert beginning and ending dates of quarter selected; must correspond with quarter selected for If Applicant was not in business during 2019 use numbers for 20

2 20 1st Quarter to complete this page. Do
20 1st Quarter to complete this page. Documentation Type (check one): Tax Forms ____________________ [insert IRS form numbers and dates] Income Statement_______________________[insert specific statement nameand date Bank Statements ___________________________ [insert specific statement date(s)] Other ______________________________ [Insert description of document(s) and date(s)]Gross Receipts calculated by aggregatingthe following (check all that apply and insert line number or entry date for item on source document$_______ Gross Revenue from sales and services; [Line Number[Entry Date(s)_______ Interest Income [Line Number __] [Entry Date(s)__]$_______ Dividend Income [Line Number __] [Entry Date(s)$_______ Rental Income [Line Number __] [Entry Date(s)__]$_______ Royalty Income [Line Number __] [Entry Date(s)__]$_______ Fee Income [Line Number __] [Entry Date(s)__]$_______ Commission Income [Line Number __] [Entry Date(s)$_______ Other Income Item [Line Number __] [Entry Date(s)__]$_______ Other Income Item [Line Number __] [Entry Date(s)$&#x____;&#x-5.7;&#x 000;_ Returns and Allowances [Line Number] [Entry Date(s)]$_______Amount of Gross Receipts Name of Applicant (or affiliate____________________________________________ ross Receipts Information for 2020: Measurement Period (check one): Annual or Single Quarter ___________ [insert beginning and ending dates of quarter selected; must correspond withquarter selected for 2019Documentation Type (check one): Tax Fo

3 rms ____________________ [insert IRS for
rms ____________________ [insert IRS form numbers and dates] Income Statement_______________________ [insert specific statement name(s) and date(s)] Bank Statements ___________________________ [insert specific statement date(s)] Other ______________________________ [Insert description of document(s) and date(s)]Gross Receipts calculated by aggregating the following (check all that apply and insert line number or entry date for item on source document:$_______ Gross Revenue from sales and services; [Line Number] [Entry Date(s) __]$_______ Interest Income [Line Number __] [Entry Date(s) __]$_______ Dividend Income [Line Number __] [Entry Date(s)__]$_______ Rental Income [Line Number __] [Entry Date(s) __]$_______ Royalty Income [Line Number __] [Entry Date(s) __]$_______ Fee Income [Line Number __] [Entry Date(s) __]$_______ Commission Income [Line Number __] [Entry Date(s)__]$_______ Other Income Item [Line Number __] [Entry Date(s) __]$_______ Other Income Item [Line Number __] [Entry Date(s)__]$&#x____;&#x-5.7;&#x 000;_ Returns and Allowances [Line Number] [Entry Date(s)]$_______Amount of Gross Receipts Gross Receipts ComparisonSummary: Gross Receipts from Page One of Worksheet relating to 2019 $_____________Gross Receipts from Page Two of Worksheet relating to 2020 $_____________Amount fromline 2 expressed as a percentage of the amount fromline 1: _________%Is the percentage inserted on line 3 less than or equal to 75%____ Yes ____ No[check one] CERTIFICATIONS

4 The Authorized Representative of the Ap
The Authorized Representative of the Applicant (or affiliate if applicable) must certify to all of the below by initialing next to each item: _______ I certify that I have the authority to sign and submit this worksheet on behalf of the Applicant (or Affiliate if applicable). _______ I certify that the information provided in this worksheet, any related worksheets for affiliates and the documentation provided in connection with this worksheet and/or any related worksheets for affiliates identifies all known affiliates of Applicantand is true and correct in all material respects. I make this certification after reasonable inquiry of people, systems, and other information available to Applicant_______ I understand that knowingly making a false statement to obtain a guaranteed loan or forgiveness of an SBAguaranteed loan is punishable under the law, including under 18 U.S.C. 1001 and 3571 by imprisonment of not more than five years and/or a fine of up to $250,000; under 15 U.S.C. 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a federally insured institution, under 18 U.S.C. 1014 by imprisonment of not more than thirty years and/or a fine of not more than $1,000,000. __________________________________________ Signature of Authorized Representative of Applicant (or Affiliate)Print Name: ____________________________________Title: __________________________________________ Date: __________________________________________