Court filing
Exhibit 6 — Marshall v. Prestamos CDFI, LLC (Dkt. 163-8, E.D. Pa. No. 5:21-cv-04337)
Filed May 21, 2025 in Marshall v. Prestamos CDFI, LLC; one of 344 filings from this case.
Record facts
| Court | U.S. District Court for the Eastern District of Pennsylvania |
|---|---|
| Filed | 2025-05-21 |
U.S. District Court for the Eastern District of Pennsylvania · No. 5:21-cv-04337-JMG · Doc. 163-8 · 2025-05-21 · Docket on CourtListener
Full text
EX. 6 -- THE LOAN DOCUMENT
CONTRACT BETWEEN PRESTAMOS AND
PLAINTIFF LLOYD
Pla Appx 0071
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
SB
|
U.S. Small Business Administration
»
YA\
NoTE
CE
SBA Loan #
4538249010
SBA Loan Name
Paycheck Protection Program
Date
5/31/2021
Loan Amount
$ 20832
Interest Rate
Fixed at 1%
Borrower
gregory lloyd
Operating Company
gregory lloyd
Lender
Prestamos CDFI, LLC
1
PROMISE TO PAY:
In return for the Loan, Borrower promises to pay to the order ofLender the amount of
$ 20832
interest on the unpaid principal balance, and all other amounts required by this Note.
2.
DEFINITIONS:
“Collateral” means any property taken as security for payment ofthis Note or any guarantee of this Note.
“Guarantor” means each person or entity that signs
a guarantee ofpayment ofthis Note.
“Loan” means the loan evidenced bythis Note.
Dollars,
“Loan Documents” means the documents related to this loan signed by Borrower, any Guarantor, or anyone who
pledges collateral.
“SBA” means the Small Business Administration, an Agency ofthe United States ofAmerica.
SBAForm 147 (06/03/02) Version 4.1
Page 1/6
Pla Appx 0072
Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 2 of 14
3.
PAYMENT TERMS:
Borrower must make all payments at the place Lender designates. The payment terms for this Note are:
SBA Form 147 (06/03/02) Version 4.1
Page 2/6
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
Initial Deferment Period: No payments are due on this loan beginning on the date of first disbursement of this loan until
the loan forgiveness payment is remitted to the Lender by the SBA. Interest will continue to accrue during the deferment
period.
Loan Forgiveness:
First Draw PPP Loans made to eligible borrowers qualify for full loan forgiveness if during the 8- to 24-week covered
period following loan disbursement:
oEmployee and compensation levels are maintained
oThe loan proceeds are spent on payroll costs and other eligible expenses; and
oAt least 60percent of the proceeds are spent on payroll costs
Second Draw PPP Loans made to eligible borrowers qualify for full loan forgiveness if during the 8 to 24week covered
period following loan disbursement:
oEmployee and compensation levels are maintained in the same manner as required for the First Draw PPP loan
oThe loan proceeds are spent onpayroll costs and other eligible expenses; and
oAt least 60percent of the proceeds are spent on payroll costs
The amount ofloan forgiveness shall becalculated (and may be reduced) in accordance with the requirements ofthe
Paycheck Protection Program, including the provisions of Section 1106 ofthe Coronavirus Aid, Relief, and Economic
Security Act (CARES Act). Not more than 40%ofthe amount forgiven can be attributable to non-payroll costs.
Maturity: This Note will mature five years from date of first disbursement ofthis loan.
Repayment Terms: The interest rate on this Note is one percent per year. The interest rate is fixed and will not be
changed during the life ofthe loan.
For any amounts that remain owing on this Note after the SBA remits the forgiveness payment, Borrower must pay
principal and interest payments, in such amount as isrequired to fully amortize the unpaid balance of this Note over the
remaining term, beginning one (1) month following the SBA's forgiveness payment. Ifa forgiveness application is not
made within ten (10) months of the last day ofthe covered period, Borrower must pay principal and interest payments in
such amount as is required to fully amortize the unpaid balance of this Note over the remaining term. Payments must be
made on the Ist calendar day in the months they are due.
Lender will apply each installment payment first to pay interest accrued to the day Lender received the payment, then to
bring principal current, andwill apply any remaining balance to reduce principal.
Loan Prepayment: Notwithstanding any provision in this Note to the contrary:
Borrower may prepay this Note at anytime without penalty. Borrower may prepay 20percent or less ofthe unpaid
principal balance at any time without notice. If Borrower prepays more than 20percent and the Loan has been sold on the
secondary market, Borrower must: a. Give Lender written notice; b. Pay all accrued interest; and c. If the prepayment is
received less than 21 days from the date Lender received the notice, pay an amount equal to 21 days interest from the date
lender received the notice, less any interest accrued during the 21 days and paid under b. of this paragraph. IfBorrower
does not prepay within 30days from the date Lender received the notice, Borrower must give Lender a new notice.
Non-Recourse: Lender and SBA shall have no recourse against any individual shareholder, member or partner of
Borrower for non-payment ofthe loan, except to the extent that such shareholder, member or partner uses the loan
proceeds for an unauthorized purpose.
Pla Appx 0073
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4.
DEFAULT:
Borrower is in default under this Note if Borrower does not make a payment when due under this Note, or if Borrower
or Operating Company:
A.
Fails to do anything required by this Note and other Loan Documents;
B.
Defaults on any other loan with Lender;
C.
Does not preserve, or account to Lender’s satisfaction for, any of the Collateral or its proceeds;
D.
Does not disclose, or anyone acting on their behalf does not disclose, any material fact to Lender or SBA;
E.
Makes, or anyone acting on their behalf makes, a materially false or misleading representation to Lender or SBA;
F.
Defaults on any loan or agreement with another creditor, if Lender believes the default may materially affect
Borrower’s ability to pay this Note;
G.
Fails to pay any taxes when due;
H.
Becomes the subject of a proceeding under any bankruptcy or insolvency law;
I.
Has a receiver or liquidator appointed for any part of their business or property;
J.
Makes an assignment for the benefit of creditors;
K.
Has any adverse change in financial condition or business operation that Lender believes may materially affect
Borrower’s ability to pay this Note;
L.
Reorganizes, merges, consolidates, or otherwise changes ownership or business structure without Lender’s prior
written consent; or
M. Becomes the subject of a civil or criminal action that Lender believes may materially affect Borrower’s ability to
pay this Note.
5.
LENDER’S RIGHTS IF THERE IS A DEFAULT:
Without notice or demand and without giving up any of its rights, Lender may:
A.
Require immediate payment of all amounts owing under this Note;
B.
Collect all amounts owing from any Borrower or Guarantor;
C.
File suit and obtain judgment;
D.
Take possession of any Collateral; or
E.
Sell, lease, or otherwise dispose of, any Collateral at public or private sale, with or without advertisement.
6.
LENDER’S GENERAL POWERS:
Without notice and without Borrower’s consent, Lender may:
A.
Bid on or buy the Collateral at its sale or the sale of another lienholder, at any price it chooses;
B.
Incur expenses to collect amounts due under this Note, enforce the terms of this Note or any other Loan
Document, and preserve or dispose of the Collateral. Among other things, the expenses may include payments
for property taxes, prior liens, insurance, appraisals, environmental remediation costs, and reasonable attorney’s
fees and costs. If Lender incurs such expenses, it may demand immediate repayment from Borrower or add the
expenses to the principal balance;
C.
Release anyone obligated to pay this Note;
D.
Compromise, release, renew, extend or substitute any of the Collateral; and
E.
Take any action necessary to protect the Collateral or collect amounts owing on this Note.
SBA Form 147 (06/03/02) Version 4.1
Page 3/6
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
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Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 4 of 14
7.
WHEN FEDERAL LAW APPLIES:
When SBA is the holder, this Note will be interpreted and enforced under federal law, including SBA regulations.
Lender or SBA may use state or local procedures for filing papers, recording documents, giving notice, foreclosing
liens, and other purposes. By using such procedures, SBA does not waive any federal immunity from state or local
control, penalty, tax, or liability. As to this Note, Borrower may not claim or assert against SBA any local or state law
to deny any obligation, defeat any claim of SBA, or preempt federal law.
8.
SUCCESSORS AND ASSIGNS:
Under this Note, Borrower and Operating Company include the successors of each, and Lender includes its successors
and assigns.
9.
GENERAL PROVISIONS:
A.
All individuals and entities signing this Note are jointly and severally liable.
B.
Borrower waives all suretyship defenses.
C.
Borrower must sign all documents necessary at any time to comply with the Loan Documents and to enable
Lender to acquire, perfect, or maintain Lender’s liens on Collateral.
D.
Lender may exercise any of its rights separately or together, as many times and in any order it chooses. Lender
may delay or forgo enforcing any of its rights without giving up any of them.
E.
Borrower may not use an oral statement of Lender or SBA to contradict or alter the written terms of this Note.
F.
If any part of this Note is unenforceable, all other parts remain in effect.
G.
To the extent allowed by law, Borrower waives all demands and notices in connection with this Note, including
presentment, demand, protest, and notice of dishonor. Borrower also waives any defenses based upon any claim
that Lender did not obtain any guarantee; did not obtain, perfect, or maintain a lien upon Collateral; impaired
Collateral; or did not obtain the fair market value of Collateral at a sale.
SBA Form 147 (06/03/02) Version 4.1
Page 4/6
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
Pla Appx 0075
Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 5 of 14
10.
STATE-SPECIFIC PROVISIONS:
SBA Form 147 (06/03/02) Version 4.1
Page 5/6
Unless otherwise prohibited by law, the following additional provisions will apply:
Release of Lender. In consideration of the agreement of the Lender to provide this Note, and other good and
valuable consideration, which consideration is agreed by Borrower to be good and sufficient, Borrower RELEASES,
ACQUITS AND FOREVER DISCHARGES the Lender, its directors, officers, shareholders, agents, contractors,
employees, affiliates, attorneys, successors and assigns from any and all claims, demands, liens, damages, actions
or suits, of whatsoever nature or character, whether statutory (including without limitation usury and deceptive trade
practices claims), in contract or in tort, known or unknown, which have accrued or may accrue to Borrower or any
creditor or affiliate of Borrower on account of any injuries, damages or losses or otherwise arising out of or in any
way connected to (i) any extension of credit by the Lender to Borrower on or prior to the date hereof, or (ii) any
matter or thing done, omitted or suffered to be done by the Lender, its directors, officers, shareholders, agents,
employees, affiliates, attorneys, predecessors or assignors on or prior to the date hereof.
Notwithstanding anything else contained herein, this Note is not secured and there are no guarantors.
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
None
Pla Appx 0076
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
11.
BORROWER’S NAME(S) AND SIGNATURE(S):
By signing below, each individual or entity becomes obligated under this Note as Borrower.
BORROWER:gregory lloyd
DocuSigned by:
By
pape (loud
Date
5/31/2021
SBA Form 147 (06/03/02) Version 4.1
Page 6/6
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
ADDITIONAL AND CORRECTION DOCUMENTS AGREEMENT
(ERRORS AND OMISSIONS AGREEMENT)
RE:
Loan by Lender, Prestamos CDFI, LLC to.
gregory lloyd
, a(n)
Sole Proprietorship (Unregistered)
in the amount of $ 20832
In consideration of Prestamos CDFI, LLC, located at 1024 E Buckeye RD, Suite 270, Phoenix AZ 85034, (herein-
after called “Lender”) making the above loan, each ofthe undersigned, jointly and severally, do hereby agree as follows:
1.
In the event the promissory note or any other document or other writing evidencing, securing or pertaining
to the above loan is misplaced or lost or incorrectly reflects the true and correct terms, conditions or provisions of the loan
in the opinion of Lender, each of the undersigned shall execute, acknowledge, initial and deliver to Lender all documents
and other writings that Lender requests which Lender deems necessary to replace or correct any misplaced, lost orincorrect
document or other writing; and
2.
In the event Lender deems it necessary that any additional documents orother writings be executed by any
of the undersigned in connection with or pertaining to the above loan which have not been requested to be executed bythe
undersigned on or before the date hereof (or which were requested but not executed for any reason whatsoever), each of
the undersigned shall execute, acknowledge, initial and deliver to Lender all such additional documents or other writings
that Lender may reasonably request in connection with such loan; and
3.
Each of the undersigned further agrees to execute, acknowledge, initial and deliver to Lender all such
documents and writings and pay such additional sums requested by Lender within ten (10) days after Lender requests
same. Any request by Lender shall be deemed given and received on the earlier of (i) the date such request is actually
received by one of the undersigned or (ii) three (3) days after such request is mailed, postage prepaid and addressed to
any of the undersigned at the last known address of the undersigned in accordance with the records of Lender, whichever
date occurs first; and
4.
Ifany of the undersigned refuses orfails within such ten (10) day period to (i) execute, acknowledge, initial
and deliver any such document orother writing requested by Lender, or (ii) pay any such fees, expenses, costs or interest,
each of the undersigned, jointly and severally, agree to pay to Lender all losses, damages and expenses paid or incurred
by Lender in any manner emanating therefrom or connected therewith, including (but not limited to) reasonable attorney's
fees, and each of the undersigned further agree that any such failure or refusal shall constitute a default and an Event of
Default under the note and all other writings evidencing, securing or pertaining to said loan; and
5.
Each of the undersigned hereby acknowledges that Lender is relying upon this agreement in making the
above loan and that Lender would not make such loan unless each of the undersigned execute and deliver this agreement;
and each of the undersigned further agree that this agreement (i) shall inure to the benefit of Lender and each subsequent
holder of the note evidencing such loan, and (ii) shall be binding upon each of the undersigned and upon each of the heirs,
personal representatives, successors and assigns of each of the undersigned.
EXECUTED
5/31/2021
BORROWER:
gregory lloyd
A(n)
Sole Proprietorship (Unregistered)
‘DocuSigned by:
By: [psy
(aud
27385CD15C90480,,.
Name:_gregory lloyd
Title:_Owner
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
BUSINESS PURPOSE STATEMENT
(SBA Paycheck Protection Program)
|,_gregory lloyd
Owner
of__gregory lloyd
a(n),
Sole Proprietorship
(Unregistered) state as follows:
1.
To induce Prestamos CDFI, LLC, 1024 E Buckeye Rd, Suite 270, Phoenix, AZ 85034, to
extend credit to_gregory lloyd
a(n),
Sole Proprietorship (U:
| represent that the proceeds of the loan in the amountof $_20832
will
be
used
only for the following purpose(s):
Business related purposes as authorized by the U.S. Small Business Administration Paycheck
Protection Program and as specified inthe loan application.
2.
| understand that the above-stated purpose is for business or commercial purposes only
and that you are relying upon these representations in not making Truth-in-Lending disclosures pursuant
to 15 U.S.C. Section 1601, in connection with this loan.
EXECUTED
5/31/2021
‘DocuSigned by:
etka
efson)
Pla Appx 0079
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
NOTICE - NO ORAL AGREEMENTS
RE:
Loan by Lender, Prestamos CDFI, LLC to Borrower,_
gregory lloyd
:
a(n),
Sole Proprietorship (Unregisteriecthe
amount of
$_20832
THE WRITTEN LOAN AGREEMENT REPRESENTS THE FINAL AGREEMENT BETWEEN THE
PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS, OR
SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES.
THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES,
“Loan Agreement” means one or more promises, promissory notes, agreements, undertakings,
security agreements, deeds of trust or other documents or commitments, or any combination of those
actions or documents, pursuant to whicha
financial institution loans or delays repayment of or agrees to
loan or delay repayment of money, goods, oranother thing of value or to otherwise extend credit or make
a financial accommodation.
EXECUTED
5/31/2021
LENDER:
PRESTAMOS CDFI, LLC
By:
Name:
Jose Martinez
Title:
President
BORROWER:
gregory lloyd
Sole Proprietorship (Unregistered)
A(n)
By:
pears (Logd.
Name:
_Qregory lloyd
Title:
_Owner
Pla Appx 0080
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
WRITTEN CONSENT OF GOVERNING BODY
(SBA PPP loan)
Pursuant to applicable law, the undersigned, being the appropriate governing body pursuant to the
governing documents for the borrowing entity designated on the signature page hereof (“Company”),
hereby consent to the adoption of and do hereby adopt the following resolutions and acknowledge that
Prestamos CDFI, LLC (“Lender”) is relying on the effectiveness hereof in making a loan to Company under
the Paycheck Protection Program Second Draw Loans of the Small Business Administration (“SBA”) as
authorized under Section 311 of the Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues
Act ("Economic Aid Act"):
RESOLVED, that the undersigned hereby authorizes the Authorized Person named below as the
appropriate person pursuant to the governing documents of the Company (“Authorized Person’),
for and on behalf and in the name of theCompany, to take such action necessary for the Company
to borrow money and to obtain credit from the Lender, with its principal office located in Phoenix,
Arizona, in the amount stated in the promissory note executed by Company and payable to Lender
(the “Loan’) and dated on or about the date hereof, hereinafter called the “Loan”, including any
renewals, extensions, consolidations or rearrangements of such indebtedness, upon such terms
and at such rates as he orshe deems reasonable;
BE IT FURTHER RESOLVED, that the undersigned hereby authorizes the Authorized Person, for
and on behalf and in the name of the Company to prepare,
execute and deliver any and all
applications, certifications, promissory notes, loan agreements and any and all other documents
and to perform any and all acts which may be necessary or proper to effect the borrowing and to
execute and deliver any and all instruments and perform any and all acts required by the Lender
and/or the SBA
in
connection
with any
matters
herein
contained,
including
any renewals,
extensions, consolidations or rearrangements of such indebtedness, upon such terms and at such
rates as theAuthorized Person, in his or her sole discretion, deems reasonable;
BE IT FURTHER RESOLVED, that all the acts and deeds done or to be done by the Authorized
Person,
in connection with the execution and delivery of any promissory notes, loan agreements,
and any and all other documents, and any and all acts which maybe necessary or proper to effect
the borrowing, are hereby authorized, adopted, ratified, confirmed and approved as the acts and
deeds of Company;
BE IT FURTHER RESOLVED,
that
the Authorized Person be and is hereby authorized
and
directed to take such other action and deliver such additional instruments in the name of and on
behalf of Company, or otherwise to do all such further acts and things that the Authorized Person
shall deem necessary orproper in order to effectively perform all of theobligations and agreements
expressed to be kept and performed by Company, pursuant to the provisions of any promissory
notes, loan agreements and any and all other documents and to perform any and all acts which
may be necessary or proper to effect the borrowing described above;
BE IT FURTHER RESOLVED, that any government agency, including butnot limited to, the SBA,
mayalso rely on this Written Consent when identifying any Authorized Person for purposes of any
loan guaranty, loan forgiveness, or other government program related to the Loan; and
BE IT FURTHER RESOLVED, that any and all acts authorized pursuant to this Written Consent
and performed prior to the execution of this Written Consent are hereby ratified and approved.
This Written Consent shall be continuing and shall remain in full force and effect until written notice
of its revocation shall have been delivered to the Lender and receipt acknowledged bythe Lender
in writing.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK - SIGNATURES ON FOLLOWING PAGE]
Pla Appx 0081
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DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
IN WITNESS WHEREOF, the undersigned have executed this consent effective as of 5/31/2021
AUTHORIZED PERSON:
gregory lloyd
A(n)
Sole Proprietorship (Unregistered)
DocuSigned by:
By:
ysap
bs4
27285CD 15090480,
Name:
regory
lloyd
Title:
Owner
Pla Appx 0082
Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 12 of 14
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
omWQ
(Rev. October 2018)
Request for Taxpayer
Identification Number and Certification
Department of the Treasury
.
.
.
.
.
Internal Revenue Service
» Go to www.irs.gov/FormW9 for instructions and the latest information.
1
Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
gregory lloyd
2
Business name/disregarded entity name, if different from above
gregory lloyd
3 Check appropriate box for federal tax classification ofthe person whose name is entered on line 1. Check only oneof the
following seven boxes.
Give Form to the
requester. Do not
send to the IRS.
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):
1 scorporation
[1 Partnership
C1 trustestate
LX
individuavsole proprietoror
C1] ¢ Corporation
single-member LLC
Exempt payee code (if any)
1
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) >
Note: Check the appropriate box in the line above
forthe tax classification of the single-member owner.
Do not check
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that|
is disregarded from the owner should check the appropriate box forthe tax classification of its owner.
C1
Other
ti
'5 Address (number, street, and apt. or suite no.) See instructions.
16903 Prince Pine Ct
6 City,
state, and ZIP code
Houston
T™
7 List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN inthe appropriate box. The TIN provided must match the name given on line 1toavoid
backup withholding, For individuals, this isgenerally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I,later. For other
entities, itis your employer identification number (EIN).
if you do not have a number, see How to get a
TIN,
later.
Note: If the account isinmore than one name, see the instructions for line 1.Also see What Name and
NumberTo
Give the Requester for guidelines on whose number to enter.
Employer identification number
T2RM
Certification
Under penalties of perjury, |certify that:
1,The number shown on this form is my correct taxpayer identification number (or |am waiting for a number tobe issued to me); and
2. Lam not subject to backup withholding because: (a)|amexempt from backup withholding, or (b) |have not been notified by the Internal Revenue
Service (IRS) that |am subject to backup withholding as a result ofa failure to report all interest or dividends, or (c) the IRS has notified me that |am
no longer subject to backup withholding; and
3.1 am a USS.
citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that |am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report allinterest and dividends on your tax return. For real estate transactions, item 2does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part Il, later.
Exemption from FATCA reporting
code (if any)
(pple toaccounts
maintained
outside
theU.S.)
Requester’s name and address (optional)
Print
or
type.
See
Specific
Instructions
on
page
3.
77059
‘Social security number
Sign |
si
yf
Hore
|SL pegyny
Ugd
C7 Secotsceoato
General Instructions
Section references areto the Internal Revenue Code unless otherwise
noted.
Date
5/31/2021
* Form 1099-DIV (dividends, including those from stocks or mutual
funds)
* Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
* Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
* Form 1099-S (proceeds from real estate transactions)
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
‘An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
* Form 1099-INT (interest eared or paid)
* Form 1099-K (merchant card and third party network transactions)
* Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
* Form 1099-C (canceled debt)
*Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
Ifyou do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Cat. No. 10231X
Form W-9 (Rev. 10-2018)
Pla Appx 0083
Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 13 of 14
gregory lloyd
Capital One, Na
gregory lloyd
DocuSign Envelope ID: B69E19BF-2FC4-4D53-A174-E7A7EDDAED2C
Information and Bank Account Certification and Authorization:
I acknowledge that the lender has to its best ability confirmed the ownership and active status ofthe depository
account at the Financial Institution listed as required in the documents submitted to the SBA for PPP
loan
approval. I understand,
acknowledge,
and agree
that
the Lender or its’
partners
can share
any
financial
information that I have provided with along with the SBA's authorized representatives, including authorized
representatives of the SBA Office of Inspector General, or any of its affiliates or partners for the purpose of
compliance, accuracy, and verification of good standing to comply with all SBA Loan Program Requirements
and or any and all SBA reviews.
I,
certify
in good faith to the below information to be the rightful and
correct owner ofthe account and am responsible for the accuracy and information provided below and authorize
the lender and or its affiliates or partners to deposit the loan proceeds on the company’s behalf. I further certify
that the account information provided below is true and accurate inall material respects.
BANK NAME:
ACCOUNT NAME:
ACCOUNT NUMBER:
ROUTING NUMBER:
Pla Appx 0084
Case 5:21-cv-04337-JMG Document 163-8 Filed 05/21/25 Page 14 of 14File and source
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