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This form is for Small Business Emergency Microloan recipients of a City-funded microloan (Round One). Please complete this Final Report by no later than 11:59 p.m. on Friday, January 29, 2021.
If you are a recipient of a CARES Act-funded microloan, please use the Round Two Final Report form available at https://dublin.ca.gov/microloan.
If you have any questions about the form, or require assistance to complete the form, please contact Economic Development Staff by calling 925-833-6650 during business hours.
(include “doing business as” if any)
(include part-time and full-time)
Note: City of Dublin Small Business Emergency Microloan Funds are to be used only for payment of rent, mortgage, payroll or operating expenses, subject to the restrictions as set forth below, and incurred between March 1, 2020 and December 30, 2020 for business located at the address listed above.
Note: total should equal loan amount. Enter "0" if no loan funds were used for that purpose.
Amount remaining, if any
By checking each box below, Borrower affirms the following statements are true:
Thank you for being part of the Dublin business community. If you have any questions about the Small Business Emergency Microloan Program, please reach out to the Office of Economic Development via email at email@example.com or call 925-833-6650.
This field is not part of the form submission.
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