Application + Instructions

Merchant Cost Forgiveness Advance Program

Effective December 01, 2021

SBA-LynxPayment-MCF-A3058

A BUSINESS OWNER MAY USE THIS FORM ONLY

ELIGIBLE ENTITY VERIFICATION

MERCHANT COST FORGIVENESS ADVANCE

Application Form A3058 Revised December 02, 2021

Control No.: A3508-PL
Expiration Date: 06/16/2022

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Purpose of this form:

SBA Lynx Payment is collecting the requested information from the qualified entities listed in this application. The information will be used in determining whether the applicant is eligible for a Merchant Cost Forgiveness Advance (MCF-A3058). If you do not submit all the information requested, your applications cannot be fully processed. All of the information is provided voluntarily by Business Owners to SBA Lynx Payment.

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Choose One:
Do you request a Fund Advance?
Business Average Monthly Income
Reason for applying Merchant Cost Forgiveness
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