Form 5, SBA Disaster Loan Application Completed Form Examples and Samples

Explore an example of a completed SBA Form 5, the Disaster Loan Application for small businesses like Green & Gold Landscaping. Learn how to accurately fill out key sections, including business details, loan amount, and authorized representative's information, to navigate the disaster loan application process effectively.
Form 5, SBA Disaster Loan Application has a complex Form Complexity Index of 74/100 — Instafill’s AI completes it in under a minute.
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Completed SBA Form 5 for a small business applying for a disaster loan

SBA Form 5 Example – Disaster Loan Application for Small Business

How this form was filled:

This example illustrates the completion of SBA Form 5 for a small business affected by a disaster. The business, Green & Gold Landscaping, includes details such as business legal name, structure, EIN, and the financial impact of the disaster. The form is signed and dated to finalize the application process.

Information used to fill out the document:

  • Business Legal Name: Green & Gold Landscaping LLC
  • Trade Name: Green & Gold Landscaping
  • Business Structure: Limited Liability Company (LLC)
  • EIN: 98-7654321
  • Business Address: 456 Elm Avenue, Rivertown, USA 78901
  • Date of Establishment: 05/15/2018
  • Loan Amount Requested: $150,000
  • Disaster Declaration Number: 5632
  • Date of Application: 03/20/2025
  • Authorized Representative's Name: Jane Smith
  • Signature: Jane Smith

What this filled form sample shows:

  • Completion of business legal name and trade name fields
  • Correct identification of business structure as LLC
  • Accurate entry of EIN and address
  • Properly formatted loan amount requested and disaster declaration number
  • Signed and dated by authorized representative

Form specifications and details:

Use Case: Small business applying for SBA disaster loan
Industry: Landscaping
Categories: loan application forms, loan forms
Completed SBA Form 5 for a small business applying for a disaster loan