Free SBA Forms - 1846 - Federal


File Size: 22.6 kB
Pages: 1
Date: October 10, 2001
File Format: PDF
State: Federal
Category: Government
Word Count: 174 Words, 1,036 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sba.gov/idc/groups/public/documents/sba_program_office/bank_sba1846.pdf

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STATEMENT REGARDING LOBBYING Statement for Loan Guarantees and Loan Insurance

The undersigned states, to the best of his or her knowledge and belief, that: (1) If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

(2)

Submission of this statement is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature:

Date:

Name and Title:

SBA Form 1846 (8-92)

*U.S. Government Printing Office: 1993