This is only information - It is not the actual application. Use this document to prepare to complete the application online at: https://www.iowaeconomicdevelopment.com/programDetails?pid=136&ppid=26 Go to this website to read FAQs: https://tax.iowa.gov/COVID-19 Online application deadline is Tuesday, March 31st at 12pm (noon). Iowa Small Business Relief Grant & Tax Deferral Application The State of Iowa is currently issuing grants and tax deferrals for small businesses in Iowa. The website to make this application may be inaccessible due to high traffic volume. If you are planning to apply, have the following information ready to enter: Disaster Event: COVID -19 Pandemic ______ # of employees ______ Are you also applying for the tax deferral? ______ Grant amount requested ______ Describe the Economic Injury (Loss of Sales or Revenue) Section 1: Business Information
Section II: Ownership Information Owner Applicant 1 Full Legal Name: Title: % Owned: Owner Applicant 2 Full Legal Name: Title: % Owned: Section III: Impact of Disaster
Section IV: Attachments
Section V: Certification & Release
Sign Off I hereby give permission to the Iowa Economic Development Authority (IEDA) and Iowa Department of Revenue (IDR) to research the Business’ history, make credit checks, contact the Business’ financial institutions, insurance carriers, and perform other related activities necessary for reasonable evaluation of this application. I also hereby authorize the Iowa Department of Revenue to provide to IDEA state tax information pertinent to the Business’ state income tax, sales and use tax, and state tax credits claimed. I understand that all information submitted to IEDA and IDR related to this application is subject to Iowa’s Open Record Law (Iowa Code, Chapter 22), unless specifically marked as confidential section. I understand the IDEA reserves the right to negotiate the financial assistance. Furthermore, I am aware that the funds will not be disbursed until a contract has been executed and the appropriate terms have been met. I hereby certify that all representations, warranties, or statements made or furnished to IDEA and IDR in connection with this application are true and correct in all material respect. I understand that it is a criminal violation under Iowa law to engage in deception or knowingly make, or cause to be made, directly or indirectly, a false statement in writing for the purpose of procuring economic development assistance from a state agency or subdivision. Authorized Business Signature: Print Name: Date: ******
If you are interested in applying for the Iowa Small Business Relief Grant & Tax Deferral Program, you may have found the website to complete the application is overloaded. The information listed above is the transcribed application. THIS IS NOT AN ACTUAL APPLICATION but rather all the information needed to complete that online form. Use this tool to prepare your information so that once you are able to gain access to the online form, you can complete the form in one visit. This includes gathering e-documents to attach to the application online. For clarification; the form is actually a combined document that serves two purposes.
Do visit the FAQ website (address is also provided above) for further information. Access to that page was more easily reached than the online form.
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