Small Business Administration Paycheck Protection VCC Fogiveness Documentation Checklist, 2020 August 31

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AX Z VCC PPP Forgiveness

VCC Bank

Documentation Checklist

Payroll

Documentation verifying the eligible cash compensation and non-cash benefit payments from the Covered Period or the Alternative
Payroll Covered Period. Put a check in each box to indicate you have provided the form.

(Put a check in the box to indicate you have provided the form)

Bank Statements or Third Party Payroll Services
documenting the amount of cash compensation paid to
employees.

Tax forms (or equivalent third-party payroll service
provider reports) for the periods that overlap with the
Covered Period or the Alternative Payroll Covered Period:
i. Payroll tax filings reported, or that will be reported, to
the IRS (typically, Form 941); and
ii. State quarterly business and individual employee wage
reporting and unemployment insurance tax filings
reported, or that will be reported, to the relevant state.

Payment receipts, canceled checks, or account statements |
documenting the amount of any employer contributions

to employee health insurance and retirement plans that

the Borrower included in the forgiveness amount (PPP

Schedule A, lines (6) and (7)).

Form 3508EZ Filers that checked Box 2 on the

3508EZ qualification checklist (please check here);
documentation showing the average number of full-time
equivalent employees on payroll employed by the Borrower
on January 1, 2020 and at the end of the Covered Period.

8/13/2020 1

AX Z VCC PPP Forgiveness

VCC Bank

Documentation Checklist

FTE

Documents may include payroll tax filings reported, or that will be reported, to the IRS (typically, Form 941) and state quarterly business and
individual employee wage reporting and unemployment insurance tax filings reported, or that will be reported, to the relevant state. Documents
submitted may cover periods longer than the specific time period. “If using Form 3508EZ please check the box for N/A.

(Please Choose One)

N/A*See Above [|

Documentation showing (at the election of the Borrower)
the average number of FTE employees on payroll per
month employed by the Borrower between February 15,
2019 and June 30, 2019;

Documentation showing (at the election of the C]
Borrower) the average number of FTE employees on

payroll per month employed by the Borrower between

January 1, 2020 and February 29, 2020

Documentation showing (at the election of the C]
Borrower) in the case of a seasonal employer, the

average number of FTE employees on payroll per month

employed by the Borrower between February 15, 2019

and June 30, 2019; between January 1, 2020 and

February 29, 2020; or any consecutive twelve week

period between May 1, 2019 and September 15, 2019.

8/13/2020 2

QA Z VCC PPP Forgiveness

Documentation Checklist
VCC Bank

Non-Payroll

*D ion verifying exi: of the obligati vices prior to February 15, 2020 and eligible payments from
the Covered Period.

(If applicable, put a check in the box to indicate you have provided the form)

Business mortgage interest payments: Copy of lender C]
amortization schedule and receipts or cancelled checks

verifying eligible payments from the Covered Period;

or lender account statements from February 2020 and

the months of the Covered Period through one month

after the end of the Covered Period verifying interest

and eligible p *See Above

Business rent or lease payments: Copy of current lease |
agreement and receipts or cancelled checks verifying

eligible payments from the Covered Period; or lessor

account statements from February 2020 and from the

Covered Period through one month after the end of

the Covered Period verifying eligible payments. * See Above

Business utility payments: Copy of invoices from |
February 2020 and those paid during the Covered

Period and receipts, cancelled checks, or account

statements verifying those eligible payments. * See Above

No Non-Payroll Cost paid |

8/13/2020

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Resource Type:
Document
Rights:
Date Uploaded:
January 3, 2026

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