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COVID-19 Loan Relief Application
Please note this application is for UPCI congregations only.
Name of Church:
*
Pastor Name:
*
City:
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Email address:
*
Phone number:
*
Preferred contact method
*
Email
Phone
Contact person if not the Pastor:
UPC Loan Fund Loan Number (if applicable)
If not a current UPC Loan Fund Borrower:
Please fill in blanks
Rent Payment:
Please fill in blanks
Name of Bank:
Please fill in blanks
Mortgage Balance:
Please fill in blanks
Mortgage Payment:
Please fill in blanks
Average Attendance in 2020:
*
Please fill in blanks
January
Please fill in blanks
February
Please fill in blanks
March
Please fill in blanks
Average Attendance in 2019:
*
Number of members who have lost their job:
*
Number of members who have had their income reduced?
*
Tithing and Offering Totals 2020:
*
Please fill in blanks
January
Please fill in blanks
February
Please fill in blanks
March
Please fill in blanks
April
Please fill in blanks
May
Please fill in blanks
June
Please fill in blanks
Number of Full-Time Staff:
*
Number of Part-Time Staff:
*
What accounting software do you use?
*
What church management software program do you use?
*
Breeze
Faith Teams
Planning Center
None
Other
Other
What online giving programs do you offer?
*
PayPal
Square
Tithe.ly
None
Other
Other
Do you have a formal budget in place?
*
Yes
No
Attachments
If you are unable to attach the documents along with the application, please email them to
rlovall@upci.org
.
Written request on church letterhead signed by the board of trustees detailing the request and reason for the request:
Attach electronic banking records since the last statement up to the date of contact:
Attach 2018 & 2019 Full-Year Profit & Loss Statements if not already on file:
All bank statements for 2020:
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