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SBA-912 - Statement of Personal History — Complete this Small Business Administration (SBA) form online with AI-powered assistance. No software downloads required.

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About SBA-912

OMB APPROVAL NO. 3245-0178
Expiration Date: 12/31/2028
United States of America
SMALL BUSINESS ADMINISTRATION
STATEMENT OF PERSONAL HISTORY
Please Read Carefully and Fully Complete: SBA uses Form 912 as one
part of its assessment of program eligibility. Please reference SBA
Regulations and Standard Operating Procedures if you have any
questions about who must submit this form and where to submit it. For
further information, please check SBA's website at www.sba.gov. DO
NOT SEND COMPLETED

Fields in SBA-912

This form contains 30 detected fields including:

•10. Are you currently more than 60 days late on paying any child support obligations?

•1a. Name and address of Applicant/Borrower/Assumptor (Firm/Business Name; Street, City, State, Zip Code, and Email):

•1b. Personal Statement of : (State name in full, if no middle name state NMN, or if initial only indicate initial). List all former names used, and dates each name was used. Use separate sheet if necessary.

•2. Give the percentage of ownership in the small business (if applicable):

•3. Social Security Number

•4. Date of Birth (month, day, and year)

•5. Place of Birth (City & State or Foreign Country)

•Initials

•Enter from to Date

•To Address

•9. In the past year, have you been convicted of a criminal offense committed during and in connection with a riot or civil disorder or other declared disaster?

+ 18 more fields detected

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Frequently Asked Questions

What is SBA-912 used for?

SBA Background Check Form — Statement of Personal History. It is an official government form issued by Small Business Administration (SBA) used for specific reporting or application purposes.

Can I fill out SBA-912 online for free?

Yes! Our platform allows you to fill out SBA-912 completely free of charge. No hidden fees, no subscription required.

Is my information secure?

Absolutely. We use 256-bit SSL encryption to protect all data you enter. Your information is processed securely and never shared.

Where do I submit SBA-912 after completing it?

After downloading your completed PDF, submit it according to the Small Business Administration (SBA)'s instructions. This may be online, by mail, or in person depending on the form requirements.

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SBA-912 - Statement of Personal History