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First Name *

Last Name *

Address *

Email *

Phone

Business Name *

What industry is the business in? *

Affected Start Date (Pandemic Timeframe March 2020 - September 2021) *

Working with a current team member of Central Consultant? If Yes, please enter name below.

How many full time W2 employees did you have between March 2020 - September 2021 *

Have you filed or currently working on ERC Claim with your CPA? *

Yes

During Covid did any government order restrict your business? *

Yes

Did you ever receive PPP? If yes, was it forgiven? *

Yes, Fully Forgiven

Yes, Partially Forgiven

Yes, Not Forgiven

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