2nd Quarter 2021- Quarterly Payroll Information
Please fill out the below information for your 2nd Quarter Payroll
BUSINESS NAME
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
2nd QUARTER PAYROLL INFORMATION
PAYROLL INFORMATION - SPECIFY PAYROLL PER EMPLOYEE / PER MONTH
*
HEALTH INSURANCE
TOTAL AMOUNT OF HEALTH INSURANCE PAID BY COMPANY OR SELF FOR 2021
ARE YOU CURRENTLY COVERED BY YOUR SPOUSE?
YES
NO
ARE YOU CURRENTLY COVERED BY A SEPARATE EMPLOYER?
YES
NO
PAYCHECK PROTECTION PROGRAM
If you did not receive a PPP loan, please skip to next questions
DID YOU RECEIVE A PPP LOAN?
*
YES
NO
IF YES - DATE FUNDED
LOAN AMOUNT
UPLOAD A COPY OF YOUR PROMISSORY NOTE HERE
Browse Files
Cancel
of
SBA EDIL LOAN
If you did not receive an EDIL loan, please skip to next questions
DID YOU RECEIVE AN "ADVANCE" FROM YOUR EDIL LOAN?
YES
NO
IF YES, WHAT WAS THE ADVANCED LOAN AMOUNT YOU RECEIVED?
DID YOU ACCEPT ADDITIONAL EDIL LOAN
YES
NO
IF YES, WHAT WAS THE LOAN AMOUNT YOU RECEIVED?
UNEMPLOYMENT
HAVE YOU COLLECTED UNEMPLOYMENT
YES
NO
HAVE YOU COLLECTED UNEMPLOYMENT?
YES
NO
IF YES, PLEASE SPECIFY THE DATES YOU COLLECTED
HAVE YOU COMPLETED ALL THE INFORMATION NEEDED?
*
YES
Submit
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