WB Business Registration Form

Business Service Requested *

Assistance with New PPP or Forgiveness Assistance with EIDL and/or Reconsideration Small Business Grant Assistance Grant Notification Service ($19.99/Month) Loan Assistance/Readiness Other
Business Owner Legal Name *

First Name Last Name
Business Owner Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Owner Birthdate *

Month Day Year
Date
Percentage Ownership % *
Business Owner Direct Phone Number *
Please enter a valid phone number.
Business Owner Personal Email
example@example.com
Business Name *
Business Phone Number *
Business E-mail *
example@example.com
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Entity *
Business Category *
Gross Revenue 2019 *
Gross Revenue 2020 *
Schedule C ($ Amount on Line 31)
Enter Dollar Amount if applicable.
# of Current Full-Time Employee's *
# of Current Part-Time Employee's *
Website
Check Those that Apply

Woman Owned Minority Owned Veteran Owned Disabled
Items to Complete Your Grant and Lending Profile
- Government ID - Front & Back
- 2019 Taxes
- Business Evidentiary (Articles of Incorporation,Fictitious Business Name Filing)
- Business License (for local grants)
- Quarterly and Summary Financials 2019 and 2020 (PPP & Some Grants)
- 2020 Quarterly 941's amd 940 (if you have employees)
- W-3 (if you have employees)
- Schedule C (For Sole Propreitors and Single Member LLC's)
- 1099's Misc Income Forms (For independent Contractors)
- Voided Check for Bank Verification
- Feb 2019 and2020 Bank Statments
- Most recent Bank Statement
Message
World Bridge Consultants - Business Assistance Registration

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World Bridge Consultants - Business Assistance Registration