Eligibility for NYS COVID-19 Capital Cost Tax Credit Form

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

Email* This field is required.

example@example.com

4

Does your small business operate at a location or locations within New York State?

Yes

No

5

Do you own or take part in the following: sole proprietor, partnership, LLC, or corporation (C-corp or S-corp)?* This field is required.

Yes

No

6

Are you an independently owned and operated business with less than 100 full time equivalents (FTE) and gross receipts of less than $2.5 million?* This field is required.

Yes

No

7

Do you independently manage and control the day-to-day operations of its own business without undue influence by an outside entity or persons that may have an ownership and/or financial interest in the management responsibilities of the small business?* This field is required.

Yes

No

8

Has your business purchased any hand sanitizer stations or physical barriers that amounted to a total cost of at least $4,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023).* This field is required.

Yes

No

9

6. Has your business purchased materials to accommodate increased outdoor activity such as heat lamps, outdoor lighting, and materials related to outdoor space expansions, which amounted to a total cost of at least $2,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023).* This field is required.

Yes

No

10

Has your business made any improvements or retrofits to accommodate social distancing that amounted to a total cost of at least $2,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023).* This field is required.

Yes

No

11

Has your business restocked goods to replace those goods lost due to the Covid-19 pandemic that amounted to a total cost of at least $2,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023).* This field is required.

Yes

No

12

Has your business incurred new online payment software fees that amounted to a total cost of at least $2,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023* This field is required.

Yes

No

13

10. Has your business purchased any respiratory devices such as air purifier systems that amounted to a total cost of at least $2,000, between Jan 1, 2021 to Dec 31st, 2022? (Qualified expenses must be paid on or by March 31, 2023).* This field is required.

Yes

No

14

Based on the information provided, your business appears to be eligible to apply for this NYS tax credit program.

15

Unfortunately, your business is not eligible to apply for this NYS tax credit program