ERC Application Eligibility Form

ERC - Employee Retention Credit Form.

How Much Money Are You Eligible to Receive? Let's Find Out? It Will Only Take a Few Minutes, to complete this form, in order to Determine Your Eligibility and Likely Credit Amount. So, Don't Delay... The ERC Pool Fund is Limited and Issued on a First Come, First Serve, Basis.
Before You Begin - Please Read Completely

After completion of this initial application, you will be required to answer some additional questions by our CPA partners. Afterwards, you will receive a link, from them, to upload important payroll documentation, which will be required to precisely calculate your expedited credit. Along with the answers provided, to determine your credit amount. Once your analysis is completed and approved, our Specialists will process and file your return. You will be required to attest the information you provided.
Owner's Name*

First NameLast Name
Company Name*

Registered NameDBA
State of Incorporation*
Website*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number*
Please enter a valid phone number.
Owner's Mobile Number*
Please enter a valid phone number.
Owner's Corporate Email Address*
example@example.com
Were Your Business Operations Fully or Partially Suspended Due to Government Orders Related to COVID-19?*

YesNo
Did You Employ 100 or Less Full-Time Workers in 2019? (ERC Eligibility for a 2020 Quarter)*

YesNo
Did You Employ 500 or Less Full-Time Workers in 2019? (ERC Eligibility for a 2021 Quarter)*

YesNo
Number of Full-Time Employees?*
What Industry Describes Your Business Best?*
Agent Name
Agent I.D. #
NOTE: The Employee Retention Tax Credit (ERC) Process will be Managed Exclusively by Our Program Partners, which includes our Banking, CPA and Tax Attorney Firm Partners.

Our NextLevel Business Solutions, Inc. (NLBS, Inc.) Agents act solely as our referring partners and do not Guarantee nor Underwrite Our Banking Services nor Our ERC Services. NLBS, Inc. has partnered with licensed CPAs to Accurately and Professionally Facilitate the ERC. By entering your mobile number, you consent that we may contact you, on your mobile, to help facilitate your ERC.
Please verify that you are human*
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ERC - Employee Retention Credit Form.