ERTC Introduction Form

Owners Full Name*

First NameLast Name

Legal Business Name*

Number of W-2 Employees (2020/2021)

Was this business established before or after 02/15/2020?*

BeforeAfter

Did you get the PPP Loan?*

YesNo

Do you owe the IRS any money?*

YesNo

If Yes, how much? If No, leave blank

Was your business partially shut down due to government mandates?*

YesNo

Did you lose 50% or more of your revenues in 2020 compared to 2019?*

YesNo

Did you lose 20% or more of your revenues in 2021 compared to 2019? **

YesNo

How many w2's were issued in 2020?*

How many w2's were issued in 2021?*

E-mail*

example@example.com

Best Contact Number*

Area CodePhone Number

Any information you would like to provide, please use this box. If not leave blank

Referring Broker name or company name - Leave blank you are the business owner

We will compare your answers with the additional information we have on file and give you a call within 24 hours.
Please don't worry we will not use your information for any other purpose except checking your qualification for an Employee Retention Tax Credit.
If we believe you do qualify, we will need to contact you for additional information.

AllFreshCapital.com DOES NOT provide any legal or accounting advice and users of this webform should consult with their own lawyer and C.P.A. for legal and accounting advice
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Employee Retention Credit Program Qualifier