ERC FUNDING APPLICATION

PRESTON THOMPSON TAX SERVICE

NEW INTAKE FORM

WWW.PRESTONTHOMPSONTAXSERVICE.COM

ADMIN@PRESTONTHOMPSONTAXSERVICE.COM

(888) 893-1853
Find out if you’re eligible with our ERC application.

ERC is a stimulus program designed to help those businesses that were able to retain their employees during the Covid-19 pandemic. Established by the CARES Act, it is a refundable tax credit – a grant, not a loan – Find out if you qualify by answering some quick questions!
Full Contact Name:

First NameMiddle NameLast Name
Date of Birth:*
Social:*
E-mail:*
Phone Number:*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Name:
Business Start Date:

MonthDayYear
Date
Business EIN :*
Business Email:*
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Entity Type:*

C CORPS CORPLLCNon-profitOther
Business Type (e.g. retail, restaurant, cleaning company ,school, etc...)*
Please indicate the estimated number of employees on payroll (W2 only)*
The information provided in this section will help determine your eligibility for ERC. There are 2 ways to claim eligibility (only one of the two ways is required): The first way is due to a partial or full government shutdown. The second is through a 50% decrease in revenue for quarters in 2020 compared to same quarter in 2019. For 2021 quarters it's a 20% decrease in revenue compared to same quarter in 2019.
Did your business experience a government mandated full or partial shutdown?*

YesNo
If yes, indicate the start date of the full or partial government shutdown:*

MonthDayYear
Date
If yes, indicate the end date of the full or partial government shutdown:*

MonthDayYear
Date
Please describe the shutdown that affected your business.*
(Include any relevant information; including key dates and the details of the mandated shutdown.)

Revenue Decrease Eligibility: Do you believe you had a 50% decrease in revenue in any quarter of 2020 compared to the same quarter in 2019? Or, for 2021 do you believe you had a 20% in any quarter compared to the same quarter in 2019?*

	YES	NO
2020: I had a 50% decrease in one or more quarters
2021: I had a 20% decrease in one or more quarters

Did you receive PPP?*

	YES	NO
PPP Round 1
PPP Round 2

Was your PPP loan forgiven?*

	YES	NO
PPP Round 1
PPP Round 2

How did you hear about us?*

GOOGLEONLINE ADDEMAIL OUTREACHINSTAGRAMFACEBOOKCOMMERCIALOTHER
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Find out if you’re eligible with our ERC application.