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Consulting
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PAYCHECK PROTECTION PROGRAM FORM
Name
Business Name (if applicable)
Type of business or service that you provide
Do you own another business?
Business Address (if applicable)
Home Based Business Address
Email
Business Phone Number
Mobile Number
Type of business: Check all that apply
Independent Contractors
Gig Workers
Sole Proprietors
S-Corp or Corporations
Any business with or without employees
Women Owned Business
Self-employed persons
1099 Workers
LLC's
Partnerships
Minority Owned Business
Number of employees (if applicable)
Total revenue of 2019
Total revenue of 2020
Do you have financial statement for 2020?
Yes
No
Do you use a bookkeeping service?
Yes
No
Which local bank do you use for business?
Do they currently offer PPP loan?
Yes
No
Have you ever applied for PPP loan?
Yes
No
Did you get funded?
Yes
No
SUBMIT