Get Relief Covid-19 - Small Business Intake Form
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  • CONTACT INFO

    This section you will provide contact information for the business.
  • - -
  • Services

    Please select the services that you are interested in. Check all that apply.
  • BUSINESS STRUCTURE INFO

    A description of the section goes here.
  • Owner/Partner 1
    Owner/Partner 2
    Owner/Partner 3
    Owner/Partner 4
    If there is only 1 owner please put n/a in the other fields.

    Example: John Doe, President, 50%
  • Taxes

    Please fill out this section.
  • SALES TAX

    If you are required to pay sales tax (sell goods) please fill out this section
  • Agency 1
    Agency 2
    Agency 3
  • BOOKKEEPING

    This section will inquire about your companies bookkeeping practices.
  • Name of bookkeeping service name
  • Payroll Management

  • Banking Information