ERTC Starter Questionnaire

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To help me find my eligibility and amounts for a payroll tax refund available through the CARES Act

Email *

Company Name & Type (Inc, LLC, etc.) *

Are you owned by or affiliated with another company? *

Yes

Provide a brief business overview *

Select the first industry that best describes your business *

Select the second industry that best describes your business (if applicable)

Select the third industry that best describes your business (if applicable)

Select the fourth industry that best describes your business (if applicable)

Describe how your business operation changed during the pandemic. List major impacts or challenges you faced during that time. *

Was your business created prior to February 2020 ?

Yes

Clear selection

Was your business considered an "essential" business in 2020 ? *

Yes

Is your business tied to a government entity or are you a government contractor?

Yes

Clear selection

Average # of employees (including part time) during the pandemic? *

Headquarters Location 1 *

Headquarters Location 2 (if applicable)

Headquarters Location 3 (if applicable)

Headquarters Location 4 (if applicable)

Employee/Supplier Location 1 (if applicable)

Employee/Supplier Location 2 (if applicable)

Employee/Supplier Location 3 (if applicable)

Employee/Supplier Location 4 (if applicable)

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This form was created inside of Boston Growth Partners, LLC.