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Business Name
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Name
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Last
Email
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Phone Number
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Do you, or any partial owner of this business, own any percentage of another business?
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Type of Business/Industry
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ESTIMATES ARE ACCEPTABLE
How many W-2s were issued in 2020?
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How many W-2s were issued in 2021?
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Did you operate under a full or partial shutdown order?
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Yes - Full
Yes - Partial
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