Employee Retention Tax Credit Questionnaire

Once you complete this form:

Consolidated Personnel Services will receive the information and assist clients.

Submitter's Name*
First Last
Email*
Client's Name*
Answer The Following Questions
To help determine if you are eligible for the Employee Retention Tax Credit Enter your Gross Receipt Totals below, if unknown enter 0
1st Quarter 2019*
First Quarter 2019 Gross Receipts Total
2nd Quarter 2019*
Second Quarter 2019 Gross Receipts Total
3rd Quarter 2019*
Third Quarter 2019 Gross Receipts Total
4th Quarter 2019*
Fourth Quarter 2019 Gross Receipts Total
1st Quarter 2020*
First Quarter 2020 Gross Receipts Total
1st Q 2020 Ratio
2nd Quarter 2020*
Second Quarter 2020 Gross Receipts Total
2nd Q 2020 Ratio
3rd Quarter 2020*
Third Quarter 2020 Gross Receipts Total
3rd Q 2020 Ratio
4th Quarter 2020*
Fourth Quarter 2020 Gross Receipts Total
4th Q 2020 Ratio
1st Quarter 2021*
First Quarter 2021 Gross Receipts Total
2nd Quarter 2021*
2nd Quarter 2021 Gross Receipts Total
3rd Quarter 2021*
3rd Quarter 2021 Gross Receipts Total
4th Quarter 2021*
4th Quarter 2021 Gross Receipts Total
Additional Information or Questions:
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