PPP Loan Forgiveness Questionnaire In order for our team to assist with your PPP Loan needs, please submit the information below. CLIENT INFORMATIONClient Name*Your Email* (You will receive a copy of the completed form via email)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact* First Last Primary Contact Email* Primary Contact Phone*Entity Type*C CorpS CorpPartnershipSole ProprietorNonprofitEntities with common or related owners*LOAN INFORMATIONBank Name*Banker Name* First Last Banker Email* Banker Phone*PPP Loan Amount*Date PPP Loan Funds Received* Date Format: MM slash DD slash YYYY PAYROLL INFORMATIONPayroll Processor*Date of pay period beginning after loan funds were received* Date Format: MM slash DD slash YYYY Are You a Seasonal Business?*YesNoAre You Electing 8 or 24 Week Period?*8 Week24 WeekWhich Week Do You Intend to Apply for Forgiveness?* Date Format: MM slash DD slash YYYY How frequently are employees paid? Select all that apply. (Hold down the Ctrl Key to select multiple answers):*WeeklyBi-WeeklyBi-MonthlyMonthlyOTHERDid You Receive an EIDL Grant?*YesNoGrant AmountGrant Date Date Format: MM slash DD slash YYYY Who will be responsible for approving and submitting the loan foregiveness application?E-Z CRITERIAAre You Self-Employed and Do You Have No Employees?*YesNoDuring the period you used PPP loan funds, did you reduce the total number of employees or the hours your employees worked?*YesNoDuring the period you used PPP loan funds, did you reduce the wages or pay rate of any employee by more than 25%?*YesNoWere you able to operate between February 15, 2020 and the end of the period the PPP Funds were used at the same level of business as before February 15, 2020 due to compliance with health directives related to COVID-19?*YesNoCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.