ERC Questionnaire Populated

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Name

Questions about your business

1a. Was your business fully or partially shut down due to government orders related to COVID-19?
IF YES, fill in the beginning and ending date that your business was fully or partially shut down due to government orders related to COVID-19:
Input the Gross receipts for each quarter. ERTC guidelines provides additional opportunities to qualify for ERTC using gross receipts:
Do you qualify as a Recovery Startup Business?
(A Recovery Startup Business is any employer that began operations after February 15, 2020, and has an average annual gross receipt amount up to $1,000,000)
2. Did you have more than 100 employees in 2019?
Note: A full-time employee in this case is defined as someone working an average 30 hours per week or 130 hours per month.
Is anyone you paid an owner or partial owner?
Are any owners on W2?
Are any employee(s) also your family members or family members of other full/partial owners?
Do you use a payroll service company? IE ADP, Paychex, Patriot, Quickbooks etc.
Can you obtain the following records: Payroll Summaries and/or payroll detail reports?
Click or drag a file to this area to upload.
1. Payroll from 941’s: Q1 2020 – Q4 2021 (Your payroll company should have a copy of these)

2. Payroll Detail Report: March 1, 2020 – December 31, 2021 (please ensure the report includes (1) employee name, (2) gross wages, (3) hours (if applicable), and (4) check date.

Send them in EXCEL format if possible)
Click or drag a file to this area to upload.
7. Did you pay health insurance premiums for your employees?

Questions about your PPP loan

Did you recieve a PPP loan in 2020?

IF YES: Fill in the beginning and ending dates of coverage:

Did you receive full forgiveness for your PPP Loan?
Note: For additional information to seek this amount, see appendix 3 or provide us a copy of the forgiveness application.
Did you recieve a PPP loan in 2021?

IF YES: Fill in the beginning and ending dates of coverage:

Did you receive full forgiveness for your PPP Loan?
Note: For additional information to seek this amount, see appendix 3 or provide us a copy of the forgiveness application.

Questions about grants and loans

If you answer YES to any of the following questions, you must update Appendix 1 (p3) to ensure that funds are applied properly for each impacted employee.
If your loan was less than $150,000, did you qualify to use the 3508S?
Do you have any workers that are not eligible for PPP forgiveness that were excluded from your PPP forgiveness considerations, but can be used for ERTC?
For example, these are employees that have a principal address outside of the U.S. can be used for ERTC.
12. Do you have any employees who had Work Opportunity Tax Credits (WOTC) granted?
Did you pay wages for Paid Family Leave Credit (separate from Families First Coronavirus Response Act)?
Note: This would not be reported in payroll.
Did your company claim a Research and Development (R&D) credit as reported on Form 8974?
If you answer YES to any of the following questions, you must update Appendix 2 (p4) to ensure that funds are applied properly for each impacted employee.
15. Did you pay any qualified health plan expenses?
16. Did you receive a federal grant?
For example, Shuttered Venue Operators Grant, Restaurant Revitalization Fund, Coronavirus Economic Relief for Transportation Services, etc.?

Appendix 1

WOTC, Paid Family Leave Credit, (R&D) credit as reported on Form 8974, qualified health plan expenses.
Grant, Credit Name, or Qualified Health Plan
Quarter
Employee(s)
Total Wages Funds Were Used On

Appendix 2

Federal Grants and Credits
Federal Grant or Credit Name

 

Check Date

 

Employee(s)

 

Total Wages Funds Were Used On

 

Appendix 3

Have you already applied for PPP Forgiveness? If so, send us a copy of the PPP Forgiveness Application that you provided to your lender.
If so does Line 1 of your PPP Forgiveness Application include all the PPP eligible wages you paid during the covered period?
1. IF NO, please provide us with the Schedule A that shows all PPP eligible wages during your covered period. 2. Don’t have a Schedule A?
Covered period ended, but haven’t applied for PPP Forgiveness?

IF YES, please complete and attach Form SBA 3508, 3508EZ or 3508.
IF NO, proceed to next question.

Q. Who can use Form 3508EZ?

A. Qualifying borrowers can use Form 3508EZ, the simplified version of Form 3508, to apply for PPP forgiveness.

You can use this form if you meet one of the following requirements:

 Are self-employed and have no employees.

Have employees but did not reduce their wages by more than 25%, did not reduce employee numbers, and did not cut employee hours OR have employees but did not reduce wages by more than 25% and could not operate as normal because of reduced business activity due to COVID-19 health guidance compliance.

Like Form 3508, the EZ version requires borrowers to calculate payroll and nonpayroll costs. But because of the eligibility requirements to use the form, you do not need to adjust for FTE and salary reductions.

Form 3508EZ is three pages long and broken down into the following parts:

  • Calculation form
  • Signature/authorization form
  • Demographic information form (optional)

Q. Who can use Form 3508S?

A. Form 3508S is the simplest PPP loan application form available. Only borrowers who took out loans that were $150,000 or less can use the form.

The Consolidated Appropriations Act expanded who can use this version of Form 3508. Originally, only borrowers who took out loans of $50,000 or less could use it. Now, borrowers who took out loans of $150,000 or less can use it.

Affiliate businesses (e.g., businesses with common management, stock ownership, and identity of interest) that took out a combined total of PPP loans of $2 million or more cannot use Form 3508S.

Form 3508S requires fewer calculations and less documentation than Forms 3508 and 3508EZ. If you took out a loan of $50,000 or less, your forgiveness amount won’t be reduced if you decreased your FTE employee levels or wages.

This form is two pages long and broken down into the following parts:

  • Signature/authorization form
  • Demographic information form (optional)

Q. Who can use Form 3508?

A. Any borrower who received a Paycheck Protection Program loan can use Form 3508 to apply for forgiveness. But because it is the most complex form, you should only use this form if you do not qualify to use Form 3508EZ or 3508S.

Form 3508 is five pages long and broken down into the following parts:

Calculation form

Signature/authorization form

Schedule A

Schedule A worksheet

Demographic information form (optional)

Why so long? Form 3508 requires significantly more calculations than the other forms because it has an additional calculation for borrowers who reduced their employee numbers and/or salaries. And like Form 3508EZ, the regular 3508 requires borrowers to calculate their payroll and nonpayroll costs using the 60% / 40% rule.

Borrowers who reduce their full-time equivalent employees, employee salaries, or both also reduce their PPP forgiveness amount. This form has a calculation for determining how much you reduce your loan forgiveness amount by for these adjustments.

Has your covered period not ended yet?
IF YES, you can estimate your PPP Forgiveness based on the payroll you have processed so far and the payroll you are projected to spend.

The PPP calculation is complicated. If obtaining full PPP Forgiveness is your goal, we suggest waiting until your covered period has ended before amending your Q1 941 to obtain an ERTC refund.

IF NO, proceed to ERC Document Checklist below.

ERC Document Request Checklist

Click or drag a file to this area to upload.
Jan 1, 2019 - Dec 31, 2021, by quarter (or month) *Preferred in Excel Format
Click or drag a file to this area to upload.
Q1 2020 – Q4 2021 (Your payroll company should have a copy of these)
Click or drag a file to this area to upload.
March 1, 2020 – December 31, 2021 (please ensure the report includes (1) employee name, (2) gross wages, (3) hours (if applicable), and (4) check date. Send them in EXCEL format if possible)
Click or drag a file to this area to upload.
If you have applied for forgiveness on your PPP loans, please include a copy of your forgiveness application and or any proof of forgiveness you can provide.
Click or drag a file to this area to upload.
January 1, 2020, to December 31, 2021, total health insurance premiums, by employee, by month. (Sending this information is OPTIONAL, but having this number will help maximize your credit.)
Click or drag a file to this area to upload.
Please send us a copy of your business income tax returns for 2019, 2020 and 2021. The business tax return is whatever form your entity is required to file on an annual basis to report your income and expenses. A sole proprietor for example will file a Schedule C while an S-Corporation will file Form 1120-S (Sending this information is OPTIONAL, but having this number will maximize your credit)