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##formIDe1d378c947595c83e5db3d013b91c9a9end##
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Business Name
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Contactt Name
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Best E-mail
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Best Phone
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Type of Business/Industry
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How many W-2s were issued in 2020?
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How many W-2s were issued in 2021?
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Do you, or any partial owner, own any part of another business?
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Did you operate under a full or partial shutdown order?
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Agent Name
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Platinum Finance Center
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