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admin
April 11, 2025
April 23, 2025
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Step
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Name
*
First
Last
Next
Phone Number
*
Email
*
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Business Structure
*
Select From Drop Down
Sole Proprietorship
S-Corp
LLC
C-Corp
Partnership
Other
Business Type
*
State Business is Registered In:
*
How long has the business been in operation?
*
Select From Drop Down
0-12 months
1 - 2 years
2 - 5 years
5 - 10 years
Number of Employees:
*
Select From Drop Down
1
2-10
11-50
51
51 +
Is the business involved in international trade?
*
Select From Drop Down
Yes
No
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Annual Revenue:
*
Select From Drop Down
New company
$1 - $100 000
$100 001 - $500 000
$500 001+
Profit Before Tax:
*
Select From Drop Down
New company
1$ - $10 000
$10001 - $50000
$50001+
Do you maintain proper accounting records?
*
Select From Drop Down
Yes
No
Does the company own any assets?
*
Select From Drop Down
Yes
No
Average Monthly Salary (if not fixed):
*
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Next
Is your business involved in charitable donations?
*
Select From Drop Down
Yes
No
Do you have friends or family working in your business?
*
Select From Drop Down
Yes
No
Friend & Family
*
Friends
Family
Family
*
Wife / husband / partner
Father / Mother / In-laws
Children
Children
*
Select From Drop Down
1
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4
5
Childs Age (1 Child)
*
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Child Age 1 (2 Children)
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Child Age 2 (2 Children)
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Child Age 1 (3 Children)
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Child Age 2 (3 Children)
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of Do Age
Child Age 3 (3 Children)
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Child Age 1 (4 Children)
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Child Age 2 (4 Children)
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Child Age 3 (4 Children)
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Child Age 4 (4 Children)
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Child Age 1 (5 Children)
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Child Age 2 (5 Children)
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Child Age 3 (5 Children)
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Child Age 4 (5 Children)
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Child Age 5 (5 Children)
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