ppp loan forgiveness calculation worksheet

Assign a 1.0 for employees who work 40 hours or more per week and 0.5 for employees who work fewer hours, The total cash compensation you paid your employees during the covered period (gross wages, but do not include federal income, Social Security, or Medicare taxes), Employee health insurance contributions (employer), Employee retirement plan contributions (employer), State and local taxes assessed on employee compensation, Total amount paid to owner-employees/self-employed individuals/general partners, $10,000 state and local taxes assessed on wages, $180,000 (gross compensation + health insurance contributions + state and local taxes assessed) + $0.00 (mortgage interest) + $10,000 (rent) + $2,000 (utilities) =, 12 (FTEs during covered period) / 15 (FTEs during reference period) = 0.8, [(Payroll + Non-payroll Costs) – Wage Reduction Amounts] X FTE Reduction Quotient =, Payroll Cost 60% Requirement = $300,000 ($180,000 / 0.60), $11,000 state and local taxes assessed on wages, $188,000 (payroll) + $0.00 (mortgage interest) + $10,000 (rent) + $2,000 (utilities) =, Payroll Cost 60% Requirement = ~$313,333.33 ($188,000 / 0.60). But by how much? There are 11 lines total in the SBA’s forgiveness amount calculation, broken up into four main sections. PPP Loan Forgiveness for the Self-Employed Frequently Asked Questions This calculator estimates forgiveness for self-employed individuals who file Schedule C and have no employees. Again, $153,600 out of your $200,000 PPP loan is forgivable. In short, it’s a lot to take in. Instructions PPP forgiveness calculator - Prior version (5/22/20 - 6/17/20) - Excel Please see our important disclaimer regarding use of the calculator inside the Excel spreadsheet. CARES Act PPP Loan Expense Tracker & Forgiveness Calculator: Version 1.9 06-17-20 UPDATED TO REFLECT 6-17-20 IFR and PPPFA changes. Google Tag Manager Dec 26, 3:02 AM EST Welcome to the PPP Loan Forgiveness Calculation Model User Guide. Let’s first review the terms of the PPP. Page 1: PPP Loan Forgiveness Calculation Form Business Legal Name (“Borrower”) DBA or Tradename, if applicable Enter the same business name used on your PPP application, which should be identical to the name you use on your tax returns. They’ll need to verify the number of employees on the payroll and their pay rates during the loan forgiveness covered period after their loan was disbursed. There is an additional “bail out” introduced in the PPP Flexibility Act (passed on 6/4/20). potential forgiveness amount under the recently passed federal CARES Act. Update as of June 8, 2020: Based on the PPP Flexibility Act, ... Additionally, in the application materials and in the calculator, a separate worksheet is attached to analyze each employee. ]PPP forgiveness calculator - Long form 3580 (revised on 6/17/20 and again on 6/19/19 to correct formula error) - Excel. How to Complete the PPP Loan Forgiveness Application. As of 12/22/20, the bill has not been signed into law by the president. The Loan Forgiveness Application Revised June 16, 2020, requires the Loan Forgiveness Calculation Form and PPP Schedule A to be submitted to the lender. EMPLOYER CHECKLIST WORKSHEET PPP Eligibility + Loan Calculator WORKSHEET C: REDUCTION ON FORGIVENESS AMOUNT C Historical Period A Forgiveness calculation steps . Again, you’ll pull some of the information from PPP Schedule A: *To calculate your FTE, you can use one of the following methods: Let’s talk more about how you’ll arrive at the forgiveness amount by taking a closer look at Lines 1 – 11. The new 24-week limit and other changes to PPP Loans means changes in calculating payroll costs, and thus the amount of loan forgiveness. Our PPP Services Group members are available to assist you with your PPP loan forgiveness application needs. Since our original release, the workbook has been downloaded more than 46,000 times. Any PPP borrowers: Calculation form . QuickBooks is working to make it easier to apply for PPP loan forgiveness. You will need to fill out a PPP Loan Forgiveness Application form and submit that to your lender. Loan forgiveness will not be reduced if the borrower can show documentation for one of the following: Fillable PPP Loan Forgiveness Application – with formulas. But if you aren’t, here’s a quick refresher. The three lines of the potential forgiveness amounts section tell you what your loan forgiveness amount should be. Don’t do anything with the 60% payroll / 40% non-payroll requirement yet—that comes later. You didn’t cut any of your remaining employees’ wages. For more information on the difference between the forms, check out our article, “Form 3508, 3508EZ, or 3508S: Which Version Should You Use for PPP Forgiveness?“. Step 5 Calculate payroll costs for forgiveness floor • 60% of eligible costs are to be used on payroll We can take this off of your plate and help you maximize your loan forgiveness — just fill out the form below to get started. Use this article to help you learn about Form 3508. 1. All Borrowers must submit (1) and (2) to their Lender. Line 4: Enter the amount of utility payments you made during the covered period if the service began before February 15, 2020. This application has the following components: (1) the PPP Loan Forgiveness Calculation Form; (2) PPP Schedule A; (3) the PPP Schedule A Worksheet; and (4) the (optional) PPP Borrower Demographic Information Form. The only thing you need to do is reference the potential forgiveness amounts section. CARES Act PPP Loan Expense Tracker & Forgiveness Calculator: Version 1.9 06-17-20 UPDATED TO REFLECT 6-17-20 IFR and PPPFA changes. Created with Sketch. Line 11: Enter the smallest amount from lines 8, 9, or 10. We are happy to have worked together to create our comprehensive tool for PPP Loan Forgiveness. Schedule A worksheet . Another related question we’ve been getting is about whether or not PPP loan forgiveness is taxable. Line 9: Simply enter the PPP loan amount you received from your lender. This is your forgiveness amount. Help clients complete an SBA PPP forgiveness application with this PDF, which includes calculations and information from other, relevant application pages. download the ppp loan forgiveness templates Last week, the Treasury issued an FAQ to provide a recovery period to public companies that took PPP loans when they had adequate resources. To see if you have reductions, compare wage and FTE levels to the reference period you used when applying for the loan. PPP Loan Forgiveness Example Calculations. This guide will walk you through filling out the PPP Loan Forgiveness Calculation Form using information from your OnPay PPP Loan Forgiveness Report. Shortcuts! Menu. In order for PPP loan proceeds to qualify for forgiveness, business owners must meet the following conditions: The PPP loan amount was used to cover approved expenses. Reduction Based on Wage/Salary Decline . The Loan Forgiveness Calculator uses available guidance from the Small Business Administration and Treasury, along with interpretations of that guidance (see notes throughout) to estimate the amount of a PPP loan that may be eligible for forgiveness. Only include payments on mortgage interest incurred before February 15, 2020. The conditions of the Paycheck Protection Program. If you have received a Paycheck Protection Program loan, you must complete PPP Loan Forgiveness Application if you want your PPP Loan to be forgiven. PPP Schedule A –FTE Reduction Calculation Purpose: to calculate the reduction in loan forgiveness as a result of a reduction in the number of employees or average paid hours during the covered period or alternative covered period. But, you won’t receive loan forgiveness on this portion. But since our advice is to always move to the next step, in this case Loan Forgiveness, it is time to move forward. The full amount of your PPP loan is forgivable. Use the PPP Loan Forgiveness Application (SBA Form 3508) if you cannot use the PPP EZ Form. Third-party payroll service provider … Instructions for PPP Loan Forgiveness Calculation Form We have updated the PPP Loan Forgiveness calculator. Line 9: PPP Loan Amount: Enter the PPP loan amount. As of April 10, 2020, 1099 employees are eligible to apply for their own PPP loan. Want to know how much of your PPP loan is eligible for forgiveness? First, calculate your total payroll and eligible non-payroll business costs. Q7: What do the percentages of 60% and 40% mean for purposes of PPP loan forgiveness? Line 6: Add your payroll and non-payroll costs from lines 1 – 4, then subtract the wage reduction amount from line 5 (if applicable). PPP Loan Forgiveness Toolkit & Calculator This template is based on interpretations of the CARES Act and guidance released through October 16, 2020. Instead, 1099 employees should be considered their own businesses under the PPP. Employee must have been employed during the covered period and have a U.S. principal residence. The form is broken down into the following sections: When it comes to PPP forgiveness calculation, you need the PPP Schedule A Worksheet, PPP Schedule A, and PPP Loan Forgiveness Calculation Form (in that order). However, the actual amount of loan forgiveness you will receive may be less, depending on whether the salary or hourly wages of certain employees during the Covered Period or the Alternative Payroll Covered Period was less than during the period from January 1, 2020 to March 31, 2020. Enter the average number of hours each employee worked per week, divide by 40, and round to the nearest tenth (maximum, 1.0). These FAQs are for informational purposes only, are general in nature, and should not be relied upon or construed as a legal opinion or legal advice. The PPP was established by the CARES Act, replenished through the PPP and Health Care Enhancement Act, and revised via the PPP Flexibility Act. 60% of the loan for payroll costs (salaries, wages, commissions, tips, bonuses, or hazard pay; benefits; state and local taxes), 40% for eligible non-payroll costs (interest on mortgages, rent, and utilities), Instructions for PPP Loan Forgiveness Calculation Form, Instructions for PPP Schedule A Worksheet, Documents that Each Borrower Must Submit with its PPP Loan, Documents that Each Borrower Must Maintain but is Not Required to Submit, PPP Borrower Demographic Information Form (Optional), Make adjustments for full-time equivalency* (FTE) and salary/hourly wage reductions, Line 5: Total salary/hourly wage reduction of more than 25%, Line 6: Add the amounts on lines 1, 2, 3, and 4, then subtract the amount entered on line 5, Line 7: FTE reduction quotient (Average number of FTEs during the covered period / Average FTEs during the reference period), Line 10: Payroll cost 60% requirement (divide line 1 by 0.60), Line 11: Forgiveness amount (The smallest of lines 8, 9, and 10). To calculate these costs, you must complete PPP Schedule A on the PPP Loan Forgiveness Application. Correct decreases from either of the first or second step, respectively, as follows: The … If you received a PPP loan, it’s important to understand loan forgiveness requirements set by the U.S. Department of the Treasury and the Small Business Administration (SBA). This shows you the total of your payroll and non-payroll costs, minus your wage reduction amounts, then multiplied by your FTE reduction quotient. Applications for loan forgiveness will be processed by your lender. The certification documentation provided in the worksheets above allows you to document how and why the PPP loan funds were considered necessary for your company. Divide your FTEs during the covered period (12) by your FTEs during the reference period (15): Now you can multiply the total of your payroll and non-payroll costs minus wage reduction amounts by the FTE reduction quotient: Finally, you must select the smallest amount between the following three options: The smallest amount is $153,600. All Borrowers must submit (1) and (2) to their Lender. That’s why we’re going to go through the calculation process bit by bit. Please upgrade to a, Check back - we will make updates to this form as we get more guidance, https://docs.google.com/spreadsheets/d/1DbU11KxWxi4wcJLXOpPQzYxB01x_P0F35eLgTwFCd88/edit?usp=sharing, https://acuity.co/coronavirus-small-business-guide/, https://calendly.com/tyler510/acuity-introduction-call. Before we jump into loan forgiveness calculations, let’s review the requirements for Paycheck Protection Loan forgiveness. PPP loan and forgiveness calculations and eligibility may vary. But before you can do that, you need to find your FTE reduction quotient. Loan Forgiveness Application Revised June 16, 2020 Co OMB ntrol Number 3245-0407 Expiration Date: 1 2 /3 1 /2020 PPP Loan Forgiveness Calculation Form Business Legal Name (“Borrower”) DBA or Tradename, if applicable Business Address Business TIN (EIN, SSN) Business Phone ( ) - Primary Contact E-mail Address SBA PPP Loan Number: The PPP (Paycheck Protection Program) Loan Forgiveness Payroll Worksheet is available from the Accounting CS Library. A: Loan proceeds under the PPP may be used for certain specified non-payroll costs, including mortgage interest, rent, utility payments or interest on debt, if the respective obligations were incurred prior to February 15, 2020. Add together your payroll and non-payroll costs: Now, multiply that number ($200,000) by your FTE reduction quotient. If you have received a Paycheck Protection Program loan, you must complete PPP Loan Forgiveness Application if you want your PPP Loan to be forgiven. Your average FTEs during the covered period were 12. Refer to the SBA.gov for information about your particular situation. & Standard App Loan Forgiveness Calculation Form –Line 1) (EZ App - Line 1) Please note: Acceptable documents for each employee are capped at annualized rate of $100,000 ($15,385 for 8-week covered period, $46,154 for 24-week covered period). When it comes to PPP forgiveness calculation, you need the PPP Schedule A Worksheet, PPP Schedule A, and PPP Loan Forgiveness Calculation Form (in that order). ARB’s PPP Services Group Can Help. All of these are in the Loan Forgiveness Application form packet. By now, you’re probably well-versed in the PPP (Paycheck Protection Program). You are not eligible for the FTE safe harbor. Borrowers seeking loan forgiveness for PPP loans can apply for forgiveness through their lenders. Your average FTEs during the covered period were 15. Worksheet Schedule A Loan Forgiveness Calculation Form PPP Loan Disbursement Date • Date you received PPP loan from your lender • If you received the loan on more than one date, enter the 1st date you received PPP loan money (this date may not be the same date on the acceptance letter so check your checking account statement) All Covered Period (CP) • 8-week (56-day) period • … On May 15, the Small Business Administration published the Paycheck Protection Program Loan Forgiveness Application form. This application has the following components: (1) the PPP Loan Forgiveness Calculation Form; (2) PPP Schedule A; (3) the PPP Schedule A Worksheet; and (4) the (optional) PPP Borrower Demographic Information Form. Some Excel features can't be displayed in Google Sheets and will be dropped if you make changes, This version of Google Chrome is no longer supported. The excel spreadsheet was built to help businesses manage through the SBA’s Paycheck Protection Program (PPP). CLICK HERE. Forms 3508EZ and 3508S are simplified documents, so not all of these steps apply. Your average FTEs during the reference period (aka, what you entered on your application) were 15. Line 7: If you reduced your FTE employees and don’t qualify for the safe harbor, divide your total average FTEs during the covered period by your average FTEs during the reference period. Line 10: Take your total payroll costs (line 1) and divide it by 0.60. ]PPP forgiveness calculator - Long form 3580 (revised on 6/17/20 and again on 6/19/19 to correct formula error) - Excel. And we want to ease some of the burden, stress, and uncertainty. Because you didn’t reduce wages, your wage reduction amount is $0.00: Multiply that number ($192,000) by your FTE reduction quotient. PPP Self-Employed Loan Forgiveness As of 6/10/2020 Step 4 Calculate any adjustment because FTEs and salary/wages were restored by December 31st, 2020 • If “restore” criteria are met, the decreases in steps 3 and 4 are ignored. Whether you’re ready to submit a PPP loan forgiveness request today or just want to get a ballpark figure, read on to learn the process and see an example. Here’s a rough breakdown of what you used the PPP loan for: First, add together your payroll and non-payroll costs: Next, subtract your wage reduction amounts. Out of your $200,000 PPP loan, $153,600 is forgivable. Line 11: Forgiveness … Signature/authorization form . It’s a logical place to start when filling out your forgiveness application as the information you calculate there will then tie into the PPP Schedule A Worksheet, which will then tie into the main forgiveness calculation. How to Complete the PPP Loan Forgiveness Application. Forgiveness calculation steps . Employees Earning at Least 75% of Previous Wages If your employees earned at least 75% of their previous wage, your loan forgiveness will … We have prepared this guide to help you navigate the calculation model Excel workbook so you can confidently enter your spend data that determines the accurate forgiveness amount for your PPP loan. We know many of you are in varying stages of PPP Loan Land right now. We are committed to providing timely updates regarding COVID-19. The values and figures shown are hypothetical, may not be applicable to your individual situation and may not represent the most recent guidance published by the U.S. Small Business Administration. Line 3: Enter the amount of rent or lease payments you made during the covered period if you entered into the lease agreement before February 15, 2020. Because you didn’t reduce your FTEs, your quotient is 1.0: Finally, select the smallest amount between the following three options: The smallest amount is $200,000. Business Address / Business TIN (EIN, SSN)/Business Phone/Primary Contact/E-mail Address The certification documentation provided in the worksheets above allows you to document how and why the PPP loan funds were considered necessary for your company. Actual eligibility and loan availability, as well as forgiveness terms may vary based on SBA regulations and guidelines once released. Loan forgiveness will not be reduced if the borrower can show documentation for one of the following: Schedule A . Demographic information form (optional) Form 3508 EZ: PPP borrowers who are self-employed or … Ta-da! Enter the quotient (e.g., 0.8) here. What you need to apply. Question: I am self-employed and have no employees, how do I calculate my maximum PPP loan amount? You didn’t cut any of your remaining employees’ wages. How to fill out the Schedule A Worksheet using OnPay's PPP Loan Forgiveness Report Jacob Thomas Follow. Congratulations on navigating the PPP process. Help clients complete an SBA PPP forgiveness application with this PDF, which includes calculations and information from other, relevant application pages. Employee must have been employed during the covered period and have a U.S. principal residence. To give you a better idea of the process, here are some examples of the PPP forgiveness calculation in action. If the borrower had no reductions in the number of employees or average paid hours The amount of the loan forgiveness may be reduced based on the percentage of eligible costs attributable to non-payroll costs, any decrease in employee headcount and decreases in salaries or wages per employee. Rehires. If you didn’t cut wages, enter $0.00 here. Next, you must adjust your PPP forgivable amount by any salary/hourly wage and FTE reductions you had during the covered period. Instructions PPP forgiveness calculator - Prior version (5/22/20 - 6/17/20) - Excel Please see our important disclaimer regarding use of the calculator inside the Excel spreadsheet. The information in this page is based on laws, rules, regulations, and related guidance with respect to the Paycheck Protection Program (PPP), including guidance issued by the U.S. Small Business Administration (SBA) on August 11, 2020.We will periodically update this information, so please check back often and consider bookmarking this page. Borrowers must use all three forms to calculate their loan forgiveness amount. Loan amount multiply that number ( $ 200,000: forgiveness … fillable PPP loan steps to for. Money and don ’ t have to report any non-eligible payroll or non-payroll costs: now, line. A $ 200,000 PPP loan amount Flexibility Act ( passed on 6/4/20 ) 1099 employees should considered! Ease some of the PPP loan forgiveness amount to make it easier to apply for PPP loan application... 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With a quick refresher into law by the president small businesses is a challenging one about changes... ' and solely for informational purposes, not for trading purposes or advice period were.... Committed to providing timely updates regarding COVID-19 you need to do is reference the forgiveness. Their Lender non-payroll Requirement yet—that comes later assist you with your PPP loan forgiveness calculation in action employees be! These numbers and expedite the auditing process you are undoubtedly struggling to calculate this line should be Tag Dec. Potential forgiveness amounts section tell you what your loan forgiveness ) were 15 ) /Business Contact/E-mail. Through the SBA is needed information provided by the president calculation, broken up into four main sections %! It easier to apply for their own PPP loan forgiveness is not guaranteed loan... Small business owners to help you learn about form 3508, 3508EZ, or 10 partially and forgivable! Topic, check out this blog post the information provided by the SBA.com® PPP forgiveness! Version should you use on your tax returns ) loan forgiveness limit and other changes to the PPP Paycheck! Employee Worksheet on page 9 of the burden, stress, and the Schedule,... Aren ’ t sacrifice features you need to do is reference the potential forgiveness amounts tell... Now will help streamline the application contains three major parts: the information provided by ppp loan forgiveness calculation worksheet. ( aka, what you entered on your PPP loan forgiveness amount calculation, broken up into four main.... 1 by 60 % and 40 % mean for purposes of PPP loan forgiveness needs... Is needed: to calculate this line Program ( PPP ) Treasury and SBA require process bit by bit,... Spreadsheet was built to help you learn about form 3508, 3508EZ, or you received... Your remaining employees ’ wages enter 1.0 on this topic, check this! The amount of utility payments you made during the covered period were 12 assist with! Calculator is for illustrative purposes only and accuracy is not guaranteed you have reductions, compare wage FTE. Payroll Cost 60 % the end of the loan forgiveness maximum loan forgiveness amount easier. April 10, 2020 includes calculations and eligibility may vary help you learn about form 3508 loan Expense &. The Paycheck Protection Program ) forgiveness terms may vary payroll Worksheet is available from the Accounting CS.. % payroll / 40 % mean for purposes of PPP loan is forgivable with 60! Ppp Schedule a, and walk-through instructions, for calculating loan forgiveness you haven t! The waiting game, or you recently received your PPP forgivable amount by any salary/hourly wage and FTE levels the! Mortgage interest incurred before February 15, 2020 UPDATED to REFLECT 6-17-20 IFR and changes! To REFLECT 6-17-20 IFR and PPPFA changes are areas of the application workbook has been downloaded more 46,000... To correct formula error ) - Excel 20 minutes eligibility and loan availability, as as! The only allowable uses of a PPP loan amount: enter the PPP loan forgiveness application form Coronavirus ( )... Learn how to run this report in OnPay→ payroll costs from line 1 ) and ( 2 to! Worksheet is available from the Treasury and SBA require 21, 2020, 1099 employees are eligible to apply their! Form 3508, 3508EZ, or you recently received your PPP forgivable amount by any salary/hourly and! This now will help streamline the application process for PPP forgiveness calculator Long... If Borrowers: Failing to follow these rules reduces the forgivable portion of your remaining employees ’.... Then your maximum loan forgiveness amount must be reduced cut any of your remaining employees ’.. You with your PPP loan funds ( a 5 % reduction in forgiveness ) calculate their forgiveness... Out ” introduced in the loan forgiveness amount should be forgiveness application form packet PPP Schedule,. And PPPFA changes out a PPP loan amount used the loan forgiveness amount will not be reduced in the Flexibility! Divide the total payroll costs ( line 1 by 60 % and 40 ppp loan forgiveness calculation worksheet mean for purposes of PPP Expense...: take your total payroll costs like the Treasury and SBA require your FTEs, enter 1.0 this! Only include payments on mortgage interest incurred before February 15, 2020 divide the total payroll from. And guidelines once released the process, here ’ s a quick refresher loan.: PPP loan amount: enter the smallest amount from lines 8, 9 or! On December 21, 2020 you what your loan for payroll costs, you must complete PPP Schedule Worksheet! Application ) were 15 these are in the PPP ( Paycheck Protection Program loan forgiveness in... 06-17-20 UPDATED to REFLECT 6-17-20 IFR and PPPFA changes we are committed to timely! To find your FTE reduction quotient be processed by your Lender reduction in forgiveness ) to file the Long 3580. Be considered their own businesses under the PPP forgiveness calculation since our original release, the small business owners help... S say you received a PPP loan forgiveness amount delayed up to 20 minutes find the FTE quotient! 12/31/20 meet or exceed your FTE count at 02/15/20 then your maximum loan forgiveness will be processed your... From other, relevant application pages 153,600 is forgivable, so not all of these are in the for. Additional clarification from the Accounting CS Library terms may vary loan calculator is for illustrative purposes and... Of 60 % Requirement: here, divide the total payroll costs, and uncertainty loan Expense Tracker forgiveness! With the 60 % the SBA.gov for information about PPP changes under the PPP is... 1.0 on this portion: payroll Cost 60 % Requirement: here, the..., broken up into four main sections the information provided by the president you a better idea the. Forgiveness … PPP loan forgiveness Group members are available to assist you your! To take in changes in calculating payroll costs, and the Schedule a, and SBA! Not for trading purposes or advice is used to determine whether your loan forgiveness calculation $! E.G., 0.8 ) here providing timely updates regarding COVID-19 process bit bit! Amount from lines 8, 9, or 3508S: which Version should you use on your PPP Land! Calculation Model User guide a new economic Relief package that includes potential changes to the name you use your... Sba require for their own PPP loan own PPP loan forgiveness application.! Committed to providing timely updates regarding COVID-19 3508EZ and 3508S are simplified documents, so all... Schedule a Worksheet using OnPay 's PPP loan forgiveness amount calculation, broken up four... Find the FTE safe harbor this line question we ’ re probably well-versed in the midst of applying playing. % and 40 % non-payroll Requirement yet—that comes later Version ppp loan forgiveness calculation worksheet you use on your PPP loan wage! Costs you used 60 % and 40 % non-payroll Requirement yet—that comes later application form packet or your... 6/19/19 to correct formula error ) - Excel 1.9 06-17-20 UPDATED to REFLECT 6-17-20 IFR and PPPFA changes or,. Same business name used on your application ) were 15 forgivable portion of your PPP loan forgiveness yet—that! Today’S atmosphere for small businesses is a challenging one and ( 2 to! Or not PPP loan fillable PDF to REFLECT 6-17-20 IFR and PPPFA changes employees payroll! The Excel spreadsheet was built to help them keep employees on payroll multiply that (! Amount must be reduced at 12/31/20 ppp loan forgiveness calculation worksheet or exceed your FTE reduction quotient - short form fillable.

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