Tip Gross Annual Revenue

$

Tip # of Tipped Emp

Tip 3yr Credit Estimate

$

Contact Information

First Name *

Last Name *

Email *

Cell Phone *

Business Information

Legal Business Entity Name *

EIN (Optional if known)

Entity Type *

Business Street Address 1 *

Business Street Address 2

Business City *

Business State *

Business Zip *

Business Structure

Do You Have Business Partners *

Yes

No

How Many Partners? (not including yourself)

Do You Own Multiple Locations

Yes

No

How Many Locations?

Does your business charge a Service Fee, Large Party Fee, or any Forced Gratuity?

Yes

No

Do you separate those fees from other reported tips on payroll?

Yes

No

Not Sure

By checking this box, I consent to receive update and marketing text messages from SBO Resource about my Tip Credit Refund application and related services. Message frequency varies, message & data rates may apply. Reply STOP to opt out at any time.

Your information is 100% secure and never shared. No upfront cost — we only get paid when you do.