Additional business information
Industry *
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Accomodation and Food
Services
Agriculture,
Forestry, Fishing and Hunting
Arts, Entertainment,
Recreation
Automotive Services
Beauty and Wellness
Cleaning and Janitorial
Services
Construction
Educational and Childcare Services
Finance and Insurance
Healthcare and Social
Assistance
Information
Landscaping,
Lawncare, and Outdoor Services
Management of
Companies and Enterprises
Manufacturing
Other Services
Professional,
Scientific, Technical Services
Real-Estate
Retail Trade
Transportation and
Warehousing
Wholesale Trade
Legal entity type *
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Sole Proprietorship
LLC
Corporation
Partnership
LLP
Years in business *
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Less than 1 year
1 year to 2 years
2 years to 5 years
More than 5 years
Additional personal information
State *
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Date of Birth*
Day
01
02
03
04
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06
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
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2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Your primary source of income *
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Employment with this business
Employment outside the business
Other
Payment frequency