First Name
Last Name
Phone
*
Email
*
Business Name:
Business Color Scheme:
Address
Shipping Address
City
State
Country
Country
Postal code
EFIN:
Social Security Number:
Please Upload Your EFIN Certificate
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
How many returns did you process in 2024?
Business Adreess
Are you interested in applying for a bank startup loan?
Yes
No
IRS Tracking Number:
Your IRS Tracking Number is issued by the IRS and must be obtained by logging into your IRS e-serv
PTIN:
Are you interested in offering taxpayer loans up to $7,000?
Yes
No
Are you interested in using money cards as a disbursement option?
Yes
No
Do you have a specific bank you would like to work with?
Yes
No
EPS, TPG or Refund Advantage
Enter Your Bank Information Below
Bank Name
Account Number
Routing Number
Account Holder's Name
Please upload a copy of your ID/Driver's License
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Your Professional Headshot or photo. For Marketing
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
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