Principal / Owner:

First Name *

Last Name *

Email *

Phone *

Date Of Birth (be sure to input your accurate birth date/year): *

EFIN NUMBER *

EFIN TRACKING # *

EIN OR Social *

Current Mailing Address ( Cant Not Be P . O BOX)

Address *

City *

State *

Postal code *

Banking Information: Please Make Sure Details Are Correct

Banking Information.... *

Name On The Account *

Bank Account Type *

Bank Account Number *

Bank Routing Number:

Uploads All related Documents.

File Upload EFIN or PTIN

File Upload Bank Direct Deposit Form

File Upload Valid ID *

File Upload Business Logo

APPLICATION CHECK LIST. *

Check Here If all Document are Uploaded...

Check Here if there Are Pending Document...

DISCLOSURE STATEMENT: By initialing and signing this form you are consenting that understand all fees. You also understand that you will be issued a 1099NEC for tax filing purpose.

Initials *

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