New Tax Preparer Registration Form

New Tax/Credit Preparer Registration Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County
Email
example@example.com
Phone Number

Area CodePhone Number
Birth Date
ex: 03-19-2000
You will be securing your own clients. Do you feel comfortable asking people if you can give them a 15 minute estimate to do their taxes or credit consult? Please note THIS IS NOT A JOB you are starting your own business.
Background Check is $35.00 (non-refundable) There is a background check required to work with Your Tax Ladie. Specifically, we are looking for fraud or forgery related incidents. Do you agree to this check and the listed fee?
Who referred you
Number of returns you did In a previous year.
Number of returns you aspire to do this tax year.
Drivers License:
Provide a Reference #1
Reference #1 Phone Number
Provide a Reference #2
Reference #2 Phone Number
Date

MonthDayYear
What are your future aspirations, why do you want to be an entrepreneur?
Signature
In accordance with the free information and privacy act Your Tax Ladie is committed to you, we retain a strong confidentiality agreement between you and our company. As permitted by law we will keep your information confidential and will not release any part of your information to anyone without your written consent. We appreciate your confidence and trust in our company.
Browse Files

Cancelof
Signature
Should be Empty:

New Tax/Credit Preparer Registration Form