Affiliate Application

Affiliate Application
Applicant Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
PTIN
Social Security No:
*Years Tax Prep Experienced* If you are experienced please put numbers of years if not n/a
Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony? If so what was the outcome.
References Name, Address, Phone, Relationship
PREVIOUS TAX AND ACCOUNTING EXPERIENCE
Disclaimer and Signature
*Disclaimer 5Star Tax Pros And Associates can raise percentage based on performance or for any reason at any time during contract* Poor performance can lead to percentage cut.
Employee:   First Name   Last Name
Employer: 5Star Tax Pros And Associates
I,   First Name   Last Name   the Contractor, agree that during my employment at 5Star Tax Pros For 1 Tax Year after my departure, I shall not, through any form of communication with
the press, public, clients, or media, disparage the organization in any way. If I   First Name   Last Name   ,violate this agreement 5StarTaxPros has the right to suspend ,withhold or terminate this agreement immediately.
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Applicant Information