Referral Agent For Tax Preparation
Legal Name (as it appears on your government ID)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Do you offer a product/service?
*
Yes
No
Where are you located?
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is your profession?
*
Do you have a side hustle? If yes, state it below. If no, enter N/A
*
Payment will be sent via Zelle or CashApp. Please enter your payment method below with your information. Please enter information accurately.
*
Terms and Conditions:
Client must file their taxes with me (MESIDOR AZOR) at ONE STOP TAXES.
Referral fee will be paid to you when client receive their tax refund
Referral fee is paid bi-weekly
Attach government ID (driver's license, state ID, passport) Cannot be expired
Attach government ID (Photo must be legible)
*
Signature
*
Submit
Should be Empty: