Client Registration Form

Thank you for taking the time to complete your 2022 Client Registration. For new clients, this information is critical to ensure we accurately file your tax return. For existing clients, we kindly ask you to provide this information again to ensure our records are 100% accurate and up to date.
Are you a NEW or EXISTING client?
Please select your Tax Preparer

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Client Registration Form

Obsidian Tax Service Firm
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
How many dependents do you have?
Check the box below if you were:

Self-employedW2BOTH
What is your occupation?
How much was your Tax Refund last year?
Please enter your direct deposit information below (Bank Name, Routing Number, Account Number)
Please upload a picture of your Driver's License/ID

Cancelof
How did you hear about Obsidian Tax Service Firm?
Will you be willing to recommend us for a referral fee?

YesMaybeNo
Should be Empty: