Audit Alarm Enrollment Form- Form 8821- Business

Enrollment Form

Tax Information Authorization- Form 8821- Business
Pricing and Plan

Enterprise Access Program – Rates as low as $109.99/Month/Business

If you have miltiple businesses that you would like to enroll, you will need to complete this Enrollment Form for each business separately

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- Payroll Tax Fraud Detection
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- Discount on annual business income tax return
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See all the details

1 Taxpayer information. Taxpayer must sign and date this form on line 6.
Business Name
Business Address
Business City, State, Zip
Business Employer Identification Number (EIN)
Owner- First and Last Name

First NameLast Name
Owner's Title
Owner (Business Point of Contact)- Email
example@example.com
Owner (Business Point of Contact)- Mobile Phone Number
Please enter a valid phone number.
Business Tax Type

C CorporationS CorporationLLCMulti-Member LLCSingle-member LLCPartnershipSole ProprietorshipEstateTrustNon-ProfitOther
Daytime telephone number Plan number (if applicable)

Area CodePhone Number
2 Designees

If you wish to name more than two designees, attach a list to this form. Check here if a list of additional
CAF No.
Name
Address
City State Zip
Name and Address
Stephan H. Brewer, CPA, CTRS, JSM Tax 3961 E. Chandler Blvd, #111-301 Phoenix, AZ 85048
PTIN
Telephone Number
Telephone Number
Fax No.
Fax No.

Check if to be sent copies of notices and communicationsCheck if new: AddressTelephone No.Fax No.
CAF No.
Name and Address
Julie C. Cole, EA 3961 E. Chandler Blvd, #111-301 Phoenix, AZ 85048
Name
Address
City State Zip
PTIN
Fax No.
Telephone No.
Fax No.

Check if to be sent copies of notices and communicationsCheck if new: AddressTelephone No.Fax No.
3 Tax information. Each designee is authorized to inspect and/or receive confidential tax information for the type of tax, forms, periods, and specific matters you list below. See the line 3 instructions.

By checking here, I authorize access to my IRS records via an Intermediate Service Provider.
Type of Tax Information Income, Employment, Payroll, Excise, Estate, Gift, Civil Penalty, Sec. 4980H Payments, etc
Tax Form Number 1040, 941, 720, etc
Tax Form Number 1040, 941, 720, etc
Year(s) or Period(s)
Specific Tax Matters
Type of Tax Information Income, Employment, Payroll, Excise, Estate, Gift, Civil Penalty, Sec. 4980H Payments, etc
Tax Form Number 1040, 941, 720, etc
Year(s) or Period(s)
Specific Tax Matters
Type of Tax Information Income, Employment, Payroll, Excise, Estate, Gift, Civil Penalty, Sec. 4980H Payments, etc
Tax Form Number 1040, 941, 720, etc
Year(s) or Period(s)
Specific Tax Matters
4 Specific use not recorded on the Centralized Authorization File CAF

If the tax information authorization is for a specific use not recorded on CAF, check this box. See the instructions. If you check this box, skip line 5 ......
Retention/revocation of prior tax information authorizations. If the line 4 box is checked, skip this line. If the line 4 box 5 isn’t checked, the IRS will automatically revoke all prior tax information authorizations on file unless you check the line 5

box and attach a copy of the tax information authorization(s) that you want to retain ............
To revoke a prior tax information authorization(s) without submitting a new authorization, see the line 5 instructions.

6 Taxpayer signature. If signed by a corporate officer, partner, guardian, partnership representative (or designated individual, if applicable), executor, receiver, administrator, trustee, or individual other than the taxpayer, I certify that I have the legal authority to execute this form with respect to the tax matters and tax periods shown on line 3 above.

IF NOT COMPLETED, SIGNED, AND DATED, THIS TAX INFORMATION AUTHORIZATION WILL BE RETURNED.

DON’T SIGN THIS FORM IF IT IS BLANK OR INCOMPLETE.
Signature

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Enterprise Access Program$109.99/Month/Business

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Tax Audit & Problem Protection- Federal & State Second Year Out$120/Year or $10/month

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Tax Audit & Problem Protection- Federal & State Third Year Out$120/year or $10/Month

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Enter coupon

Total

$0.00

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