Extension Change Request

Extension Change Request
Hello!

I'm Squiggle, the friendly helper bot on the ElementsCPA team! -> Complete the form below & click "Submit" and I'll have our team file your tax extension*!

(*be sure to submit your request at least 24 hours before the tax deadline -- otherwise, be sure to call our team to confirm your request is received in time.)
1. This Change Request is as follows (all need to be checked to authorize):
2. Name of Individual -OR- Entity to file extension for:
(Note: If requesting extension for multiple returns, be sure to submit one Change Request for each to ensure they are all filed)
3. If there are any changes to the States filed, Name, Address, or Tax ID number from last year, be sure to note here (otherwise we'll use the same information as in the prior tax year):
4. Price $50 via ACH from your account on file
Should be Empty: