Accounting Client Intake Form

The Financial Integrity Group
410 East Taylor St Suite G
Griffin, GA 30224
https://www.tfig.org
accounting@tfig.org
Office: 770.233.9014
Fax: 770.228.4242
New Accounting Application
Name*

First NameLast Name
Company Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
DOT Number
FEIN (Federal Employer Identification Number)
Number of Employees(W-2)
Taxed Employees
Number of Contractors(1099)
Untaxed Employees
Please Specify Required Services
You may pay with a credit card, ACH, Fleet one check, EFS check, T- Check or Comchek. If you are paying with a credit card there is a 4% convenience fee. There will be a $25.00 bank fee for returned checks. If you have any questions, please contact us with the options listed below

Phone: (770) 233-9014

Email: info@tfig.org

Fax: (770) 228-4242
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