QuickBooks Payments Application

QuickBooks Payments Application

Please complete and submit this form to establish your QuickBooks Payments Account. Your business must be in the United States to be eligible for a QuickBooks Payments Account. If more information is needed, a representative from the Intuit QuickBooks Payments team will contact you.
1. General Information
Legal Name of Business*
Email*
example@example.com
Re-Type Email*
Business Type*

Sole ProprietorshipLimited Liability Company (LLC)Corporation
EIN / Federal Tax ID*
2. Business Details
What does the business sell? Please be descriptive.*
Business Address*

Business Address Line 1

Business Address Line 2

Business CityBusiness State

Business Zip
Business Phone*
Please enter a valid phone number.
Quickbooks Product Used*

OnlineEnterpriseProPremierGoPaymentNone
For QuickBooks Online Users: QBO Company ID Number
Please enter ID number
3. Owner Details
Business Owner's Name*

Owner First NameOwner Last Name
Same as Business Address
Business Owner's Address (Required if not same as Business Address)

Business Owner Address Line 1

Business Owner Address Line 2

Business Owner CityBusiness Owner State

Business Owner Zip
4. A Way to Confirm Your Identity
Social Security Number*
Birth Date*

MonthDayYear
5. A Place to Deposit Your Funds
Bank ROUTING Number*
Bank ACCOUNT Number*
6. Agreement on Terms & Conditions
7. Application Signature
Signature*

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Date*

MonthDayYear
Date
Intuit Privacy Message

Intuit respects and protects your privacy. Intuit will not rent, sell or share your personal information with outside companies for their promotional use. The information you provide to Intuit will be used to process your QuickBooks Payments application. A member of the Intuit QuickBooks Payments team will contact you if additional information is needed.
Should be Empty:

QuickBooks Payments Application

1. General Information

2. Business Details

3. Owner Details

4. A Way to Confirm Your Identity

5. A Place to Deposit Your Funds

6. Agreement on Terms & Conditions

7. Application Signature

Intuit Privacy Message