BUSINESS INTAKE FORM

Name

First NameLast Name
I confirm that I have managed and operated this business throughout the 2026 tax year and that all information provided is accurate and complete to the best of my knowledge.
Business Information:

Name of Business (If any):EIN/SS#
Business address

Street Address

Street Address Line 2

CityState

Zip Code
How did you receive payments?

Other
Business Income Questions:
Business General Expenses:
I declare, under penalty of perjury, that the foregoing statements and the information provided above are true, correct, and complete to the best of my knowledge and belief.
Should be Empty: