Harrell's Advisors & Strategies, Inc. Bookkeeping Client Intake Form

Fill in the information below.

Rows	Information
Company Name
Address
Primary Contact Person
Title
Phone Number
Email
Secondary Contact Person
Title
Phone Number
Email
Number of owners
EIN
Fiscal year end date

Business Type

What date did you start your company?

Do you have a a current accounting software? If so what is it?

PLEASE PUT A COPY OF THE FOLLOWING THROUGH YOUR PORTAL:

YOUR PRIOR TAX RETURNS

ORGANISATION OR INCORPORATED DOCUMENTATION

CASH FLOW STATEMENTS

BALANCE SHEETS

INVESTMENT PORTFOLIO DOCUMENTATION

The following is a list of the products and/or services that are available:

When is the last time your company filed taxes?

Does your company owe back taxes? If so, how much?

Is this based on a cash or accrual basis?

What is your average current monthly income?

What is your average current monthly revenue?

Sales & Sales Tax

Rows	YES	NO
Do you have a system in place to collect and remit sales taxes to the state?
Do you offer your goods online or in stores?

About how many sales transactions do you have each month?

Payroll Taxes/Processing

Rows	Information
How many employees do you have right now?
Who is in charge of your payroll? (Paychecks, QuickBooks, ADP, or in-house)
Contact Name
Phone Number
Email Address
Do you have any business partners, investors, or family members?
Do you have a succession plan (purchase/sale agreement, exit strategy) in place?
Do you use your corporate bank accounts to pay for personal expenses?
What is the total number of business bank accounts you have?
How many credit cards do you have for your business?
What is the total number of business debts you have?
Is there any A/R in your company? If that's the case, how do you keep track of it? (Excel, software, or something else)

How do you currently handle payroll (in a spreadsheet or in a software)?

Do you have any fixed assets? If so, please tell us your depreciation schedule - Describe the equipment and obtain a schedule of depreciation.

List any commercial leases:

Make a list of any payment(s) made to suppliers (expenses) or officers.

List each owner name and how each is compensated.

Contractors: Make a list of all the major contractors.

Insurance for Liability (WC, Property & Casualty, Liability)

Other types of insurance (Life, Disability Voluntary Benefits)

Describe the retirement strategy that you have in place:

Do you have any legal directives in place (Wills, Durable Powers of Attorney, Living Wills, Health Care Proxy)?

Do you have a Will or a Trust?

Do you own a piece of property?

Bank Accounts - List the name of Bank Account(s) and approximately now much is in each account.

Notes

Account Information

Rows	Type (Chk/CC/Loan,etc)	Bank Name	Year Account Opened	Online Access(Yes/No)
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Is your bookkeeping up to date? If not, when was it last up-to-date?

What is your main problem that we can help you with (i.e. bookkeeping is a nightmare, little to negative profit, too much debt, not paying yourself, not sure where your business stands financially)?

What do you think is the biggest obstacle to solving these problems (be as detailed as you can so that we can help you better)?

How involved do you want to be with the bookkeeping?

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