Wallet Management Intake Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please choose which one do you want to be contacted by
*
Phone
Email
Does not matter
Other
Company Information
Company Name
*
Company Website
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please briefly explain what your company does
*
Starting date of your company
*
-
Month
-
Day
Year
Date Picker Icon
Your job title
*
Company Type
*
LLC, S-Corp, C-Corp, Sole-Proprietor
File federal taxes
*
On a cash basis
Accural
Your CPA and the firm they are with
*
Accounting Information and Needs
Accounting software you use
*
If QuickBooks, please indicate Desktop or Online
Payroll software or company
Number of Cyptocurrency transactions you have each month
*
Which ones do you enter?
*
Bills
Payments
Invoices
Other
Do you pay 1099 vendors?
*
Yes
No
Approximately, how many invoices do you generate each month?
*
Please select the ones that appropriate to you
*
Crypto Bots
Crypto-Minning
Tracking inventory in Quickbooks or other software
Other
Number of Wallets you have
*
Number Exchanges you trade with
*
Do you have any experience to work with a bookkeeping service before?
*
Yes
No
Please select the services you want us to provide
*
Client Billing
Financial Statements
Year End Tax Package
State Tax Reporting
Business Start-Up Assistance
Monthly Account Reconciliation
Budgeting/Forecasting
Transaction Entry
Payroll
Business Consulting
Contract Management
Cash Flow Reporting
Bill Pay
City Tax Reporting
Custom Dashboard
Other
Do you currently connect and manage wallets based on blockchain trading activities?
*
Yes
No
If yes, please specify the types of digital assets you are managing
*
Cryptocurrency
NFT's
Other
How do you currently connect and manage wallets based on blockchain trading activities?
*
Please give details about some challenges you been facing with current wallet management situation?
*
Is your digital asset management tied to the custody of assets through a bot?
*
How do you utilize bots in your asset management process?
*
Do you currently maintain records of historical trading opportunities and transactions? if so, how many years worth?
*
How are you currently writing off expenses related to digitial asset transactions?
*
What type of blockchains are you currently utilizing for your digitial asset transactions?
*
How do you manage bookkeeping and documentation for the flow of funds related to digital asset transactions?
*
What measures do you take to ensure the security of your digital asset wallets? How do you manage your wallet security?
*
What Tax year did you not report yet? (Check the boxes that are not reported.)
*
2020
2021
2022
2023
Do you owe the IRS any back taxes or have recived a letter from the IRS for collections or of garnish wages?
*
Yes
No
Not sure
Do you need help filing your Taxes?
*
Yes
No
If you answered yes, What years do you require?
*
Before 2020
2020
2021
2022
2023
Subscription Type
month to month
3 Month Subscription
6 Month Subscription
12 Month Subscriptions
Additional information we should know to better serve you?
*
Please verify that you are human
*
Submit
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