Tax Preparer Information Form

Preparer Information Form

Thank you for your interest in joining The Auxilium Firm's Knockout Refund team as a Tax Preparer! We’re thrilled about the upcoming 2025 tax season and excited to have you on board. As a reminder, this position is as an independent contractor, not as an employee, agent, or representative of The Auxilium Firm. You’ll be responsible for providing any required identification numbers, certifications, and compliance documents to stay in good standing with legal regulations. While we’ll provide support, you'll ultimately be responsible for building and maintaining your client base. We look forward to welcoming you to the team and working together to make this tax season a success!
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Date of Birth*
Social Security Number*
Do you have a Preparer Tax Identification Number (PTIN) *
Before you can start training, you must obtain the following:

2025 PTIN- https://rpr.irs.gov/ptin

Business Information:

The Auxilium Firm-420 N Green St., Longview, TX 75601

Due Diligance Certification- https://www.eitc.irs.gov/tax-preparer-toolkit/due-diligence-training-module/eitc-due-diligence-training-module
Years of Experience in Tax Preparation*
Do you have experience with tax preparation software?*
Have you ever been convicted of a felony or financial crime?*
If yes please explain
T-Shirt Size*
Social Security Card*

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Drivers License or Government ID*

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Headshot*

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PTIN

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Due Diligence Certificate

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By clicking the submit button below, I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false information, omissions, or misrepresentations discovered during the application process may result in the rejection of my application.

I acknowledge and agree to fulfill all requirements necessary to become a Tax Preparer with The Auxilium Firm, including providing the required identification numbers, certifications, and compliance documents. Furthermore, I understand and accept the responsibilities of working as an independent contractor, including generating and maintaining my client base.

By submitting this application, I authorize The Auxilium Firm to verify any information provided as needed and confirm my commitment to joining the team.
Date*

MonthDayYear
Date
Signature*
Before you submit the form, please click HERE to schedule your one on one.
Should be Empty:

Preparer Information Form

Personal Information: