Application for Tax Preparer
Applicant Details:
Full Name
*
First Name
Last Name
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Do you have previous experience? If yes, how many years?
*
Do you have a PTIN? If yes, please indicate number.
*
If none put N/A
Have you been convicted of a felony? if yes, please do not continue!
*
This space should say "no"
Do you owe Federal or State Taxes? If yes, please do not continue!
*
This space should say "no"
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Please Specify
*
Please give reference of any two people whom you feel:
*
Rows
Full Name
Address
Contact Number
1
2
You will be required to complete Due Diligence on IRS.gov
*
I agree
Signature
*
Continue
Continue
Should be Empty: