New Client Registration Form

New Client Registration Form

I need the following information to add you to my secure file upload website, including your Social Security Number. Note that I've password-protected the submissions so only I can view your entries. This form is end-to-end encrypted so Jotform cannot see submissions either. I'll ask for file uploads through redelfstaxservice.securefilepro.com, but that requires your Social Security Number.
Full Name
First & Last name or Business Name
In care of
Enter only if you're filing this return for another, like a relative you have an active Power of Attorney for
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
Social Security Number/ITIN
If this is not an individual return, enter your EIN
Confirm Social Security Number/ITIN
If this is not an individual return, confirm your EIN. Note the submit button will not appear unless these two fields match.
Should be Empty: