Applicant Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why do you want to become a tax preparer?
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Have you prepared taxes before?
*
Please Select
Yes
No
Do you have an active PTIN?
*
Please Select
Yes
No
Date
-
Month
-
Day
Year
Date
Signature
Save
Continue
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Should be Empty: