PTIN Verification Form
Enter your details and submit your PTIN information for verification, then e-sign and date the form.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
PTIN ID Number
*
Upload a clear photo of your government-issued photo ID
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload a copy or photo of your Social Security card/document
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload your PTIN confirmation document or screenshot
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Electronic Signature
*
Date
*
-
Month
-
Day
Year
Date
Thank you for submitting your PTIN information. We will review your submission and contact you with next steps.
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Payment Plan
Total payment of $399. Installments available; $100 down payment required.
$399.00
$
399.00
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Submit
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