US & Puerto Rico Registration Project Required Payment Information & Invoice

1
Legal Name of Contact Individual* This field is required.
First Name
Last Name
2
Phone Number of Contact Individual* This field is required.
Country Code
Area Code
Phone Number
3
Email of Contact Individual* This field is required.
example@example.com
4
Legal Name of the Business Entity* This field is required.
5
Is this a United States Domestic Entity?* This field is required.
YESNO
6
Does the Responsible Party have a Social Security Number?Responsible Party is the individual that will be listed on the business' state accounts as an officer or owner of the company in question.
YESNO
7
Does the entity have an FEINWithout an FEIN (Federal Employment Identification Number) we cannot process sales tax registrations. If you do not have one we can request one for you for an added fee of $199.00. Please note that choosing "no" here will incur a $199.00 fee to the total balance.
YESNO
8
FEIN Fee (Not Visible to client)
9
State Fee Disclaimer* This field is required.Please note that some states have registration fees associated with setting up a sales tax account. These fees will be included in your final amount due at the end of this form. Click "I Agree" to indicate you understand that you are responsible for payment of state fees incurred by the registration process.
I Agree
10
Do you want to include online setup (Highly recommended)? In an online setup, we setup your online account with each state and provide you with a tracker from which you can reach each state website. It contains your login information for each state and relevant information to each registration. If this option is elected after the project has already started it will be offered at a significantly increased cost due to the amount of extra work involved to correct contact information. Pricing is based in tiers and it becomes cheaper based on the number of states you wish to register with.
YESNO
11
Please select the states you wish to register with* This field is required.
AL
AK
AZ
AR
CA
CO
CT
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
NC
ND
NE
NM
NY
NJ
NV
OH
OK
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Puerto Rico (added $20 cost)
12
Total Number of States Selected* This field is required.
13
Are your sales in Arizona greater than or equal to $100,000 annually?
YESNO
14
Foreign Fee Calculation (Antiquated - no longer in use. This is calculated via the conditions surrounding pricing tiers under conditional logic.)
15
Cost of registration (calculation)
16
Cost of Registration (Our Fees)
17
Puerto Rico Add-On (STM Fees)
18
Total Fees Charged by States
19
Total Cost excluding payment alterations (This box not visible to clients)
20
Payment Method* This field is required.How would you like to pay for these services?
Credit Card (added 4.95% fee)
ACH Payment
Wire
21
Payment method alterations (Not visible to client)
22
Total Wire/ACH Amount to be Sent
23
Total Cost of Project
prevnext( X )
Description
USD
+ OR enter a custom value
First Name
Last Name
24
Invoice Number
25
AZ Foreign Fee
26
AZ 100k Sales Fee
27
NV Foreign Fee
28
US Domestic Entity per state charge
29
Tags
Todo
In Progress
Done
Should be Empty: