Welcome to

The Essentials

2025-TY

Tax Season!

Business Information

Full Legal Name of Business *

Business Structure *

Sole Prop

Single Member LLC

Partnership/ Multi-member LLC

S or C Corporation

CURRENT IRS PTIN APPROVAL LETTER *

IRS PTIN APPROVAL LETTER

Current EFIN Summary Form *

EFIN Status (E-Services) *

Years of Tax Preparation Experience *

Physical Business Address *

Business Phone Number *

What is the Type of Physical Business Location *

Commercial

Residential

Do you want your bank marketing and checks mailed to the business address or residential address? *

Business Address

Home/ Residential Address

What is the type of your office?

Business Logo

Please Upload Your Business Logo

Owner's Full Home Address

Owner's Phone Number *

Owner's State Driver's License or State Issued ID ( unexpired) *

Owner's State Driver's License or State Issued ID ( unexpired)

*If you have any additional owners, please email us at [email protected] to send a google drive folder to upload additional information and documents.

Do you have any additional owners? *

YES

Primary Contact Name (if different from owner)

Primary Contact Home Address

Primary Contact Phone Number

Prior Year Banking Information

Prior Year Bank's Name

Total Prior Year Banking Products

Prior Year Bank Reports

Please Upload Prior Year Bank Reports

Has any bank ever refused to renew your contract to offer bank products?

Yes

Total Prior Year Tax Returns Successfully E-filed

Business Banking Information

What type of Bank Account would you like your Tax Season Revenue to be deposited into? *

Business Checking Account

Business Savings Account

Personal Checking Account

Personal Savings Account

Name on the Account *

Banking Routing Number *

Banking Account Number *

Voided Check or Bank Statement *

Please Upload Voided Check or Bank Statement with Full Routing & Account Numbers

IRS & Bank Compliance

Has anyone associated with this tax firm ever been under IRS investigation or assessed preparer penalties? *

YES

Has anyone associated with this firm been under investigation, under threat, suspension, or barred from practice before the IRS or US Tax Court? *

YES

Has anyone associated with this firm been convicted of any offense under the US Revenue Laws? *

YES

If required by your state and/or local laws and regulations, are you currently in compliance with posted, written and oral disclosure laws related to tax preparation and/ or bank products? *

YES

Do you possess all license and/or certifications required for preparing bank products? *

YES

Application Checklist

* Please upload all applicable documents within this form, but if you run into any issues, please email [email protected] for access to a secure google drive folder.

Have you included a legible color copy of all owners driver's license or government issued photo ID? *

YES

Have you included a copy of the bank direct deposit form, bank statement, or voided check that shows the routing and account number? *

YES

Have you included a copy of your current PTIN approval or renewal letter? *

YES

Which Bank Products would you like to offer? *

Refund Transfer (no upfront cost to client)

Refund Advances (pre-ack & in-season advance)

Prepaid Cards

ANY ELIGIBLE BANK PRODUCTS (RT, Pre-ack, in-season, prepaid cards)

Which Tax Product Bank do you prefer to work with this season? *

Which additional services would you like to offer to your clients? *

Tax Audit Protection (offered through software)

Identity Protection (offered through software)

Business Credit (requires consultation, contractor oppor. avail.)

Personal Credit (requires consultation, contractor oppor. avail.)

Life Insurance

Signature & Title *

Clear