New Accounting Client Intake Form – Prosperity FInancial Accounting

Legal Business Name *

Legal Structure *

Sole-Propreitor's SSN *

Please enter the Social Security Number used to file taxes. Input with NO dashes.

Federal Employer Identification Number EIN *

Input with NO dashes.

State ID # If Different

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Website / URL

Please use Http://

Primary Contact Name *

First

Last

Primary Contact Phone *

Primary Contact Email *