1. Type of Client Ðface to Face Ðonline Ðtelephone

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1. Type of Client Ðface to Face Ðonline Ðtelephone

Date: ______1. Type of client Face to Face Online Telephone 2. Office Location  Pinellas Pasco Hillsborough

I. CUSTOMER CONTACT INFORMATION

3. Client First, Last Name 4. Email Address

5. Position/Title (if already in business) 6. Business Telephone 7. Home Telephone

8. Business Name (if already in business) 9. Fax 10. Other Phone

11. Street Address/P.O. Box (give the business address if 12. Web Site currently in business)

City State Zip Code EIN Number

II. BANKING INFORMATION

13. Bank ______14. How Many Accounts? 15. How Many Weekly Transactions ____ Check ___  Savings ____ Credit Card ___ Checking ____ Cash ___ Trust ___ Other

III. HOW DO YOU CONDUCT BUSINESS?

1. How do you conduct Business 2. What is your Current Accounting System?  Credit Card  QuickBooks  Cash  Online ____ Year  Check  Desktop ____ Year  ______ Excel  Manuel  None

IV. PAYROLL 16. Total # Employees______18. Payment Timeframe 19. How is payroll done? 20. Payroll System  Weekly  Check  Paychex 17. Total # Subcontractors ______ Bi Weekly  Direct Deposit  ADP  Semi Monthly  QuickBooks  Monthly  Other Contact Info: ______

______

IV. TAXES

3. Do you do estimated Taxes? 4. Do you have a CPA? 5. Do you need 6. What is the legal entity of your  Yes your Taxes business?  No Who is the CPA done?  Sole Proprietorship ______ Business  Corporation Personal  LLC Any Shareholder and if Yes what ______S Corporation percentage?  C Corporation ______Partnership  Other ______

______

IV. WHAT SERVICES CAN WE OFFER?

 BP Claims  Bookkeeping Services  Tax Planning  Payroll Services  QuickBooks Training  Bank Account and Credit  Sales Tax  W2  QuickBooks Clean-Up Card Reconciliation  Business Tax  1099  QuickBooks Set-Up  Bill Pay  Personal Tax  Insurance needs  Invoicing  End of year of  Company formation  Account Receivables reporting  Monthly/ Quarterly Review of your  Account Payables QuickBooks  P & L Statements

Additional Notes: ______

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