Confidential & Proprietary
| Name of Officer/Shareholder | Social Security Number (SSN) | Title (CEO, President, etc.) | % of Ownership | Mailing Address for K-1s (if different) |
|---|---|---|---|---|
Please check all that apply:
Please provide the all applicable documents for an accurate and complete tax filing:
Disclaimer: The information you provide will be used to prepare your tax returns. It is your responsibility to ensure that this information is accurate and complete. We will take due professional care in preparing your returns based on the information you supply.
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