Bank Statement Questionnaire · Bank Statement Questionnaire GENERAL COMPANY INFORMATION Percentage...

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Bank Statement Questionnaire GENERAL COMPANY INFORMATION OPERATING DETAILS FORM COMPLETED BY Printed Name: Are you an owner or company CPA? If CPA, complete the following: Company Name: Physical Address: Email Address: Phone: Signature: Date: Bank Account Type: If Personal, does a separate Business account exist? Number of Employees (including 1099): Does the business operate out of your home? Owner CPA Yes No Business Personal Yes No If No, enter the total number of physical locations? % Note: Do not include owners in this number

Transcript of Bank Statement Questionnaire · Bank Statement Questionnaire GENERAL COMPANY INFORMATION Percentage...

  • Bank Statement Questionnaire

    GENERAL COMPANY INFORMATION

    OPERATING DETAILS

    FORM COMPLETED BY

    Printed Name:

    Are you an owner or company CPA?

    If CPA, complete the following:

    Company Name:

    Physical Address:

    Email Address: Phone:

    Signature: Date:

    Bank Account Type:If Personal, does a separate Business account exist?

    Number of Employees (including 1099):

    Does the business operate out of your home?

    Owner CPA

    Yes No

    Business Personal

    Yes No

    If No, enter the total number of physical locations?

    %

    Note: Do not include owners in this number

    (including 1099)

    txtDescription: grpHomeBased: OfftxtPrintedName: grpCompletedBy: OfftxtCompanyCPA: txtEmailCPA: txtPhoneCPA: ddbStateCPA: [BLANK]txtZipCPA: dtClient: btnReset: grpAccountType: OffgrpBizAccount: OfftxtLocations: txtEmployees: lbl1: Company Name:txtCompanyName: txtWebsite: lbl2: Website Address:txtOwnership: lbl3: Percentage of Ownership:lbl12: Provide a detailed business description:txtStreetAddressCPA: Add Logo_af_image: