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