PROFIT DEVELOPERS, INC. (PDI)P.O. BOx 7280 • POrt Saint Lucie, FL 34985-7280

PhOne (772) 337-2921 - Fax (772) 337-0651www.PrOFitdeveLOPerS.cOm

2019 SAXTAX Software Order Form

Date:______________ EFIN: _____________ Company Name: ______________________________________________Primary Contact: _______________________ Primary Email: _______________________________________________Physical Address: __________________________________________________________________________________City: _________________________________ State: ____________ Zip Code: _________________________________Mailing Address: ___________________________________________________________________________________City: _________________________________ State: ____________ Zip Code: _________________________________Phone: _______________________ Alt Number: _______________________ Fax: ______________________________Alternate Contact: ______________________ Alt Email: ____________________________________________________

SAXTAX Program Manager (See Note 1) ..........................................................................................................$269.00 _____________

Network Management Module (See Note 2) ...................................................................................................... $199.00 _____________

State ProgramsTangible/Personal Property Tax Program: Florida ($199) Georgia($199) .............................................Total _____________

Sales Tax Program: Florida ($199) Georgia($199) .............................................Total _____________

Corporate Income Tax Program (See Note 3): Florida ($299) ....................................................................................Total _____________

Payroll Tax Program (See Note 6):CO UITR-1 ($399) CT UC-2 ($399) FL RT-6 ($399) GA DOL-4/G-7 ($299) KY UI-3 ($399) Total _____________

* NEW PACKAGE * - Florida Business Package For One Company (Includes: DR-15, DR-405, RT-6 - See Note 9)1120 1120S 1065 990 ......................................................................................................... $399.00 _____________

Depreciation Program (Se Note 4) ....................................................................................................................... $199.00 _____________

Federal Programs (see Note 3) (All Six - Save $595) ..................................................................................... $1999.00 _____________

1040 Program .............................................................................................................................................. $599.00 _____________

1120 Program .............................................................................................................................................. $399.00 _____________

1120 S Program ........................................................................................................................................... $399.00 _____________

1065 Program .............................................................................................................................................. $399.00 _____________

1041 Program .............................................................................................................................................. $399.00 _____________990 Program ................................................................................................................................................ $399.00 _____________Excise Tax Program ..................................................................................................................................... $199.00 _____________

Federal Five Package including 1040 (Choose Five – Save $396) ................................................................... $1799.00 _____________

Federal Five Package without 1040 (Choose Five – Save $296) ...................................................................... $1699.00 _____________

Federal Four Package without 1040 (Choose Four – Save $196) ..................................................................... $1399.00 _____________

Subtotal _____________

Multi-Location License (See Note 7) _____________

Add 3% Credit Card Convenience Fee _____________

Total _____________

Payment: Check (Payable To: Profit Developers, Inc. - P.O. Box 7280 - Port St. Lucie, FL 34985-7280)

American Express Discover MasterCard Visa

Account Number: ________________________________________ Expiration Date: ________________ CSC: ___________________

Name on Card: __________________________________________ Authorized Signature: ___________________________________

Credit Card Address: (if different from above) ________________________________________________________________________

Required Module 269.00