Certified Public Accountants In Arizona

Call: 480.993.0660
Fax: 480.993.0662

CLIENT ENTITY
SET-UP FORM

Please fill out this form and click the send button,
or fill-out, print, and bring to your next meeting.

Business Name:

Date of Incorporation

State of Incorp.

EIN Number

AZ Withholding No.

AZ Unemployment No

AZ Tax Privilege No.

Business Activity:

Product or Service

ACC Annual Report Date

Work Comp. Renewal Date

Year End:

S Corp. Election

Address:

City:

State, Zip:

Phone:

(provide area code)

Pager/Cell:

(provide area code)

Fax:

(provide area code)

Your e-mail address:

Contact Name:

Phone Number:

OWNERS

Name:	Social Security Number	Percentage Owned






REQUIRED DOCUMENTS Corporation: Articles of Incorporation LLC or Partnership: Articles of Organization and operating agreement
Referred By: