CLIENT
INTAKE FORM
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First Name
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Last Name
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Email
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Phone
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Birthday
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Emergency Contact: Name and Phone Number
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Company
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Website
BUSINESS ADDRESS
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Address
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Address 2
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City
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Zip Code
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BUSINESS STRUCTURE & SETUP
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What type of business do you have? (LLC, S-Corp, C-Corp, Partnership, Sole-Proprietor)
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EIN
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Start Date for Business
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How many more years do you plan on being active in the operations of the business?
EMPLOYEES & CONTRACTORS
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Do you have W2 employees?
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If yes, how many W2 employees do you have?
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Do you have any 1099 Contractors?
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If yes, how many 1099 Contractors do you have?
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Do you have inventory from products you sell?
ACCOUNTING DETAILS
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Monthly Statements: List your current bank accounts, credit card accounts, loans etc. that you get monthly statements for.
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Do you collect sales tax?
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If you collect sales tax, which jurisdictions?
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Expected revenue amount for next 12 months?
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Expected expenses amount for next 12 months?
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What is your current accounting software?
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How often do you prefer to run Profit and Loss reports?
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Current CPA? If not, would you like a referral?
ADDITIONAL INFORMATION
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Any additional information about you that we should know about? (i.e. planning to sell business, gift to children, develop new services/products, etc.)
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List any charitable organizations your support
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How did you hear about Sequentia Solutions?
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