Fresh Start Financial Software Enrollment
EFIN Owner
General Information
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Email
*
Your email
Prefix
*
Choose
Mr.
Mrs.
Miss
Ms.
Principal Owner First Name
*
Your answer
Principal Owner Last Name
Your answer
Social Security Number
*
Your answer
Date of Birth
*
Date
Percent of Business Owned
*
Your answer
Contact Information
Office Phone
*
Your answer
Mobile Phone
*
Your answer
Receive SMS Updates
*
Choose
Yes
No
Email Address
*
Your answer
Driver's License Information
ID Type
*
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Driver's License Number
State ID
Military ID
US Passport
Resident Alien ID
Foreign Passport
ID Number
*
Your answer
ID Issue State
*
Your answer
ID Expiration
*
Date
Address Information
This may not be a PO Box.
Mailing Address
*
Your answer
Shipping Address
*
Your answer
Physical Address
*
Your answer
Zip Code
*
Your answer
City
*
Your answer
State
*
Your answer
Bank Setup Information
Direct Deposit
Bank Account Name
*
Your answer
Account Type
*
Choose
Checking
Savings
Routing Number
*
Your answer
Confirm Routing Number
*
Your answer
Account Number
*
Your answer
Confirm Account Number
*
Your answer
What is the bank account primarily used for?
*
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Business
Personal
Office Setup Information
Tax ID
(EIN/SSN)
*
Your answer
Is your Tax ID an EIN?
*
Choose
Yes
No
Option 3
Office/Business Name
*
Your answer
Business Email Address
*
Your answer
Office EFIN
*
Your answer
PTIN Number
*
Your answer
IRS Tracking Number
*
Your answer
Company Website
(leave blank if none)
Your answer
Filing Experience
Years of Filing Experience
*
Your answer
Years at the current address
*
Your answer
Years doing bank products
*
Your answer
Years doing e-files
*
Your answer
Return Volume/Information
RT Volume Projection Next Year
*
Your answer
Total Number of Returns Last Year
*
Your answer
# of Principals in the office
*
Your answer
# of
Office Staff
*
Your answer
Security Setup/Agreement
Please select a security question
*
Choose
What is your Mother's Maiden Name?
What is the name of your first pet?
What high school did you attend?
What is the name of your oldest child?
What is your father's middle name?
Please provide an answer to your selected security question.
*
Your answer
Additional Information
Would you like to offer Card Disbursements?
*
Choose
Yes
No
Does this EFIN wish to offer Pre-Ack Advances?
*
Choose
Yes
No
What is the usage of the location your office is in?
*
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Residential
Storefront
What is the type of your organization?
*
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Corporation
LLC
Sole-Proprietor
Partnership
What was the transmitter/software you used in prior Tax Season?
*
Choose
Other
Drake
Taxslayer
Taxwise
Crosslinks
OLTPro
Would you like to offer Check Disbursements?
*
Choose
Yes
No
Does this EFIN wish to offer Pre-Ack Advances?
*
Choose
Yes
No
Office Location
*
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Storefront
Virtual
Residential
Is your EFIN shared in multiple locations?
*
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Yes
No
Address where Pathword should mail exception checks.
*
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Taxpayer
Office Address
Parent Office Address
Would you like to offer advances/loans?
*
Choose
Yes
No
What is the type of your office?
*
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Online Preparation
Stand Alone
Service Bureau
Multi-Site
Corporation
Which bank was the Bank Product Provider in the prior Tax Season?
Choose
Refund Advantage
SBTPG
Republic
Refundo
EPS
River City
Which Bank Product Provider would you like to work with this Tax Season?
Choose
Refund Advantage
SBTPG
Republic
Refundo
Has a bank refused to renew your contract to offer any tax related bank products in the past 5 years?
*
Choose
Yes
No
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