Bookkeeping Client Intake Form Thank you for your interest in being a client of Goshen Tax & Consulting.The information collected about new clients is confidential and will be treated accordingly. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Phone *Email *Preferred method of communication *EmailTextHow did you hear about us? *--- Select Choice ---ReferralFacebookGoogleThe Life PodcastHebrew MarketplaceYard SignOtherMay we ask who referred you, so we can thank them?Please explain:Entity InformationEntity Legal Name *Please list the legal name of your entity–not individual, as above.DBA *Entity Address *Primary Business Activity *Business Type *--- Select Choice ---Sole ProprietorPartnershipS-CorpCorporationLLCIndividualStart Date *Tax ID *Gross Yearly Revenue *Number of Employees *Number of Contractors * thank Officer/Owner Legal Officer/Owner Information Name *TitlePercentage Owned Banking Information Please list any business accounts (checking, savings, etc). To streamline our bookkeeping process, we request either full access to your bank account for retrieving statements, viewing transactions, and managing payments to vendors, or that you share your login information with us. This access will help us efficiently manage your account while maintaining data accuracy and timeliness.Account TypeBankAccount NumberUsernamePassword Add Remove Credit Card Information Credit Card CompanyUsernamePassword Add Remove Loan Information Please list any loans. Provide any relevant documentation, such as loan agreements, interest statements, and investment account statements.BankOrigination DateTermInterest RateAmount Add Remove Payroll SoftwareUsernamePassword Other Software Please list any other software needed to assist in bookkeeping. (ex. Jobber, JobNimbus, QuickBooks)SoftwareUsernamePassword Submit