HANES CONSULTING TAX SERVICE

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Shared by: arnold1
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Taxladies Accounting Service, LLC 1833 Auburn Way N, Auburn, WA 98002 253-288-8829 Phone 253-288-9829 Fax www.taxlady1040.com Bookkeeping Sign Up Contract Business Name: Business Address: Mailing Address (if diff) Office Number: City: City: Fax: Ownership Information Type of Entity: Name: Name: Person to Contact: ES Ref. #: Services to be Provided: Posting Registers Account Reconciliations (#of accounts) Payroll Computation Freq Wkly BiWkly BiMo M0 Quarterly & Annual Payroll Tax Reports Monthly Financial Statements Total Monthly or Quarterly Fee (Fees will be evaluated after 3 months) UBI #: Address: Address: Home Ph: Payroll Contract EIN #: Title: Title: Email: Stat e: Stat e: Zip: Zip: Cell : L&I #: Total Fees due at signing of agreement: Installation & Setup Fee Service Fee for Month of Backwork Compilation Fee from to Other Fees (direct Deposit, etc. explain) Quarterly Fee Due (Previous Column) GRAND TOTAL: Amount Paid with Order: BALANCE DUE Type: CC# or Rtn #: Billing Address  Visa  M/C Billing Method Preferred  Amex  Check Check # Exp: CVV Acct #: Client Signature Title Date Additional Information Requested: B&O Frequency MO QTRLY Annual Start date: (Please provide WA State Sales Tax Form or previously filed form)

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