New Client or New Service Setup Form template

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New Client or New Service Setup Form template Powered By Docstoc
					                                                      [Firm Name]
                                         New Client or New Service Set-up Form

                          COMPLETE ALL ITEMS BEFORE REQUESTING FILE OR CLIENT NUMBER!

                                         New Client      -OR-       New Service to Existing Client

        Client #:                                 Engagement #:                                      Date Opened:


Client or Engagement Name:
Attention Name/Title:
Address:
Address:
City:                                                                    State:                         Zip Code:
Telephone #:                                                             Fax #:
Cell Phone #:                                                            Website:
Email:
Social Security Number:                                                  Spouse's SS Number:
Federal Identification Number:                                           Fiscal Year End Month:
Tax Return Due Date:                                                     State of Incorporation:
Date of Incorporation:                                                   Franchise Report Required:               Yes      No
Original TCFTR Due Date:                                                 Beginning Annual TCFTR Due Date:


Entity Type:        Trust-1041      Trust-990                   Estate-1041               Estate-706                    Individual-1040

                    L.L.C.-1040      Partnership-1065           L.L.C.-1065               Partnership-1120              L.L.C.-1120

                    Corp.1120        S Corp.-1120S               Non-Profit-990          Retirement Plan-5500           FALS


Department:              ACS       RPS        FALS         Tax         ASD

                                         INCOME/BILLING/COMMISSION INFORMATION

Number of Employees:                                                     Approx. Gross Revenue:
AGI over $100,000 (for individuals):            Yes       No             Number of Offices:
Estimated Engagement Fee:                                                A/R Credit/WIP Limit:
NAICS Code:                                                              Bill Manager:
Primary Partner:                                                         Commission Due To:
Originated By:                                                           Billing Responsible Ptnr.       Partner Initials

                                                                  FILE REQUESTS
            File Year:                                            Return file to:

                Green Divided         Blue Divided          Audit File            Audit Perm File         Green           None

ACCEPTANCE CODES: (Choose only one)

                A – ‘A’ Client     B – ‘B’ Client       H – High Wealth               F – LGT Financial Advisors

                C – Construction Niche            L – Legal Niche         M – Medical Niche

                K – Related to a current client          R – Referral Source               O – Other (Explain):

                     BOTH SIDES OF THE FORM MUST BE COMPLETED BEFORE WE CAN PROCESS!
                                                               PROJECT MANAGEMENT

           Project Type:

           ACS Write-up (frequency)

              Annual W-2's         Payroll Tax Returns              Sales & Rental Tax Returns          1099's

Business Tax Returns:             1065         1120         1120S             Personal Property

           Employee Benefits Plan

           Financial Statements                Compilation           Review              Audit

           Other Tax Returns:            706          990      1040         1041
                                                                                         Other

              Franchise        Due Date:

           Other State Returns:                                            Due Date:
                                         (list all)                                                      (list all)
                                                                         BUDGET
                                                                       (Attach detail)

            Total Hours:                                                   Total Dollars:           $

                                  FOR NEW CLIENT ONLY (If not new client, skip this section)

1.         Describe client’s business activity:
2.         Are services and/or reports intended to satisfy regulatory requirements or third parties? Y    N
           If so, for whom?
3.         Who are the major stockholders (partners or owners) and what is their percentage of ownership?

4.         Has the company sued the prior accountants or other professionals?          Y     N
5.         Would service to this company cause independence problems or conflicts of interest?       Y      N
           If yes, why?
6.         Why is management changing accountants?
7.         State any other comments or observations that might affect our decision as to whether we accept this client:
8.         Have we done our due diligence with the predecessor CPA?        Y      N      N/A If no, explain why:

                                            MARKETING METHOD (List name of referral source)

     Association:                     Prospect contacted us:               Former Client:                   Referred by Banker:
     Cross-sold by staff:             Referred by Attorney:                Other:                           Referred by Client:
     Peer/Accounting Firm:            Referred by Employee:               Personal Acquaintance:            Vendor Referral:

Name:___________________________________________ Company: ____________________________________

                                                            MARKETING REQUESTS

     Leading Edge           Welcome Letter            Auto News           Const. Advisor         Const. Dir Mail      Estate Plan

     FA- Dir. Mail          FALS Dir. Mailer          Legal          Master Tax          Med. News         Tax Update          RPS Mail

     Yr. End Tax            Auto Fringe Ben           Auto Seminar


Note: Needs approval by two Credit Committee Partners, or, if $1,500 or less, forward to [Firm Administrator].

CREDIT COMMITTEE APPROVAL:                                                                  OR DENIAL:
Partner:                                                                                    Date:
Partner:                                                                                    Date:

				
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