CLIENT INFORMATION SHEET
DATE 08/13/08
NEW CLIENT CLIENT CODE: CLIENT NAME: ATTN NAME: CITY, STATE, ZIP: CITY, STATE, ZIP: PHONE NO: PRIMARY EMAIL: FISCAL YE MONTH: No Selection ENTITY TYPE: No Selection Yes BILL MGR: VALUATION OR TAX REVR: OTHER TAX PREP: DEPARTMENT: No Selection NAIC: 2
ND
ONE TIME WORK
EST ANNUAL FEE: $
OFFICE:
[Office 1]
[Office 2]
ENG CODE(S) DESCRIPTION: SORT NAME: CLIENT ADDRESS: MAILING ADDRESS (IF DIFFERENT): FIN: PHONE NO: FAX NO:
PHONE CODE:
IS THIS CLIENT ASSOCIATED WITH A MAJOR CLIENT? PRIMARY PARTNER: NEW NOTEBOOK NEWSLETTER: None SECONDARY PARTNER:
MAIN LITIGATION GIVE NOTEBOOK TO: PIC Healthcare Auto OR
eNewsletter: email address: Send paper copy (required for e-newsletter) ADDITIONAL CO-ORIGINATOR:
ORIGINATING PERSON:
REFERRAL SOURCE EMPLOYEE CONTACT (EC) BANKER REFERRAL (BR)
FIRST CO-ORIGINATOR:
CLIENT REFERRAL (CR)
Name
CLIENT EXPANSION (CE) OTHER REFERRAL (OR) Name
ATTORNEY REFERRAL (AR)
PROJECTS:
Check items for due date list: 1040 Due 4/15 709 GIFT RTN 104OES 1120 1120S 1065 1041 990 5500 706 EST RTN PROP RTN QTRLY RTNS FIN STMTS VALUATION LITIGATION OTHER: Date Due Due 4/15 Due 4/15, 6/15, 9/15, 1/15 Due Date Due Date Due Date Due Date Due Date Due Date Due Date Due 10/01 Due 1/31, 4/30, 7/31, 10/31 Date Due Estimated hours Employee in charge
RECEPTIONIST:
1. 2. 3. 4. 5. 6. 7. Assign long distance phone code E-mail client/phone code/email address Enter client info to time system & make change of address to ProSys Enter projects in time system Update Smart Label Printers Recep Excel New Client Tracking Send Privacy Act letter to Individuals
TSS KLM
OFFICE ASSISTANT:
1. 2. 3. 4. 5. Prepare notebook File copy of CIS in client's notebook in Permanent File section File notebook on shelf in alphabetical order according to client code Type billing label for new client and place on billing folder. File billing folder on shelf (except litigation clients) File original CIS in CIS Notebook
CLIENT INFORMATION SHEET (Continued)
This information should be completed for all potential clients including business tax engagements, MAS engagements, litigation support engagements, valuation engagements, compilations, reviews and audits. If you are aware of any reason we should not accept this engagement, including independence issues, please notify the partner-in-charge immediately. In addition, if you believe you may be of assistance in obtaining the client, please contact the partner-in-charge. Briefly describe the client's business.
List the principal owners, members of management and key accounting personnel.
Briefly describe the services our firm is to perform.
If financial statements are to be prepared, to whom will they be distributed?
Summarize our fee arrangement and note if there are potential collection problems.