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Richard Goodman Associates, P.A.
Licensed Public Accountant

a State of Delaware Professional Association


Business Tax or Accounting Services

NEW OR UPDATED BUSINESS INFORMATION FORM
Instructions:
Print this form and answer as many questions as possible for your business engagement.
You can fax the completed form to (302) 378-1452 or e-mail to orders@rgabase.com.


If you need assistance or have any questions, please call us at (302) 378-3734 or send an electronic
message
.

(i)  Business Name:  ________________________________________________
 

Main business address (address where business is conducted from):
 
(i)                 ______________________________________________________  
                    ______________________________________________________  
   
Business activity (what do you do?): _________________
In what State is your main business operations?:  _________________
How many physical business locations do you have?: _________________
Do you have a current business license or registration? _________________
Did you solicit or conduct business within any other State?: _________________
Address of all physical locations:  
i     ______________________________________________________________  
ii    ______________________________________________________________  
iii   ______________________________________________________________  
   
In what State is your main business operations?:  _________________
   
Do you sell by mail order or over the internet?: _________________
Do you collect sales tax? _________________
Are you required to collect sales tax? _________________
   
(a)               Did you keep accurate bookkeeping entries and records for the period or year? _________________
   
(b)   If yes please provide your bookkeeping information including income  
        and expenditure totals... then skip to (i)   
(c)   If no, go to questions (d through u)  
   
    
(d )   Copies or original bank statements with canceled checks for the period or year  
(e )   Copies or original credit card statements used for business during the period or year   
()   Copies or original of all receipt for business expenses (e.g. gas, supplies, etc.)   
(g )   Copies or originals of sales invoices, sales tickets or a sales record for the period or year   
(h )   If you do not have (g), provide an estimate or record of your total sales for the period or year  
   
(i  )    Bring or submit every IRS or State tax notices received during the year   
(j  )    Names, address, and USA Social sec. or Tax id#  of owner, stockholders, partners and ownership %.   
   
Name               |  Address                                                   | Social Security or Tax ID No    | % ownership |
 ___________ | ________________________________ | ________________________ |___________
 ___________ | ________________________________ | ________________________ |___________
 ___________ | ________________________________ | ________________________ |___________
   
(k )  Entity type (CorporationLLC,  LLPSole Proprietorship,  General Partnership): _________________
(l  )  If LLC, did you make an IRS election to be taxed as a corporation?: _________________
(mIf Corporation, did you make an IRS election to be taxed as an S-Corporation?: _________________
   
(n )  Copies or original of previous year and quarterly tax returns already filed with IRS and State
   
(o )  Did you pay wages or salaries to employees during the period or year?: _________________
(pIf yes,  did you file federal 940, 941 & State payroll tax returns ?: _________________
(qIf no to question (p), would you like us to prepare the payroll tax returns ?: _________________
(r  )  Did you prepare any 1099-Misc for the tax year?: _________________
(s )  Would you like us to prepare your 1099-Misc forms?: _________________
   
(t )  Did you purchase or sell a business during the tax year?: _________________
(u ) Do you have workman's compensation insurance for your employees?:  
   
Please list any other information you would like us to know about your business:  
______________________________________________________________________  
______________________________________________________________________  
______________________________________________________________________  
   
Tax or accounting period refers to monthly, quarterly or semi-annual periods.
Year or yearly refers to the calendar or fiscal year period.
 
   
   
If you need assistance or have any questions, please do not hesitate to call or send us an electronic message  
   
If you need assistance or have any questions, please do not hesitate to call or send us an electronic message


Middletown, Delaware  &  Highland Park, New Jersey, USA
Telephone (302) 378-3734