To download PDF version to your desktop please click here. Application for DSA Tax & Bookkeeping This application is to sign up for the DSA Tax & Bookkeeping service only. For Business Formation services, see the Incorporation application. Please note you will need to attach your Closing Statement(s) and your Articles of Incorporation. Other forms may be necessary, depending on your bakery manufacturer.Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact:*Home PhoneCell Phone Email* Alternate Email Owner's Social Security #* POR FAVOR INDIQUE SI QUISIERA UN REPRESENTANTE QUE HABLE ESPAÑOL Representante que hable español preferido. Manufacturer (Bakery)HiddenManufacturer you Distribute for Manufacturer you Distribute for*Please ChooseAmorosoBestfoods BakingBimboBimbo-EarthgrainsFlowersFreihoferGold MedalGWHolsumH&SLandshireLittle DebbieMartinsMissionPepperidge FarmPerfection/Aunt Millie'sSchmidtSnyder-LanceUtzOtherClosing Date MM slash DD slash YYYY (or expected Closing Date)Route # If Corporation or LLCBusiness NameEINState of FormationPlease ChooseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificIncorporation Date MM slash DD slash YYYY Attaching Documents?Please upload Closing Statements and Articles of Incorporation, if available. Closing Statements Drop files here or Select files Max. file size: 128 MB. Articles of Incorporation Drop files here or Select files Max. file size: 128 MB. Payment AuthorizationPlease select Manufacturer up above.In order for your application to be complete you must sign up for Recurring Automatic Payment. Please click Automatic Recurring Payment to sign up for monthly credit card charges. Monthly fees are $125 for Corporations and $104 for Sole Proprietors.DSA Tax & Bookkeeping fee:* Checking this box authorizes weekly settlement deduction Weekly settlement fees are $29/week for Corporations and $24/week for Sole Proprietors.For Bimbo Bakeries, a signed Assignment of Receivable "AOR" is needed to authorize settlement deduction. Please download and print the Assignment of Receivable. Initial the box, sign and complete the AOR. Then scan and attach it to this application. Weekly settlement fees are $29/week for Corporations and $24/week for Sole Proprietors.Bimbo AOR* Drop files here or Select files Max. file size: 128 MB. reCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.