T & B Application

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.
Name*
First Last
Address*
Street Address City State ZIP Code
*
Home Phone Cell Phone
Email*
Alternate Email
Owner's Social Security #*
Manufacturer you Distribute for
Closing Date
Date Format: MM slash DD slash YYYY

(or expected Closing Date)
Route #
If Corporation or LLC
Business Name EIN
State of Formation
Incorporation Date
Date Format: MM slash DD slash YYYY
POR FAVOR INDIQUE SI QUISIERA UN REPRESENTANTE QUE HABLE ESPAÑOL
- Representante que hable español preferido.
Please upload Closing Statements and Articles of Incorporation, if available.
Closing Statements
Drop files here or
Articles of Incorporation
Drop files here or

If Corporation or LLC

Home Phone	Cell Phone