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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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New Client or New Service Setup Form.doc




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