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Prospective Client Application
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Prospective Client Application
Please fill out all applicable fields on this form. Required fields are plainly marked.
Preliminary Personal Information
Name
(Required)
First
Last
Best Contact Phone
(Required)
Alternate Phone
Fax
Primary Email
(Required)
Alternate Email
Spouse's Name
First
Last
Spouse's Contact Phone
Spouse's Primary Email
Spouse's Alternate Email
Home Address
Street Address
Address Line 2
City
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
List Taxpayers' & Dependents' Names and Ages
If you are divorced, do you claim your dependents every year?
Yes
No
N/A
If you are divorced, do you claim your dependents odd/even years?
Odd
Even
N/A
Do you have any foreign financial accounts, foreign financial assets, or hold interest in a foreign entity?
(Required)
Yes
No
Have you ever lived/worked abroad?
(Required)
Yes
No
When did you work or live abroad?
How did you hear of Capstone CPAs, or who referred you?
Who prepared your tax return last year?
What objectives do you want to accomplish in the initial interview appointment?
(Required)
What long-term objectives do you want to achieve in working with Capstone CPAs?
What are your expectations of your accountant /advisor?
Do you want to be contacted periodically throughout the year?
(Required)
Yes
No
What is your preferred method of communication?
(Required)
Telephone
Email
Meet in Person
Mailings
What response time do you expect in accounting and tax questions?
(Required)
Generally, we extend individual tax returns in which we do not receive all the information by March 1. Are you OK with extending your tax return, if necessary?
(Required)
Yes
No
N/A
Please list the most important service issues.
About
Accounting Services
Bookkeeping Services
Payroll Services
CFO/Controller Services
Audit & Assurance Services
Business Valuations
Business Consulting
Tax Services
Wealth Advisory
Specialty Services
Our Offices
Oregon
Bend
Redmond
Sisters
Prineville
Eugene
Klamath Falls
Medford
Lakeview
Idaho
Sandpoint
Bonners Ferry
Washington
Seattle
Contact
Forms
Prospective Client Application
Prospective Client Application – Business
Careers