Tax Extension Intake | Precision Tax Advisors

1. EXTENSION TYPE

Personal / Individual Business

2. TAX YEAR

Tax Year

Different tax year

3. PERSONAL EXTENSION

Full Name *

SSN / ITIN *

Phone *

Email *

Address

City

State

ZIP

Notes

3. BUSINESS EXTENSION

Legal Business Name *

EIN *

Entity Type *

Business Phone *

Business Email *

Business Address

City

State

ZIP

Notes

OWNER INFORMATION

Enter the information for one owner or principal responsible person of the business.

Owner Full Name *

SSN / ITIN *

Owner Phone *

Owner Email *

4. OFFICIAL ID

Upload an official photo ID.

5. ZELLE PAYMENT

$20 IS REQUIRED FOR EACH EXTENSION FORM SUBMITTED. A payment used for one extension cannot be reused for another extension.

Send Zelle to / Enviar Zelle a: Precision Tax Advisors — 786-295-2195

Amount

Name on Zelle *

Payment Date *

Zelle Confirmation / Reference Number

Zelle Proof / Comprobante Zelle * I confirm this $20 payment is for this extension only / Confirmo que este pago de $20 es solamente para esta extensión

6. SECURITY VERIFICATION

Type the 5-digit number shown below before submitting.

58181

Security Code *