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First & Last Name
Company Name
Email Address
Phone Number
Years in Business
Annual Gross Revenue
Company's Tax Entity/Tax Form
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Sole Proprietor / Form 1040
Partnership LLC / Form 1065
S Corp LLC / Form 1120S
Corporation / Form 1120
Non-profit / Form 990
Other / Not Sure
Books Up to Date?
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Yes
No - Behind 1-2 Months
No - Behind 3-6 Months
No - Behind 6-9 Months
No - Behind 9-12 Months
No - Behind 12-18 Months
No - Behind 18-24 Months
No - Behind 24+ Months
Industry
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Accounting & Bookkeeping
Advertising & Public Relations
Agriculture, Ranching, & Farming
Art, Writing, Photography
Automotive Sales & Repair
Church & Religious Organization
Construction Trades (Plumber, Electrician, HVAC)
Design, Architecture & Engineering
Financial Services (other than Bookkeeping)
Information Technology
Insurance Agency & Broker
Lawn Care & Landscaping
Legal Services
Lodging (Hotels & Motels)
Manufacturer Representative & Agent
Manufacturing
Medical, Dental, & Health
Non-Profit
Property Management & Home Association
Rental Residential for Landlords
Retail Shop & Online Commerce
Sales: Independent Agent
Transportation, Trucking, & Delivery
Wholesale Distribution & Sales
Other
Message
Where did you hear about us?
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Web Search
Social Media
Recommendation
Other
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*More complex issues taking longer than 30-minutes will be charged a $75 hourly fee (prorated) after initial 30-minute consultation; requests for on-site meetings can be requested.
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Email & Phone:
christal.barron@countanew.com
(817)-918-9350
