Skip to content
(949)787-5620
Welcome to the
Tax Revolution!
Do something today that your future self will thank you for
Affiliate Application Form
"
*
" indicates required fields
Applicant Name
*
Date
*
DD slash MM slash YYYY
Thank you for your interest in joining Tax Processing Solutions! Please note that this application does not guarantee any acceptance as an affiliate.
Home Address:
*
Registered Business Address:
*
Office tel:
Mob tel:
*
Email
*
In which geographical areas do you operate your current business?
*
Where do you intent to geographically operate your new affiliate Tax Company
*
Describe your current business set up and experience?
*
Reference
Please provide details of two business references. (No contact will be made until we have any mutual agreement to your entering our extended licensing programme.)
Reference 1
Name
*
Address
*
Email
*
Contact number
*
Occupation
*
Relationship
*
No of years acquaintance
*
Reference 2
Name
Address
Email
Contact number
Occupation
Relationship
No of years acquaintance
This field is hidden when viewing the form
Career and Business History:
*
Start Date
End Date
Employer’s or business Name and address
E.I.N #
Type of business
Position(s) held
Duties and responsibilities including number of employees supervised
Are you leaving this business? If so why? If not will someone else be taking over your current role?
Add
Remove
Career and Business History:
Start Date
*
MM slash DD slash YYYY
Still Active
*
Yes
No
End Date
*
MM slash DD slash YYYY
Employer’s or business Name and address
*
E.I.N #
*
Type of business
*
Position(s) held
*
Duties and responsibilities including number of employees supervised
*
Are you leaving this business? If so why? If not will someone else be taking over your current role?
*
Add row 2
+
Start Date
*
MM slash DD slash YYYY
Still Active
*
Yes
No
End Date
*
MM slash DD slash YYYY
Employer’s or business Name and address
*
E.I.N #
*
Type of business
*
Position(s) held
*
Duties and responsibilities including number of employees supervised
*
Are you leaving this business? If so why? If not will someone else be taking over your current role?
*
Add row 3
+
Start Date
*
MM slash DD slash YYYY
Still Active
*
Yes
No
End Date
*
MM slash DD slash YYYY
Employer’s or business Name and address
*
E.I.N #
*
Type of business
*
Position(s) held
*
Duties and responsibilities including number of employees supervised
*
Are you leaving this business? If so why? If not will someone else be taking over your current role?
*
Financial statement:
Personal financial Statement -
for the last full financial year
Salary/draw
*
Bonus/Commision
*
Dividends/interest
*
Income from property
*
Profit of your business
*
Other income (please specify)
*
Spouse income
*
Total
*
Do you have any other business interests? Please Specify
*
Assets & Liabilities
Total Assets
*
Total Liabilities
*
What is your average monthly cash on hand?
*
How much capital do you have available to invest in this business?
*
Have you, your current or previous company or your spouse ever been declared or filed for bankruptcy? Please provide details:
*
Have you or your business ever been prosecuted, or been involved in a dispute (i.e., county court judgements etc...)
*
Have you ever been involved in a business failure? Please provide details;
*
Have you ever been convicted of a criminal offense? Please provide details;
*
Do you currently have a business entity set up for this venture?
*
What role do you foresee taking within the affiliate process and how, if at all, do you see this changing over time?
*
TPS appreciates your time in completing this application, we look forward to reviewing your application. Please sign below to indicate that the above information is correct to the best of your knowledge, and that Tax Processing Solutions may carry out checks to verify this application. With this signature you also agree to notify Tax Processing Solutions of any changes to the above information, and any misrepresentation of the above information may result in removal from consideration or any affiliation with Tax Processing Solutions.
FTC disclosure
FTC regulation requires us to list you as Reference once you became affiliate on our FTC disclosure. Do you authorize TPS to disclose your phone number for future affiliates as a reference?
Disclose my phone number
*
Please do not disclose my phone number
Yes you may disclose my phone number
Phone Number
*
Signature
*
Date
MM slash DD slash YYYY
Thanks,
Tax Processing Solutions
