PTIN Qualifier Survey

Step 4 of 5

Personal Details

Full Legal Name

Address *

Street Address

City

State

Country

Postal code

Date of birth

Phone *

Email *

Please upload a copy of your photo ID, both front and back.

PTIN Details

PTIN/SIDN

Please upload your PTIN Letter. If you do not have one, please check the box below.

PTIN Assistance Number Pending

I need assistance getting my PTIN

I confirm that I will have get my PTIN by December 31.

Please provide your banking information for payouts

Routing Number

Account Number

Tax ID (EIN/SSN)