Accounting Application – Management Insights Group

Last End Year

IMPORTANT – Before Submitted this Application

I Accept the above Accounting Application Fee.

Name

First

Last

Your Company Title

Company Name

Company EIN

Company Street Address

Company City

Company State (TX for Texas, etc)

Company Zip Code

Your Email Address

Company Website Address

Company Main Phone Number

Your Cell Phone Number

Number of "C" Suite Executives (CEO,CFO,CIO,CTO,ect.)

Number of Employees (Exclude "C" Suite Executives)

The Last Fiscal Year End Date

Last Fiscal Year End Revenue

Last Fiscal Year End Income

Last Fiscal Year End Expenses

Last Fiscal Year End Payroll

Last Fiscal Year End Balance Sheet Total: Cash, Savings, Investments

Last Fiscal Year End Balance Sheet Total: Land and Buildings

Last Fiscal Year End Balance Sheet Total: Other Assets

Last Fiscal Year End Balance Sheet Total: Total Assets

Last Fiscal Year End Balance Sheet Total: Total Liabilities

Last Fiscal Year End Balance Sheet Total: Net Assets

Last Fiscal Year End Taxes Paid on Revenue

Application Fee $100.00

$0.00