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五星会计师事务所--公司信息采集表
电话：407-476-8489 / 305-204-6973
传真：305-204-5499
邮箱：
info@fivestaracct.com
官网：
fivestaracct.com
地址：16768 NE 5th Ave, North Miami Beach FL 33162
微信：fivestartax2011
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联系人信息：
联系人姓名
Name of contact
Your answer
联系电话
Phone#
Your answer
邮箱
Email
Your answer
公司信息：
公司名字
Business Name
Your answer
公司税号EIN Employer Identification Number
Your answer
地址
Address
Your answer
法人名字
This business belongs to
Your answer
业务描述
Description of Business
Your answer
营业时间
Date business started
MM
/
DD
/
YYYY
业务类型号码
Business code number
Your answer
记账方式
Accounting method:
Your answer
股东数
Number of partner
Your answer
请提供所有股东姓名 股东ssn 股份比例划分
Please provide name, SSN of all the partners.
Your answer
总营业额（包括1099K中的收入）
Gross receipts or sales (including income reported on Form 1099-K)
Your answer
支出
Expenses
货钱
Cost of goods sold
Your answer
广告费
Advertising
Your answer
员工工资
Wages
Your answer
租金
Rent or lease of property
Your answer
执照费/税费
Taxes and licenses
Your answer
维修费
Repairs and maintenance
Your answer
餐饮费
Meals
Your answer
保险费
Insurance
Your answer
律师费
Legal and professional services
Your answer
贷款利息
Mortgage interest
Your answer
设备租借
Rent or lease of equipment
Your answer
办公用品费
Office expense
Your answer
用品费
Supplies
Your answer
水电网费
Utilities
Your answer
差旅费
Travel
Your answer
车辆费用
Car and Truck Expenses
车辆类型/品牌
Description of Vehicle
Your answer
2022年最早使用日期（仅限商用）
Date you placed your vehicle in service for business purposes
MM
/
DD
/
YYYY
里程数
Business miles
Your answer
车辆是在个人名下还是公司名下？
Is the vehicle under the name of an individual or a company?
个人名下
公司名下
Clear selection
是否有其他个人用车？
Check if you have (or your spouse has) another vehicle available for personal use.
是
否
Clear selection
其他支出（请注明明细）
Other expenses
Your answer
请将公司2022年12月的银行流水发送到
info@fivestaracct.com
或者微信
请确保以上信息是真实、准确、全面的，且能提供所有收据/证明材料，确认无误，请点击下面方格。Please ensure that the above information is true, accurate and comprehensive, and all receipts/certification materials can be provided. Please click the box below to confirm that it is correct.
*
我确保以上信息是真实、准确、全面的，且能提供所有收据/证明材料。I have submmited this information for the sole purpose of preparing the tax return. These information is true, correct, and complete to the best of my knowledge.
Required
签名 signature
*
Your answer
日期 date
*
MM
/
DD
/
YYYY
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