Non JH Revenue Payment Form
Please use this form anytime you take partial payment for a service or a non JH service such as bookkeeping or a corporate return. DO NOT release returns until full payment has been received.
PRINT THIS FORM BEFORE SUBMITTING. USE IT AS A "B" COPY FOR NON JH REVENUE.
MANAGERS: SCAN THE FORM WITH THE DAYS REPORTING.MAKE SURE TO MAKE SEPARATE DEPOSITS FOR NON-JH REVENUE.
Customer Last Name *
Your answer
Customer First Name *
Your answer
Customer Address
Your answer
Customer Phone Number
Your answer
Store # *
Enter the type of Payment or Plan *
Current Jackson Hewitt Customers Should Not Be Charged for Notary Services or Faxes
Tax Year of Receipt Above *
Receipt #
Your answer
Total Amount Due or Total Fees for Service
Your answer
How much did the client pay today?
Enter in $200 format
Your answer
METHOD of PAYMENT *
How did the customer pay (if they paid today)
Additional Information *
Additional Information to assist in tracking or collecting plan payments OR any comments regarding this payment
Your answer
Employee Accepting Payment *
Enter your name here
Your answer
Submit
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