Payments / Updating Payment Information. | Tax Service Masters, Tax Resolution & Tax Preparers

Service Being Rendered

Amount Authorized (USD)

One-time or Recurring Monthly

Payment Type

What Type of Automatic Payments do you authorize, (Credit / Debit or ACH Bank)?

Email

Email for Invoice & Receipts.

Account Type

Checking
Savings

Personal Bank Account or Business Bank Account?

Business Name On Account:

Business Name on Account

Bank - Routing Number

This is the ACH routing number of the account you want the IRS to automatically withdraw funds from.

Bank - Account Number

This is the account number of the account you want the IRS to automatically withdraw funds from.

Optional - Upload Voided Check

Click or drag a file to this area to upload.

To avoid error, you have the option to take a picture of a voided check and upload it here. The check will contain the account and routing number to be used. We only need the front picture portion of check that contains account and routing number to be used.

Billing / Cardholder Full Name

First

Middle

Last

Credit / Debit Card Numbers

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Signature

Clear Signature

Payment Terms: I certify that I am an authorized user of this credit card/bank account and will not dispute this transaction with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form, and the service provided.

Term Agreement

I Agree