EFIN Holder Information
EFIN Holder Information
EEFIN
Owner First Name
Owner Last Name
Owner Address
Owner City, State, Zip
Owner Phone
Owner Cell Phone
Owner Fax
Owner Email
HTML
Owner SSN
Date of Birth
Drivers License Number
Drivers License State Issued
Bank Information
Bank Information
Bank Name
Checking or Savings Acct
Routing Number
Account Number
Company Information
Company Information
Company Name
Company EIN (SSN if no EIN)
Physical Address
Physical City, St ZIP
Phone
Fax
Manager's First Name
Manager's Last Name
Manager's e-mail Address
Shipping Information
Shipping Information
Shipping Address
City, St ZIP
Location Information
Location Information
Location Address
Location City, St ZIP
Location Phone
Location e-mail address
Prior Year Stats
Prior Year Stats
Prior Year Bank
Prior Year efile Volume
Prior Year EFIN
Prior Year Bank Products Funded
Fees
Fees
Add-On Fee
Service Bureau Fee
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