BUSINESS START-UP INFORMATION Sales Code BUSINESS INFORMATION CLIENT CONTACT NAME BUSINESS NAME TITLE ANNUAL GROSS REVENUE CURRENT ADDRESS    ACTUAL     ESTIMATED BUSINESS YEAR-END HOME / BUSINESS PHONE YEAR INCORPORATED CELL PHONE BUSINESS STRUCTURE  PROPREITORSHIP EMAIL    CORPORATION ABOUT YOUR BUSINESS    PARTNERSHIP TYPE OF BUSINESS  RETAIL    SERVICE BOOKKEEPING SERVICES REQUIRED TAX SERVICES REQUIRED    YEAR-END BOOKKEEPING AND TAX      CORPORATION TAX PREPARATION     YEAR-ROUND BOOKKEEPING AND TAX       PERSONAL TAX PREPARATION GST FILINGS & PST REPORTING   EMPLOYEE INFORMATION GST NUMBER   NUMBER OF EMPLOYEES GST FILING FREQUENCY  QUARTERLY    ANNUALLY   PAYROLL FREQUENCY PST ACCOUNT NUMBER   ARE YOU REQUIRED TO FILE WSIB?  YES    NO       WSIB ACCOUNT # YOUR PREFERRED SYSTEM OF SENDING US THE BUSINESS INFORMATION EACH MONTH      VIA THE ENVELOPE SYSTEM    THE FAX SYSTEM    THE ON-LINE INFO SUBMIT SYSTEM BANK LOANS & BUSINESS EQUIPMENT/VEHICLE FINANCED INFORMATION BANK LOANS INFORMATION DATE OPENED LOAN AMT NO. OF LOAN MONTHS MTH PAYMENT BUSINESS EQUIPMENT/VEHICLE FINANCED TYPE OF EQUIPMENT TRANSACTION DATE TOTAL PRICE DEPOSIT Please provide a copy of the financing Agreement Please provide us with a copy of the financing Agreement     BPM OUTSOURCING, INC   4261-A14 Highway 7 East Suite 885. Markham, Ontario L3R 9W6. Ph: (905) 305-6696 Copyright © 2002-2009 BPM Outsourcing, Inc. All Rights Reserved.