ACH - Prospect


I (we) hereby authorize Lee’s Tax City, LLC /dba: 1040TaxBiz to initiate ACH transactions to the banking institution and account named as indicated below for the purpose of tax preparation revenue transactions. This authorization is to remain in effect until 1040TaxBiz receives written notification of termination or change of account information.

The credit card will be charged for the following circumstances:

  1. For the purpose of paying the initial $99.00 cost of the program as advertised.
  2. In the event of a "Return ACH" when 1040 TaxBiz initiates ACH debit for weekly EFiles fees, the credit card will serve as a backup method for payment.

Please Upload Clear Image Of The Front Of Credit Card:

Please Upload Clear Image Of The Back Of Credit Card:

 

Which Type Of Account:

Bank Name: 

Please Enter Your Routing Number: 

 

 

Please Enter Account Number:

 

 

Leave this empty:

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Signature Certificate
Document name: ACH - Prospect
lock iconUnique Document ID: 0c65478e77d2516f14606ab48debe60cf0b07e92
Timestamp Audit
May 17, 2024 9:51 am EDTACH - Prospect Uploaded by Brian Warden - brian@1040taxbiz.com IP 96.72.237.110
May 17, 2024 9:56 am EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.53
May 17, 2024 9:56 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.53
May 17, 2024 10:07 am EDT Document owner brian@1040taxbiz.com has handed over this document to antonio@1040taxbiz.com 2024-05-17 10:07:43 - 204.156.181.53
May 17, 2024 10:07 am EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.53
May 17, 2024 10:07 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.53
May 17, 2024 11:06 am EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
May 17, 2024 11:06 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
May 20, 2024 9:55 am EDT Document owner antonio@1040taxbiz.com has handed over this document to brian@1040taxbiz.com 2024-05-20 09:55:20 - 96.72.237.110
May 20, 2024 9:55 am EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
May 20, 2024 9:55 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:34 pm EDT Document owner brian@1040taxbiz.com has handed over this document to antonio@1040taxbiz.com 2024-06-04 16:34:49 - 204.156.181.55
June 4, 2024 4:34 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.55
June 4, 2024 4:34 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.55
June 4, 2024 4:46 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:46 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:49 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:49 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:52 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:52 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:52 pm EDTbrian w - brian@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 4, 2024 4:52 pm EDTAdmin A - admin@1040taxbiz.com added by Antonio Alford - antonio@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
June 5, 2024 2:51 pm EDT Document owner admin@1040taxbiz.com has handed over this document to brian@1040taxbiz.com 2024-06-05 14:51:24 - 71.129.152.216
June 5, 2024 2:51 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 71.129.152.216
June 5, 2024 2:51 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 71.129.152.216
June 5, 2024 2:51 pm EDTbrian w - brian@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 71.129.152.216
June 5, 2024 2:51 pm EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 71.129.152.216
August 13, 2024 9:23 am EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.60
August 13, 2024 9:23 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.60
August 13, 2024 9:23 am EDTbrian w - brian@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.60
August 13, 2024 9:23 am EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.60
September 6, 2024 10:49 am EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.58
September 6, 2024 10:49 am EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.58
September 6, 2024 10:49 am EDTbrian w - brian@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.58
September 6, 2024 10:49 am EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.58
June 4, 2025 4:00 pm EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 2603:300f:e00:c300:f58d:2804:f601:1b5c
June 4, 2025 4:00 pm EDTJodi Pollard - Jodi@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 2603:300f:e00:c300:f58d:2804:f601:1b5c
June 4, 2025 4:00 pm EDTbrian w - brian@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 2603:300f:e00:c300:f58d:2804:f601:1b5c
June 4, 2025 4:00 pm EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 2603:300f:e00:c300:f58d:2804:f601:1b5c
September 3, 2025 11:03 am EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.60
September 9, 2025 10:51 am EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 73.145.241.166
October 6, 2025 9:54 am EDTAdmin A - admin@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 204.156.181.61
November 20, 2025 9:27 am EDTLisa Martin - Lisa@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
November 20, 2025 9:27 am EDTBrian Warden - brian@1040taxbiz.com added by Brian Warden - brian@1040taxbiz.com as a CC'd Recipient Ip: 96.72.237.110
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