Guardian Tax Services PLEASE READ THE FOLLOWING BEFORE SUBMITTING YOUR INFORMATION FOR ENROLLMENT. 1.When you enter your information. Please double check to make sure ALL the information entered is correct before pressing submit 2. You are REQUIRED to keep MONTHLY credit monitoring for us to see all 3 of your credit reports every 30 days, to update you with any changes, such as deletions/updates that have occurred. It is impossible for us to do our job without you having credit monitoring. So, if you cannot afford to pay $21.99 monthly for credit monitoring, please do not sign up for our services. If you downgrade your credit monitoring during our program, we will cancel your account with us. The account that you sign up with is the one that you need to keep until you cancel services. The cheaper plans do not give us all the information that we need. Again, if you cannot afford to pay $21.99 a month for credit monitoring, simply do not sign up. 3. Do not enroll if you have an active bankruptcy as we will not be able to help. Dismissed/Discharged bankruptcies are OK. 4. Do not enroll if you are not able to complete your on boarding within 48 hours. It takes no more than 20 minutes to complete on boarding. If it’s going to take you longer than 48 hours, please do not sign up for our services. 5. Do not sign up if you are currently behind on paying your bills. We do not want our services to be another bill added on as a burden for you. Old accounts are fine. But if you are behind on your current accounts, please do not sign up.Personal DetailsName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneDate Of Birth MM slash DD slash YYYY Email Spouse DetailsSpouse Name First Last Spouse Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Spouse Email Spouse PhoneWhat is your Spouse date of birth? MM slash DD slash YYYY Select Payment Plan:What Plan Are You Signing Up For?(Required)Monthly Singles 99$Monthly Couples 78$Which enrollment fee are you paying today?(Required) Singles Start Up Fee ($150) Couple Start Up Fee($249) Terms & Conditions:(Required) By signing, I authorize Guardian Tax Services to automatically charge the card I have designated to pay for the services I purchased from Guardian Tax Services in accordance with the payment schedule and terms of my new client contract. (Required) I have designated a debit card; I acknowledge my responsibility to ensure there are sufficient funds in my bank account at the time of each scheduled debit. If there are insufficient funds in my account, I understand Guardian Tax Services may charge me an NSF fee and that Guardian Tax Services may at its discretion attempt to process the charge again within 30 days with avoid cancellation. (Required) I also understand that my membership may cancel or expire due to nonpayment if an automatic payment is rejected. (Required) I understand that this authorization will remain in full force and effect for the remainder of the membership or until Guardian Tax Services has received a written notice from me of its termination. (Required) I agree to notify Guardian Tax Services of any changes to my credit/debit card information or termination of this authorization at least 3 business days prior to the next billing date. (Required) If my scheduled payment falls on a weekend or holiday, I understand that the payment still will be executed on the day I select in this agreement. (Required) I acknowledge that the origination of transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute the scheduled transactions with my bank or credit card company; provided the transactions correspond to the terms indicated in this authorization form. Guardian Tax Services reserves the right to terminate this Authorization and cancel your membership at any moment. (Required) If you selected the monthly plan automatic draft will begin 30 days from today unless discussed otherwise during our call and it will continue until you cancel or graduate the program whichever comes first. Upload Required Files:Upload Your Driver's License(Required)Max. file size: 100 MB.Upload Your SSN Card(Required)Max. file size: 100 MB.Upload Utility bill with current address(Required)Max. file size: 100 MB.Payment Details:Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.