If you are a new client please fill out the forms below and a representative will reach out to you.-HAWKINS FINANCIAL SERVICE LLC. BUSINESS INFORMATION SHEET Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate * MM DD YYYY SSN or EIN # * How long have you been in business? * Start Date * MM DD YYYY Description of business * Type of business * Do you have a business checking account? * Yes No Do You have online access to this account? * Yes No Other Have you maintained this account for the last 3 months? * Yes No Other How can we help build a better business? General Authorization and Release of Information * I, hereby authorize WILLIAM HAWKINS of HAWKINS FINANCIAL SERVICE to discuss and disclose any and all reasonable and necessary information pertaining to REAL ESTATE, FINANCIAL BANKING, AND BUSINESS with William Hawkins or any other member of Hawkins Financial Service LLC. Yes Name * First Name Last Name Today's Date MM DD YYYY Thank you!