Latino Tax and Express Services Inc.

Call: (919) 797-0135

Text: (919) 797-0135

Fax: (919) 338-7652

Services
Service Request
Insurance Services
Tax Resources
Client
About Us

Motorcycle

First Name

Last Name

Date of birth

Gender

Male

Female

Marital Status

Single
Married
Domestic Partner (Unmarried)
Widowed
Separated
Divorced
Fiancé or Fiancée
Civil Union/Registered Domestic Partner
Unknown
Other
No elements found. Consider changing the search query.
List is empty.

Driver's License Status

Valid
Permit
Suspended
Not Licensed
Foreign driver's license
No elements found. Consider changing the search query.
List is empty.

Does this driver have a valid motorcycle endorsement?

Yes

No

Driver's License Number

Taken an approved safety course in the past three years?

Yes

No

Years Riding Experience

Social Security Number

Has the driver had any of the following in the past 3 years (including automobile related)? - At fault accidents; - Claims; - Violations; - Not at Fault Accidents.

Yes

No

Would you like to add an additional driver?

Yes

No

First & Last Name

Birth Date

Gender

Male

Female

Martial Status

Single
Married
Domestic partner
Divorced
Separated
Widowed
No elements found. Consider changing the search query.
List is empty.

Driver's License Status

Valid
Permit
Suspended
Not Licensed
Foreign driver's license
No elements found. Consider changing the search query.
List is empty.

Driver's License Number

Does this driver have a valid motorcycle endorsement?

Yes

No

Taken an approved safety course in the past three years?

Yes

No

Years Riding Experience

Social Security Number

Has the driver had any of the following in the past 3 years (including automobile related)? - At fault accidents; - Claims; - Violations; - Not at Fault Accidents.

Yes

No

Would you like to add an additional driver?

Yes

No

First & Last Name

Birth Date

Gender

Male

Female

Martial Status

Single
Married
Domestic partner
Divorced
Separated
Widowed
No elements found. Consider changing the search query.
List is empty.

Driver's License Status

Valid
Permit
Suspended
Not Licensed
Foreign driver's license
No elements found. Consider changing the search query.
List is empty.

Driver's License Number

Does this driver have a valid motorcycle endorsement?

Yes

No

Taken an approved safety course in the past three years?

Yes

No

Years Riding Experience

Social Security Number

Has the driver had any of the following in the past 3 years (including automobile related)? - At fault accidents; - Claims; - Violations; - Not at Fault Accidents.

Yes

No

Would you like to add an additional driver?

Yes

No

First & Last Name

Birth Date

Gender

Male

Female

Martial Status

Single
Married
Domestic partner
Divorced
Separated
Widowed
No elements found. Consider changing the search query.
List is empty.

Driver's License Status

Valid
Permit
Suspended
Not Licensed
Foreign driver's license
No elements found. Consider changing the search query.
List is empty.

Driver's License Number

Does this driver have a valid motorcycle endorsement?

Yes

No

Taken an approved safety course in the past three years?

Yes

No

Years Riding Experience

Social Security Number

Has the driver had any of the following in the past 3 years (including automobile related)? - At fault accidents; - Claims; - Violations; - Not at Fault Accidents.

Yes

No

Would you like to add an additional driver?

Yes

No

VIN / Serial Number #5

First & Last Name

Birth Date

Gender

Male

Female

Martial Status

Single
Married
Domestic partner
Divorced
Separated
Widowed
No elements found. Consider changing the search query.
List is empty.

Driver's License Status

Valid
Permit
Suspended
Not Licensed
Foreign driver's license
No elements found. Consider changing the search query.
List is empty.

Driver's License Number

Does this driver have a valid motorcycle endorsement?

Yes

No

Taken an approved safety course in the past three years?

Yes

No

Social Security Number

Years Riding Experience

Has the driver had any of the following in the past 3 years (including automobile related)? - At fault accidents; - Claims; - Violations; - Not at Fault Accidents.

Yes

No

VIN / Serial Number 1

Vehicle Type

Motorcycle / Trike
ATV
Dirt Bike
Moped / Scooter
Golf Cart
3 Wheel Alternative Vehicle
Segway
No elements found. Consider changing the search query.
List is empty.

Vehicle Year

Vehicle Make

Vehicle Model

Engine CC's

What year was this vehicle purchased?

Vehicle Modification

None
Turbo or Nitrous Oxide Kit
Modified Frame
No elements found. Consider changing the search query.
List is empty.

Is your motorcycle a trike?

Yes

No

Vehicle Use

Pleasure
Commute (To / From work or school)
Off-Road use
Other
No elements found. Consider changing the search query.
List is empty.

Postal code

Would you like to add an additional vehicle?

Yes

No

VIN / Serial Number 2

Vehicle Type

Motorcycle / Trike
ATV
Dirt Bike
Moped/Scooter
Golf Cart
3 Wheel Alternative Vehicle
Segway
No elements found. Consider changing the search query.
List is empty.

Vehicle Year

Vehicle Make

Vehicle Model

Engine CC's

What year was this vehicle purchased?

Vehicle Modification

None
Turbo or Nitrous Oxide Kit
Modified Frame
No elements found. Consider changing the search query.
List is empty.

Is your motorcycle a trike?

Yes

No

Vehicle Use

Pleasure
Commute (To / From work or school)
Off-Road use
Other
No elements found. Consider changing the search query.
List is empty.

Postal Code

Would you like to add an additional vehicle?

Yes

No

VIN / Serial Number 3

Vehicle Type

Motorcycle / Trike
ATV
Dirt Bike
Moped/Scooter
Golf Cart
3 Wheel Alternative Vehicle
Segway
No elements found. Consider changing the search query.
List is empty.

Vehicle Year

Vehicle Make

Vehicle Model

Engine CC's

What year was this vehicle purchased?

Vehicle Modification

None
Turbo or Nitrous Oxide Kit
Modified Frame
No elements found. Consider changing the search query.
List is empty.

Is your motorcycle a trike?

Yes

No

Vehicle Use

Pleasure
Commute (To / From work or school)
Off-Road use
Other
No elements found. Consider changing the search query.
List is empty.

Postal Code

Would you like to add an additional vehicle?

Yes

No

VIN / Serial Number 4

Vehicle Type

Motorcycle / Trike
ATV
Dirt Bike
Moped/Scooter
Golf Cart
3 Wheel Alternative Vehicle
Segway
No elements found. Consider changing the search query.
List is empty.

Vehicle Year

Vehicle Make

Vehicle Model

Engine CC's

What year was this vehicle purchased?

Vehicle Modification

None
Turbo or Nitrous Oxide Kit
Modified Frame
No elements found. Consider changing the search query.
List is empty.

Is your motorcycle a trike?

Yes

No

Vehicle Use

Pleasure
Commute (To / From work or school)
Off-Road use
Other
No elements found. Consider changing the search query.
List is empty.

Postal Code

Would you like to add an additional vehicle?

Yes

No

Vehicle Type

Motorcycle / Trike
ATV
Dirt Bike
Moped/Scooter
Golf Cart
3 Wheel Alternative Vehicle
Segway
No elements found. Consider changing the search query.
List is empty.

Vehicle Year

Vehicle Model

Engine CC's

What year was this vehicle purchased?

Vehicle Modification

None
Turbo or Nitrous Oxide Kit
Modified Frame
No elements found. Consider changing the search query.
List is empty.

Is your motorcycle a trike?

Yes

No

Vehicle Use

Pleasure
Commute (To / From work or school)
Off-Road use
Other
No elements found. Consider changing the search query.
List is empty.

Postal Code

Mailing Address

Apt / Unit #

City - *Motorcycle

State

Zip/Postal Code

Primary Residence

Have you moved in the last 2 months?

Yes

No

Email

Phone

Upload Documents

0%

Working hours

Monday: 8am - 6pm

Tuesday: 8am - 6pm

Wednesday: 8am - 6pm

Thursday: 8am - 6pm

Friday: 8am - 6pm

Sat - 8am - 3pm

Sun: Off

Copyright ©
2022
Latino Tax & Exp Services Inc
-
Privacy Policy
-
Terms of Use
-

Accountant Website Design
by

Automate365 by NowCerts