The preparer's city and state, separated by a comma
Date
The date the preparer completed the form
Phone
The phone number of the preparer
Self-employed
Select this check box to indicate that the preparer is self-employed
EIN
The EIN Stands for Employer Identification Number. EIN is also known as a federal tax identification number and is used to identify a business entity. (employer identification number)
of the preparer
Zip code
The zip code of the preparer
SSN/PTIN
The Social Security Number of the preparer or the Preparer Tax Identification
Number