Tax Refund Verification & Funding Authorization Form Auto Maxx Pensacola

IRS Verification Required Documents (Customer Must Provide):

Proof of filed return showing refund amount
Proof of destination of funds (bank or card)
IRS account page or transcript showing NO tax debt

First Name:

Last Name:

Email:

Mobile Phone:

Home Phone:

Vehicle Type:

Year:

Make:

Model:

Trim: (XLE, LE, LX)

Tax Preparation Service Used

Date Taxes Were Filed

Estimated Refund Amount:

Refund Method

Account Holder Name:

Routing Number:

Account Number

Salesperson Verification: I confirm all documentation has been reviewed and verified

Date

If Refund Card (Issued by Tax Service)Tax Service Issuing Card, Cardholder Name, Full Card Number, Expiration Date (MM/YY), CVV/CVC Code, Billing ZIP Code, Billing Address (Street, City, State), Salesperson Name

ACKNOWLEDGMENT AND CONSENT:

By checking this box I hereby consent to receive customer care text messages and/or phone calls from or on behalf of Auto Maxx Pensacola or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our https://automaxxpensacola.com/privacy for more information.