Limited Liability Company Formation Form

Trucker Tax Service, Inc.

888-799-1099
Limited Liability Company Form
Beneficial Owner Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
EIN
What will the name of the company be?
We have to check if the name is available
In what state will you be forming the company?
We will check to see what the state fees will be
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address: (if same as above list same)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will the owner/member of the company run the day-to-day operations of company or will someonebe hired to do so?
What products and services will the business provide?

What are the names and addresses of the owners/members of the business?

What are the names and addresses of the managers of the business?

What is the first and last name of the authorized signer (owner/member)?

First NameLast Name
Title:
By signing below you agree to pay Trucker Tax Service, Inc. (TTS) a one time fee of $300.00 (plus any additional state fees). You also agree to pay TTS an ongoing annual fee of $199.00 (plus any additional state fees) for TTS providing the services of a registered agent.
Thank you for filling out this form. We will begin processing your information and get back to you shortly. Should you have any questions, please contact us.

Trucker Tax Service, Inc.

888-799-1099

info@truckertaxservice.com

www.truckertaxservice.com
Should be Empty:

Trucker Tax Service, Inc.