LLC QUESTIONNAIRE
GENERAL LLC INFO:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which Type of LLC Do You Need?
*
Single Member LLC (1 Owner)
Multi-Member LLC (More than 1 owner)
Single Member Professional LLC (1 Owner w/Professional License-i.e. medical license)
Multi-Member Professional LLC (More than 1 owner w/Professional License)
Which State Will Your LLC Be Formed?
*
Name of LLC (1st Choice)
*
Do not put "LLC" at the end of the name, we will do that for you.
Name LLC (2nd Choice)
We will use this name if the state rejects your first name.
What is Purpose of LLC? My LLC's business will be to.....
*
REGISTERED AGENT
Registered Agent
The Registered Agent is an individual designated to receive important mail from the State regarding your Company and must be present in person at the registered address during business hours. The Registered Agent's address CANNOT be a P.O. Box and it will be listed on the Secretary of State's website. You can be your own Registered Agent or have a friend or family member serve as a Registered Agent or you can hire a company to be your Registered Agent.
Registered Agent is an Individual or Company?
Individual
Company
Name of Registered Agent*
First Name
Last Name
Registered Agent Company ( If you are using a company to be your Registered Agent)
Address (Cannot be a PO Box)
*
Street Address
City
State / Province
Postal / Zip Code
County
LLC ADDRESS
Address of LLC
The principal office address of the LLC can be the location where your LLC operates, or if your business does not have an address you can use your home address of a PO Box. Like the Registered Agent Address, you should choose an address where mail is checked frequently.
LLC Address
*
Street Address
City
State/Province
Postal/ Zip Code
County
LLC MEMBERS (OWNERS)
LLC Members (Owners)
Who are the Members (owners) of the LLC and what percentage of the Company do they own? The total percentage needs to add up to 100%
LLC Member is an Individual or another Entity (LLC/Corp)
Individual
Entity
Member #1 Name
First Name
Last Name
Entity Name (Leave blank if an individual is the owner of the LLC)
Address
*
Street Address
City
State
Postal / Zip Code
County
Date of Birth
Owner Percentage
Member Name #2 (If Applicable)
First Name
Last Name
Entity Name (Leave blank if an individual is the owner of the LLC)
Address
Street Address
City
State / Province
Postal / Zip Code
County
Date of Birth
Ownership Percentage
Member Name #3 (If Applicable)
First Name
Last Name
Address
Street Address
City
State / Province
Postal/Zip Code
County
Date of Birth
Ownership Percentage
Member Name #4 (If Applicable)
First Name
Last Name
Address
Street Address
City
State / Province
Postal / Zip Code
County
Date of Birth
Ownership Percentage
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