EIN/FEDERAL TAX ID NUMBER

1
1. Primary Contact of the Business* This field is required.This is the person we will contact with all status updates related to the order.
Please enter your full name
Please enter your email
Please enter your phone
2
2. Business Information* This field is required.Please enter the company name EXACTLY as it appears on your Articles. Also, select the entity type of the company, state of formation, and the date of your formation.
Name of Company*
Date of Formation (approximate)*
Please Select
Please Select
Limited Liability Corporation (LLC)
C Corporation
S Corporation
Nonprofit
Please Select the Type of Entity*
Please Select
Please Select
AL : Alabama
AK : Alaska
AZ : Arizona
AR : Arkansas
CA : California
CO : Colorado
CT : Connecticut
DE : Delaware
FL : Florida
GA : Georgia
HI : Hawaii
ID : Idaho
IL : Illinois
IN : Indiana
IA : Iowa
KS : Kansas
KY : Kentucky
LA : Louisiana
ME : Maine
MD : Maryland
MA : Massachusetts
MI : Michigan
MN : Minnesota
MS : Mississippi
MO : Missouri
MT : Montana
NE : Nebraska
NV : Nevada
NH : New Hampshire
NJ : New Jersey
NM : New Mexico
NY : New York
NC : North Carolina
ND : North Dakota
OH : Ohio
OK : Oklahoma
OR : Oregon
PA : Pennsylvania
RI : Rhode Island
SC : South Carolina
SD : South Dakota
TN : Tennessee
TX : Texas
UT : Utah
VT : Vermont
VA : Virginia
WA : Washington
WV : West Virginia
WI : Wisconsin
WY : Wyoming
State of Formation*
3
Please enter number of LLC Members* This field is required.
Please enter a number
4
3.Business Address* This field is required.Enter the physical address of your company including the suite number if applicable.
Street Address
City
State and ZIP Code
5
Does your business expect to have employees within the next 12 months? * This field is required.
YESNO
6
Please estimate the maximum number of employees you will hire in the next 12 months in these categories. If none, enter "0"* This field is required.
Agricultural Employees
Household Employees
Other Employees
7
Do you expect to pay employees more than $4,000 in wages this year? * This field is required.
YESNO
8
When do you plan to start paying wages to employees? * This field is required.
MM/DD/YYYY
9
Check the boxes if any of the options apply to the principal activity of your business.* This field is required.
Will your business own a vehicle that weighs more than 55,000 pounds and is designed to transport loads on the highway?
Will your business operate a casino or otherwise be involved with gambling or wagering?
Will your business make or sell alcohol, tobacco or firearms?
Will your business sell goods subject to an excise tax?
None of the above
10
Please enter information of responsible party* This field is required.
Name of Responsible Party (Must be the full name of the Social Security Number holder entered above)
Please Select
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
End of your business fiscal year?
Social Security Number
Should be Empty: