Beneficial Ownership Information

Beneficial Ownership Information for the Corporate Transparency Act

U.S. Department of the Treasury Financial Crimes Enforcement Network
In 2021, Congress passed the Corporate Transparency Act on a bipartisan basis. This law creates a new beneficial ownership information reporting requirement as part of the U.S. government’s efforts to make it harder for bad actors to hide or benefit from their ill-gotten gains through shell companies or other opaque ownership structures.
Company Information
Company Legal Name*
Trade Name “doing business as” (d/b/a)
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
Please enter a valid phone number.
Business Email*
example@example.com
Jurisdiction of formation or registration (state)*
Date of Formation*

MonthDayYear
Date
Employer Identification Number (no dash)*
Identification of Beneficial Owner
Name of individual who is the beneficial owner*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Country of citizenship*
Residential address (cannot be a P.O. box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth (MM-DD-YYYY)*

MonthDayYear
Date
Identification Document (U.S. passport or U.S. driver’s license)*

Cancelof
As the Beneficial Owner you authorize Your Virtual Bookkeeper, LLC to submit your Beneficial Ownership Reporting file on your behalf to the U.S. Department of the Treasury Financial Crimes Enforcement Network.
Signature of beneficial owner*
Date (MM-DD-YYYY)*

MonthDayYear
Date
Print name of signer*

Payment*

Beneficial Ownership Information Initial Filing*Customized federally required report *Timely filing with the government *Confirmation of successful submission to the Financial Crimes Enforcement Network (FinCEN)

$50.00 Quantity

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Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Beneficial Ownership Information for the Corporate Transparency Act

Company Information

Identification of Beneficial Owner