NEW BUSINESS
INFORMATION SHEET
GENERAL INFO:
Business Name
*
DBA
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address Same As Above
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
*
Business Email
example@example.com
Business Occupation
Business Formation Date
/
Month
/
Day
Year
Date
LIST MEMBERS/PARTNERS
How Many Members/Partners?
Member #1
Address #1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone #1
Email #1
example@example.com
Social Security #1
DOB #1
Stock % #1
Member #2
Address #2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone #2
Email #2
example@example.com
Social Security #2
DOB #2
Stock % #2
BUSINESS STRUCTURE:
Business Structure:
Please Select
Partnership
Corporation
S-Corporation
Cooperative
Trust
Single Member Disregarded Entity (Member Federally Taxed)
Individual Sole Proprietorship
TAX NUMBERS:
Federal EIN
Secretary of State
LLET CIT
WH Tax
Sales Tax
Other Tax/Info
OFFICE USE ONLY:
Registered Agent? Weafers Tax Service?
Tax Accountant?
Member/Partner?
Service(s)?
Payroll
Bookkeeping
Sales Tax
Accounting
ENTERED BY
DATE
/
Month
/
Day
Year
Date
Weafers Tax Service / 853 Lane Allen Rd., Lexington, KY 40504 / 859-281-1040 / Office@weafertax.com
Preview PDF
Save
Submit
Should be Empty: