Business Formation Intake Form

Business Formation Intake Form

FBN, LLC, Partnership, S or C Corp, Non-Profit
Contact Person Name or (Organizer)

First NameLast Name
Social Security Number
Needed for EIN Registration
Your Email Address
example@example.com
Mobile Number
Second Person Name or (Partner Name)

First NameLast Name
Social Security Number
Needed for EIN Registration
Mobile Number
Business Name
Option 1
Business Name
Option 2
Business Name
Option 3
Business Main Telephone Number
Business Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What industry are you in?

Animal Products/ServicesAuto Products/ServicesBeauty Products/ServicesBusiness Products/ServicesCatering/DJ/EventsChild Care ServicesCleaning Products/ServicesConsultingDentistElecticianFloristGovernment/Non-ProfitHealth & Wellness Products/ServicesHealthcare ProviderHome Improvement & MaintenanceHVACInsuranceLawn CareLegal ServicesLocks & LocksmithsMoving & StorageOther Home ServicesPhotographyPlumbingReal EstateRoofingSpecial Event Venue/RestaurantVeterinarianWedding Products/ServicesOther
Describe the typer of entity: be specific. Team League? Contact information
How many employees do you have?

0-34-8More than 8
How long has the entity been in business? Date of Creation?
Name and title of legal officer or legal representative who the IRS may call for information?
Website?
Special Instructions for Minutes or Bylaws?
Chief Executive Officer
Secretary
Chief Financial Officer
Treasurer
Business DBA in what county; business license what city?
Insurance or bonds necessary?
Any questions comments or concerns?
Should be Empty: