LLC Formation Application
Primary LLC Name
*
Secondary LLC Name
*
Contact Name
*
Contact SSN
*
Contact Phone Number
*
Contact Email
*
Business Physical / Mailing Address
Street
*
City
*
Zip Code
*
State
*
Mailing Address
City
State
Zip Code
State Filing Information
Is This a Single Member LLC?
*
Yes
No
Filing State
*
Business Description
*
LLC Structure
*
Member Managed
Manager Managed
Registered Agent Name
*
Registered Agent Address
*
If same as business, type SAME
Member / Manager #1 Name
*
Mbr / Mgr #1 Address (if different)
*
Member / Manager #2 Name
*
Mem / Mgr #2 Address (if different)
*
Submit Form
Should be Empty: