Personal Information
Full legal name:
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
Please upload your Driver's License/Passport:
*
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Please upload your SSC
*
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Business Information
Desired Business Name:
*
Business Type
*
Please Select
Co-operative
Corporation
LLC
Non-profit
Partnership
Sole proprietor
Business Purpose (please explain in detailed)
*
Preferred Start Date
*
-
Month
-
Day
Year
Date
State You Want to Register In:
*
Business Address (Can’t be a P.O. Box):
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a home-based business?
*
Yes
No
Ownership & Structure
Will you have partners or multiple owners?
*
Yes
No
If "Yes" list all owners:
Rows
Full Name
Address
Ownership %
1
2
3
4
5
6
Who will be the Registered Agent?
*
I will serve as my own registered agent
I want you to provide a registered agent service
EIN & Tax Setup
Do you need an EIN (Employer Identification Number)?
*
Yes
No
EIN (if already obtained):
Will your business have employees in the first year?
*
Yes
No
Do you want us to file for S-Corp tax election (if eligible)?
*
Yes
No
Not Sure, please advise
Additional Services (Optional)
Would you like assistance with any of the following:
Website Domain & Email Setup
Business Funding Consultation
Logo or Branding
Required Uploads
Proof of Address (Utility bill, lease, etc.)
*
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SSN or EIN confirmation letter (if already obtained)
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Please fill out this form ->
Signed Authorization Form
Acknowledgment & Consent
I certify that the information provided above is true and accurate to the best of my knowledge. I authorize [Your Business Name] to prepare and submit business registration documents on my behalf and to apply for an EIN if selected.
*
I agree
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
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