LLC EIN APPLICATION FORM

LLC EIN APPLICATION FORM

Complete this form to apply for an Employer Identification Number (EIN) for your LLC. Please provide accurate and complete information.
Business Registration Details

Provide the legal details of your LLC.
Legal Name of LLC
Enter the complete legal name of your company as registered with your state.
Does the LLC operate under a DBA?
Enter DBA Name
Number of Members in LLC
Formation State of LLC
Managing Member Information

Provide details about the managing member of the LLC.
First Name
Middle Name (optional)
Last Name
Name Suffix (optional)
Title
Social Security Number (SSN)
Used for identity verification purposes (format: 123-45-6789).
Business Activity
Primary Purpose for Submitting this Form
Main Line of Business or Service
Specific Products/Services
General questions
Own or operate a highway vehicle weighing 55,000 lbs or more?
Engaged in gambling operations?
Involved in the sale or manufacture of alcohol, tobacco, or firearms?
Responsible for federal excise tax payments?
Has this LLC previously applied for or received an EIN?
Previous EIN number, first 2 digits
0 of 2 max characters
Previous EIN number, last 7 digits
0 of 7 max characters
Do you currently have, or plan to hire, employees within the next year (not including owners)?
Registered Business Address

(P.O. boxes not accepted)
Street Address (P.O. boxes not accepted)
City
State
ZIP Code
Country
Would you like correspondence sent to a different address?
Alternate Mailing Address
Street Address
City
State
ZIP Code
Country
Key Dates
Date LLC was formed or acquired

MonthDayYear
Date
Fiscal Year-End Month
Contact Information
Mobile Phone Number
(Format: (123) 456-7890)Format: (000) 000-0000.
Email Address
Provide the best email address for official correspondence and confirmation notices
Authorization & Acknowledgment
Please check all boxes to proceed:

By checking this box, I confirm under penalty of perjury that all information provided is accurate, agree to the Terms of Use, and give my electronic authorization for einfastfiling.com and its representatives to act as my third-party designee, as described in the Form SS-4 instructions, to prepare, complete, sign as designee, and submit Form SS-4 to the IRS on my behalf, to answer IRS questions about this application, and to receive the EIN assigned to me or my entity. I understand that this electronic authorization has the same legal effect as a handwritten signature and that my name, timestamp, and IP address will be recorded as proof of my consent.
Typed Name
Date

MonthDayYear
Should be Empty:

LLC EIN APPLICATION FORM

Business Registration Details

Managing Member Information

Business Activity

General questions

Registered Business Address

Alternate Mailing Address

Key Dates

Contact Information

Authorization & Acknowledgment