ESTATE OF DECEASED INDIVIDUAL EIN APPLICATION FORM

ESTATE OF DECEASED INDIVIDUAL EIN APPLICATION FORM

(For Business Owners Filing Through EIN Fast Filing Service)
Deceased Individual Information
First Name
Middle Name (optional)
Last Name
Name Suffix (optional)
Social Security Number (SSN)
Used for identity verification purposes (format: 123-45-6789).
Representative / Executor Information

.
First Name
Middle Name (optional)
Last Name
Name Suffix (optional)
Title
Social Security Number (SSN)
Used for identity verification purposes (format: 123-45-6789).
Executor / Legal Representative Address

(P.O. boxes not accepted)
Street Address
City
ZIP Code
Country
State
Do you want correspondence sent to a different mailing address?
Street Address
City
ZIP Code
Country
State
Key Dates

Provide important dates.
Date estate was formed or acquired

MonthDayYear
Date
Do you expect to have any employees in the next 12 months?
Fiscal Year-End Month
Contact Information

Provide your contact details for correspondence.
Mobile Phone Number
Email Address
example@example.com
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:

ESTATE OF DECEASED INDIVIDUAL EIN APPLICATION FORM

Deceased Individual Information

Representative / Executor Information

Executor / Legal Representative Address

Key Dates

Contact Information

Authorization & Acknowledgment