CHURCH EIN APPLICATION FORM

CHURCH EIN APPLICATION FORM

Complete this form to apply for an Employer Identification Number (EIN). Please provide accurate and complete information.
GENERAL INFORMATION
Legal Name of Church
Does the church operate under a DBA?
Trade name or DBA
Where was the company organized?
Responsible Party Information
First Name
Middle Name (optional)
Last Name
Suffix (optional)
Title
Social Security Number (SSN)
0 of 11 max characters
Business Activity Information
Primary Purpose for Applying
Main Line of Business or Service
Please specify type of structure constructed
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 organization 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)?
Corporate Address

(P.O. boxes not accepted)
Street Address
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 entity was formed or acquired

MonthDayYear
Date
Fiscal Year-End Month
Contact Information
Mobile Phone Number *
Please enter a valid phone number.Format: (000) 000-0000.
Contact 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:

CHURCH EIN APPLICATION FORM

GENERAL INFORMATION

Responsible Party Information

Business Activity Information

General questions

Corporate Address

Alternate Mailing Address

Key Dates

Contact Information

Authorization & Acknowledgment