Business Information Form
Owner's Information
Owner's Information
*
First Name
Last Name
Social Security Number (no dashes)
Owner's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
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Registered Agent's Information
Registered Agent
First Name
Last Name
Registered Agent Information.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Desired Business Name (3 names in order from the most desired to least desired name)
Company Name
Desired Business Name#1
Desired Business Name#2
Desired Business Name#3
Type of Business ( Please ask if you are unsure)
*
LLC/Sole Proprietorship
S Corp
C Corp
Partnership
Business Address (If you are wanting a virtual address, type "Virtual" in the fields)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
Business E-mail
*
example@example.com
Brief Description of Business Activity
*
Number of Partners
*
1
2
3
4
5 or more
Partners Information:
Full Name
DOB
Address
Social Security Number
Stake in Company (%)
Partner 1
Partner 2
Partner 3
Partner 4
Signature
Continue
Continue
Should be Empty: