New Business Intake

1
What's your name?* This field is required.Please provide your full LEGAL name
First Name
Middle Name
Last Name
2
Preferred name of your businessIf you don't have one yet, no worries. Just type in whatever name comes to mind. Because your preferred name might already be taken, please provide up to top 3 choices
First Choice
Second Choice
Third Choice
3
What type of business would you like to form?* This field is required.
LLC (single-member)
LLC (multi-member)
LLC taxed as C Corp
LLC taxed as S Corp
C Corporation
S Corporation
Professional Corporation
I'm not sure
4
Is your company a subsidiary of another company?* This field is required.A subsidiary is a company owned and controlled by another company. Typically you select "No"
YESNO
5
Parent company name
6
Type of parent company
7
Please provide your parent company foreign tax ID
8
Do you currently live in the U.S.* This field is required.
YESNO
9
In what state do you live in?* This field is required.
10
What country do you currently live in?* This field is required.
11
In what U.S. state would you like to form your company in?* This field is required.If you're not sure, we typically recommend Wyoming for non-U.S. residents
12
What does your business do?* This field is required.Briefly describe the products/services you offer. For example, selling books on Amazon, business consulting, providing staffing services, etc.
Huge
Large
Normal
Small
Ok
Ok
13
Do you plan on selling on Amazon?* This field is required.
YESNO
14
IMPORTANT: Since you're selling on Amazon, please be sure that the following answers you provide in this intake must match your information on Amazon or Amazon may suspend your account.

So please be sure to provide the same information as your Amazon account.
15
Who will serve as the "Registered Agent" of your company?Registered Agent is someone who receives official state and legal documents on behalf of the company. You can provide your own name if you want to designate yourself as the Registered Agent. If you live in the U.S., we recommend you designate yourself as the Registered Agent. If you need a Registered Agent, leave this blank
First Name
Middle Name
Last Name
16
What's the address of your Registered Agent?If you live in the U.S., please provide your own address if you want to designate yourself as the Registered Agent. If you need a Registered Agent, leave this blank
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
17
Will your business have employees in the first 12 months?* This field is required.
YESNO
18
Approximately how many employees will your business hire in the first 12 months?
19
What's your business address?* This field is required.International non-U.S. address is okay. Please do NOT use your Registered Agent address (that you purchased from another service provider).
Street Address
Street Address Line 2
City
State
Zip Code
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
20
Are you able to receive mail at this business address?* This field is required.
YESNO
21
What's your mailing address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
22
Do you have a U.S. Social Security Number (SSN)?* This field is required.
YESNO
23
Please provide your SSN:SSN is required to get your EIN. We take our client's privacy seriously. Your SSN will be kept safe.
24
What's the full name of the owner(s) with ownership percentage?* This field is required.Please provide full name of all owners. Total ownership percentage must reach 100%. For example, Bob Smith 60%, Jane Doe 40%
25
What's the full name of the Managing Member(s)?* This field is required.Manager(s) is responsible for running the business of the company, including making business decisions, hiring employees, etc. A person can be both a Manager and a Member/Owner. The company must have at least one Manager.
26
Would you like to expedite your LLC or Corporation for an extra fee?* This field is required.Some states offer expedited faster filing, ranging from 24 hours to 1 week. If you're interested, let us know. Keep in mind that all states offer a higher fee for this.
YESNO
27
Any other information you would like to provide?
Huge
Large
Normal
Small
Ok
Ok
28
Who did you talk to about starting your business?* This field is required.
Andrew Mahinay
Rick Nino
Sam Mollaei
Other
29
Where did you first find out about Mollaei Law's business services?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
30
Why did you decide to use Mollaei Law's service to start your business?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
31
Great! What's your email address?* This field is required.
32
What's your best phone number?* This field is required.In case we need to call you to clarify your answers
33
What other business services do you need after your business is registered?* This field is required.
EIN
ITIN
Seller's Permit
Total Compliance Package
Amendment
Dissolution (Closing Company)
S Corp or C Corp Tax Election
Operating Agreement or Bylaws (1 Person)
Operating Agreement or Bylaws (2 Persons)
Partnership Agreement
DBA (Doing Business As)
Business License
Conversions
Foreign Qualification
Reinstatement (FTB Suspended)
Publication Filing (AZ, NE, NY)
Physical U.S. Business Address
Virtual address
Mail & Package Forwarding
Trademark Bundle
Mastering YouTube for Busy Professional
Accounting
Registered Agent
Virtual office
Immigration
Email Marketing
Virtual Staff
Google My Business
SEO Services
Social Media Management
No Other Services
Other
34
How EXCITED are you about starting your business? 😊
1
2
3
4
5
35
I certify all information I provided is true and correct to the best of my knowledge and I agree to the terms & conditions.* This field is required.I understand that this questionnaire is used by Mollaei Inc. in preparing the articles to file your LLC/Corp, obtain your EIN number, and prepare your operating agreement. I have spoken with the other members and have all mutually agreed to the answers provided in this questionnaire. I authorize Mollaei Inc. to prepare the operating or bylaws agreement template based on my honest and truthful answers to the questions in this form. I understand that by submitting this questionnaire and having Mollaei Inc. prepare the LLC/Corp package documents does not create an attorney-client relationship. I understand that Mollaei Inc. is acting as a document preparation company and business organizer only and not your attorney. I understand that there may be tax implications by having an LLC or Corporation in the US and they are not the responsibility of Mollaei Inc. I understand that Mollaei Inc. can't help with taxes and that I should speak to a tax professional to understand the US tax obligations and filing requirements after registering the LLC or Corporation in the US. I understand that Mollaei Inc. does not provide tax assistance or tax recommendations. I authorize Mollaei Inc. to proceed with preparing these documents based on the answers to the questions provided.
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