EIN / Tax ID Application Form

Legal name:

DBA:

Number of Members:

State of Incorporation:

Tax Classification:

First name:

Middle name:

Last name:

Suffix:

Title:

SSN (Social Security Number):

Closest Reason for Applying:

Primary Activity:

Does your business own a highway motor vehicle weighing 55,000 pounds or more?

Does your business involve gambling?

Does your business sell or manufacture alcohol, tobacco, or firearms?

Does your business pay federal excise taxes?

Has this LLC ever received or applied for an EIN before?

Do you currently have, or plan to hire employees within the next year (not including owners)?

Country:

State:

City:

Address:

ZIP code:

Mailing address same as physical?

Mailing country:

Mailing state:

Mailing city:

Mailing address:

Mailing ZIP code:

Date entity was started or acquired:

Closing month of accounting year:

Phone Number:

Email Address: