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Application Information
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Legal Information
Legal Name of the LLC
*
Trade name or DBA of the LLC (optional)
Number of members in the LLC
*
Select the Tax classification of the LLC
*
Individual/Partnership: Not taxed as a separate entity from owner(s)
In which state the LLC was incorporated?
*
Select a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Date entity LLC was started or acquired
Date
*
Closing month of accounting year
*
Managing Member Information
First name
*
Middle name (optional)
Last name
Suffix Name (optional)
Please select
Mr.
Title
*
Please select
Test Title
Select SSN or EIN
*
SSN
EIN
SSN/EIN NUMBER
*
Managing Member Information
Closest reason for applying
*
Please select
For Business
Primary Activity
*
Please select
Test Activity
General questions
Does your business plan to or currently accept Credit Card payments?
*
Yes
No
Does your business plan to pay employees via payroll?
*
Yes
No
Does your business own a highway motor vehicle weighing 55,000 pounds or more?
*
Yes
No
Does your business involve gambling?
*
Yes
No
Does your business sell or manufacture alcohol, tobacco, or firearms?
*
Yes
No
Does your business pay federal excise taxes?
*
Yes
No
Has this LLC ever received or applied for an EIN before?
*
Yes
No
Do you currently have, or plan to hire employees within the next year (not including owners)?
*
Yes
No
Corporate Address (PO Boxes are not authorized)
Address 1
*
Address 2 (optional)
Country
*
Select a country
United States
State *
*
State
City
*
ZIP Code
Do you want to receive your mail at another address?
*
Yes
No
Communication
Phone Number
*
Email address
*
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