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EIN Questionnaire

Legal Information

Legal Name of the Business *

Legal Name of the Business *

Entity Type

Entity Type

Trade Name / DBA (optional)

Trade Name / DBA (optional)

State Organized *

State Organized *

Principal Officer Information

First Name *

First Name *

Middle Name (optional)

Middle Name (optional)

Last Name *

Last Name *

Title

Title *

Suffix (optional)

Suffix (optional)

Social Security Number *

Social Security Number *

Activity

Reason for applying

Reason for applying *

Primary Activity

Primary Activity *

General Questions

Does your business plan to or currently accept Credit Card payments?

NoYes

Does your business plan to pay employees via payroll?

NoYes

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

NoYes

Does your business involve gambling?

NoYes

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

NoYes

Does your business pay federal excise taxes?

NoYes

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

NoYes

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

NoYes

Is your corporation/LLC based outside of the US? If so, which country is it based out of?

NoYes

Country

Country

Business Address

Business Address (Cannot be PO Box)

Business Address (Cannot be PO Box)

Check this box if your mailing address is different than your physical address

Dates

Month Started

Month Started

Day Started

Day Started

Year Started

Year Started

Accounting Year End

Accounting Year End

Applicants Contact Information

Mobile Phone Number *

Mobile Phone Number *

Email Address *

Email Address *

Client Agreement *

By checing this box, I represent and warrant that all of the information provided above is accurate and complete. I authorize Business Mapping Technologies Inc. to act as a 'Third Party Designee' as described in the instructions to Form SS-4 to apply for and receive the Employer Identification Number from the IRS. I agree to the Privacy Policy and Terms and Conditions of service and to receive text message updates regarding my order.

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