LIMITED LIABILITY COMPANY

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LIMITED LIABILITY COMPANY

LLC Information:

Managing Member Information:

Business Address (no po boxes):

entity owned by anorder business:

Other mailing address:

Dates:

additional information:

Does your business own a highway motor vehicle with a taxable gross weight of 55,000 pounds or more?
Does your business involve gambling/wagering?
Does your business need to file Form 720 (Quarterly Federal Excise Tax Return)?
Does your business sell or manufacture alcohol, tobacco, or firearms?
Do you have, or do you expect to have, any employees who will receive Forms W-2 in the next 12 months?
Has the applicant entity ever applied for and received an EIN?
Do you focus on a single construction trade (concrete, framing, glass, roofing, siding, electrical, plumbing, HVAC, flooring, etc.)?
Please choose one of the following that best describes your primary business activity:
Please choose one of the following that best describes your primary business activity:
Does your establishment include medical practitioners having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy)?:
Please choose one of the following that best describes your primary business activity:
Please choose one of the following that best describes your primary business activity:
Please specify the type of goods that you manufacture and the primary materials used
Please choose one of the following that best describes your primary business activity:
Please choose one of the following:
Please choose one of the following:
Please choose one of the following:
Please choose one of the following that best describes your primary business activity:
Do you primarily transport cargo or passengers?
Do you own or take title to the goods that you sell?
Do you receive a commission or fee from selling these goods?

customer agreement:

EIN/TAX ID RECIPIENT INFORMATION

*Please provide the information of the person who you want to receive the EIN Number via e-mail. If we need additional information for your application, this will be the person who will be contacted.
*Please review that you have submitted the correct e-mail address where you would like to receive your EIN. Upon completion of your application, irs-ein-gov.us will e-mail the EIN number to this e-mail address.