EIN Registry | EIN / Tax ID Application Support

Limited Liability Company (LLC) Information

Legal Name of the LLC *

Does this LLC have a 'Doing-Business-As' or 'DBA' name? *

YesNo

How many members are in the LLC? *

In which state was the LLC organized? *

Responsible Party Information

First Name *

Middle Name

Last Name *

Suffix

Title *

Social Security Number *

Sensitive field

Please confirm the SSN is accurate. SSN values are not saved in browser storage in this prototype.

Tell Us More About Your Business

Closest Reason for Applying *

Primary Business Category *

General Questions

Business Address

PO Boxes are not allowed.

Address *

Apt, Suite Number, etc.

City *

State *

Zip Code *

County *

Do you have an address different from the above where you want your mail to be sent? *

YesNo

Dates

Date the LLC was organized *

Closing month of accounting year *

Applicant Contact Information

Mobile Phone Number *

Email Address *

Client Agreement

By checking this box, I represent and warrant that all of the information provided above is accurate and complete. I authorize My Ein Registry 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 on my behalf. I agree to the Privacy Policy, Terms of Service, and SMS Policy, and I provide my express written consent to receive automated text messages (SMS) from My Ein Registry at the mobile number I provided, for informational and marketing purposes, including updates regarding my order. Message frequency varies. Message and data rates may apply. Reply HELP for help and STOP to cancel. Consent is not a condition of purchase. Please refer to our Privacy Policy, Terms of Service, and SMS Policy.

Your Signature *

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