EIN Request

Limited Liability Company (LLC) EIN Application

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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 *

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Tell Us More About Your Business

Closest Reason for Applying *

Primary Business Category *

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 confirm the information above is accurate and complete, and I authorize Submit My Ein to act as my Third Party Designee under Form SS-4 to request and receive an EIN from the IRS on my behalf. I agree to the Privacy Policy, Terms, and SMS Policy, and I give express written consent to receive automated text messages from Submit My Ein at the number provided, including order updates and occasional marketing. Message frequency varies; message and data rates may apply. Reply HELP for help, STOP to cancel. Consent isn’t required to purchase — see our Privacy Policy, Terms, and SMS Policy for details.

Your Signature *

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