EIN Application: Limited Liability Company Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Legal Information Legal Name of the LLC *Does the LLC have a DBA?NoYesNumber of members in LLC *In which state the LLC was incorporated? *Please SelectAlabamaChoice 5AlaskaChoice 7ArizonaChoice 9ArkansasChoice 11CaliforniaChoice 13ColoradoChoice 15ConnecticutChoice 17DelawareChoice 19FloridaChoice 21GeorgiaChoice 23HawaiiChoice 25IdahoChoice 27IllinoisChoice 29IndianaChoice 31IowaChoice 33KansasChoice 35KentuckyChoice 37LouisianaChoice 39MaineChoice 41MarylandChoice 43MassachusettsChoice 45MichiganChoice 47MinnesotaChoice 49MississippiChoice 51MissouriChoice 53MontanaChoice 55NebraskaChoice 57NevadaChoice 59New HampshireChoice 61New JerseyChoice 63New MexicoChoice 65New YorkChoice 67North CarolinaChoice 69North DakotaChoice 71OhioChoice 73OklahomaChoice 75OregonChoice 77PennsylvaniaChoice 79Rhode IslandChoice 81South CarolinaChoice 83South DakotaChoice 85TennesseeChoice 87TexasChoice 89UtahChoice 91VermontChoice 93VirginiaChoice 95WashingtonChoice 97West VirginiaChoice 99WisconsinChoice 101WyomingManaging Member Information Name *FirstMiddleLastTitle *— Select Choice —Please SelectCEOExecutorOwnerManaging MemberManaging Member/OwnerPresidentOtherSocial Security Number *0 of 11 max charactersActivity Closest reason for applying *— Select Choice —Please SelectStarted New BusinessHired EmployeesBanking PurposesChanged Type of OrganizationPurchased Business (not Has applied Primary Activity *— Select Choice —Please SelectConstructionReal EstateRental & LeasingManufacturingTransportation & warehousingFinance & InsuranceHealth care & Social AssistanceAccommodation & Food ServiceWholesale-agent/BrokerWholesale-OtherRetailOtherGeneral questions Does your business own a highway motor vehicle weighing 55,000 pounds or more?NoYesDoes your business involve gambling?NoYesDoes your business sell or manufacture alcohol, tobacco, or firearms?NoYesDoes your business pay federal excise taxes?NoYesHas this LLC ever received or applied for an EIN before?NoYesDo you currently have, or plan to hire employees within the next year (not including owners)? *NoYesCorporate Address (PO Boxes are not authorized) Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDates Date entity was started or acquired *Closing month of accounting yearPlease Select JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberApplicants Contact Information Mobile Phone Number *Email *Submit
