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LLC - TAXIDEIN.COM

Limited Liability

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LLC INFORMATION

LLC Legel Name :

Trade Name / DBA :

Number Of LLC Members

Are the members husband and wife? :

Yes No

Taxation of the LLC :

Individual/Partnership: Not taxed as a separate entity from owner(s).
S-Corporation: Planning to elect an S-Corporation tax structure.
Corporation: LLC is planning to elect a Corporation tax structure.

RESPONSIBLE PARTY INFORMATION

First Name :

Middle Name :

Last Name :

Suffix :

Social Security :

Confirm Social Security :

BUSINESS INFORMATION (NO PO BOXES)

Address :

Zip :

City :

State :

Country :

Phone :

Mailing Address is Different from the Above Address

MAILING ADDRESS

Address :

Zip :

City :

State :

Country :

Phone :

Date of Business Started

Month :

Year :

ABOUT THE ENTITY

Reason for Applying :

Primary Activity :

Describe Activity :

State/Territory where articles of organization are (or will be) filed:

Does your business own a highway motor vehicle with a taxable gross weight of 55,000 pounds or more?

Yes No

Does your business involve gambling/wagering?

Yes No

Does your business need to file Form 720 (Quarterly Federal Excise Tax Return)?

Yes No

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

Yes No

Do you have, or do you expect to have, any employees who will receive Forms W-2 in the next 12 months excluding owners?

Yes No

Do you expect your employment tax liability to be $1,000 or less in a full calendar year (January-December)(check if yes)?

Number of OR expected number of Agricultural Employees:

Number of OR expected number of Other Employees:

First date wages were/will be paid:

Month :

Year :

ADDITIONAL INFORMATION

Will your business be required to set up payroll and HR compliance within the first 6 months?

Yes No

Does your business plan on taking credit card payments above $5,000 a month?

Yes No

Does your business foresee requiring a business loan or other financing within the first 6 months?

Yes No

EIN RECIPIENT DETAILS

EIN Recipient Name :

EIN Recipient Email :

EIN Recipient Phone :

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