What Else Do I Need to Start a Business
|
Federal
Employer
Identification
Number
|
*
=
Required
|
- Legal name of entity (or individual)
- for whom the EIN is being requested
|
|
Trade name of business (if different from name above)
|
|
Address
No P.O. Box
|
|
Address (cont.) |
|
City
|
|
State/Province |
|
Zip
|
|
County where principal place of business is
located |
|
Officer ,
Partner or Individual / Owner's Name
|
|
Officer, Partner or Individual / Owner's
SSN,
ITIN, or EIN
NOTE:*
SOCIAL SECURITY # IS REQUIRED YOU WILL NOT BE ABLE TO SUBMIT THE FORM IF YOU
DON'T PROVIDE IT.
|
* |
Ownership Type
|
* |
Other Type of
ownership: Specify
|
|
If a Corporation, enter the
tax
form #
you
will file taxes for this entity (if known
)
|
Back to Top |
-
Usually the reason is because
-
you started a new business
(note: provide date you started or will start below)
|
* |
DATE BUSINESS WILL START, IT HAS STARTED, OR WILL BE ACQUIRED |
*
* |
SPECIFY TYPE OF BUSINESS
Example: barber shop |
If Corporation Enter
State |
|
|
|
If you are
applying because you Changed
type of organization (specify new type)
|
|
-
If you are a corporation, Enter
Closing Month of Accounting Year
-
Normally this month is December
|
Back to Top |
|
|
-
Highest number of
employees
-
expected in the next 12 months.
IF YOU HAVE EMPLOYEES, ENTER
Date wages paid or will be paid above
|
* |
-
If you entered a number of employee(s) above,
please enter the
First date wages or
annuities
-
were paid or will be paid
|
* |
TYPE
OF BUSINESS |
|
If "other" Specify:
|
|
-
Indicate Principal type of merchandise sold;
Construction
-
work done; products produced; or services
provided.
|
Back to Top |
-
Has the applicant ever applied for an employer
-
identification number for this or any other business?
|
|
-
If yes, complete items 16b, 16c, if different
than your current legal or trade name
|
-
16 b - If
you checked "Yes" on line ABOVE,
-
- Give
applicant's legal name, AND
|
|
16 c - give applicants trade name
|
|
-
16c Approximate date when, and city and state
where ,
-
the application was filed.
|
|
Enter
previous employer identification number if known.
|
|
City in which you filed the tax id
|
|
and State
|
Back to Top |
Comments: |
|
* Phone
|
* |
* FAX
|
|
*E-mail |
|
Credit Card Last Name
|
(for order tracking)
i.e. the name on the credit card you will use
|
PLEASE RE- Enter
Email
|
*
Back to Top |
|
PLEASE NOTE:
BEFORE WE PROCESS YOUR APPLICATION
YOU MUST READ, UNDERSTAND AND AGREE TO THE TERMS BELOW
|
-
You understand that
the government
does not charge money to issue these tax id
NUMBERS
BUT you are are hiring us to obtain it for you
because we know what forms to file and where and how
to file it.
By Checking the Box
Below, I Agree with and Understand the statement that
I choose to hire xkr essex, inc, to obtain AN
EMPLOYER NUMBER FOR ME
-- because xkr essex knows what
forms to file, where to file them and how to file
them.
.
Thus, BY CHECKING THE BOX BELOW I HIRE AND
authorize xkr essex, inc, to obtain the federal
tax id number EIN on my behalf..
|
I
UNDERSTAND THAT I COULD OBTAIN THIS NUMBER MYSELF FROM
THE GOVERNMENT BUT BY CHECKING THE BOX BELOW, I
CHOOSE TO HIRE XKR ESSEX, INC TO HANDLE THIS
MATTER ON MY BEHALF. |
*
|
|
By Checking the Box
Below, I Agree with and Understand the statement on
the left |
*
|
|
By Checking the Box
Below, I Agree with and Understand the statement on
the left |
*
|
-
Not
LEGAL ADVICE: Neither xkr essex,
inc., nor any of its employees or agents have
provided you with any professional, legal or financial
advice, and that
|
By Checking the Box
Below, I Agree with and Understand the statement on
the left |
*
|
|
By Checking the Box
Below, I Agree with and Understand the statement on
the left |
*
|
BY ENTERING MY SIGNATURE ON THE FIELDS, I UNDERSTAND
AND AGREE WITH ALL THE ABOVE TERMS AND STATEMENTS:
|
By Typing my name / Signing Below, I
Agree and Understand with all the above terms and statements |
|
Signature:* |
Please
type your signature
Example: if your name is Michael Jackson, type
/Michael
*
Jackson/
|
Date:
*
|
or just print, sign and mail to :
Xkr Essex, Inc. 2911 E. Vista St. #C Long Beach, Ca
90803. |
|