FICTITIOUS BUSINESS NAME   tax id bundles   Incorporate    Tax Ids (EINs)    Seller's Permit    Business Licenses

Please Provide All Required Information  ...

Type of Service You Would Like Us to Provide for You:   
$

 

First and Last Name on Credit Card You Will Use to Purchase Service  

   *for order tracking purposes.
Email: 
Cell Phone:
Fax

 

Please provide the following contact information:

We  may need to contact you at your home or office so we can pick up the signed the documents.
         Contac Name For Pick Up Is Same Name As Credit Card Name   Above
          Contac Name For Pick Up Is a NOT the Same As Credit Card Name Above
Contac Name First Name
Contac Name Last Name

Business Questions
When Did  Business  Started?  

Not Started Yet? Click Here
 DBA Doing Business  As Business Name you Want  Registered:   *  
If The Name Above is Taken, What Alternate Name Do You Want File?
   

Business Street  Address*

( NO P.O. Box here)

City

 City

       State & Zip

State  Zip

 

1RST Owner's Name: * Who is filing the legal document?*

 
Owner’s Name or Corporation or LLC Name if incorporated

Residence Address Or Corporation's Address if Incorporated or LLC
   City State  Zip

2ND Owner's Name: * Who is filing the legal document?*

 
Owner’s Name or Corporation or LLC Name if incorporated

Residence Address Or Corporation's Address if Incorporated or LLC
   City State  Zip

3RD Owner's Name: * Who is filing the legal document?*

 
Owner’s Name or Corporation or LLC Name if incorporated

Residence Address Or Corporation's Address if Incorporated or LLC
   City State  Zip

4RTH Owner's Name: * Who is filing the legal document?*

 
Owner’s Name or Corporation or LLC Name if incorporated

Residence Address Or Corporation's Address if Incorporated or LLC
   City State  Zip

 
Type of Ownership:                                        If you have filed a corporation and you are filing a dba under the corporation.   If you are a sole owner, or partnership simply filing a business name, just select sole owner or partnership
*IF CORPORATION,    complete the next questions

  IF NOT A CORPORATION OR LLC, CLICK HERE TO SKIP THIS SECTION
Name of principal officer

Owner, President, Treasurer, Secretary, general partner, grantor, or trustor. 

Corporation Certificate Number-

  If a corporation, please provide the corporation's state identification number

 
State incorporated     

 
Officers SOCIAL SECURITY NUMBER* 

  Owner's OR principal officer's  (IF CORPORATION) SS#   The SS#  is required for the following: Fed, State, Sellers, and Business License:   This is a Secure Website  
Officer's DRIVER LICENSE NUMBER*

Owner's OR OFFICER'S (IF CORPORATION) DRIVER LICENSE NUMBER Need   The  Driver's License # for the following: State tax id (ein), Sellers, and Business License:   This is a Secure Website

 

 

Why Do You Apply for These Legal Document(s)?    *

 

First date employee wages were paid or will be paid*

 If you have no employees, don't worry about this one.

Number of employees

*expected in the next 12 months. Note: If the applicant does not expect to have any employees during the period, enter "-0-."     
Type of Business*

 
Principal type of products sold;  work done; products produced; or services provided.* BE SPECIFIC!!! ABSOLUTELY NECESSARY!! * Example: Selling widgets or computer consulting -

 
Did You Order a State Tax Id )( (Employer Number)         IF YES, CLICK HERE       IF  NOT, CLICK HERE

 
Indicate First Quarter that your employee wages exceed $100   * Provide some date between now and the next three months, even if you are not sure BECAUSE YOU MUST PROVIDE THIS DATE
Will you Be subject to Federal Monthly  or Semi Weekly Deposits?   This is if you are an employer.
EMPLOYER TYPE*

 

DID YOU ORDER A BUSINESS LICENSE  IF YES, CLICK HERE       IF  NOT, CLICK HERE

 
Is This a Home Business ?      *
Approximate / Projected Monthly Gross Sales*  (if unknown, enter an estimated amount)  KEEP LOW, SO YOU PAY LESS TAXES. EXAMPLE: $500 SALES And $100 TAXABLE SALES
Taxable Sales if unknown, enter an estimated amount)  KEEP LOW, SO YOU PAY LESS TAXES. EXAMPLE: $500 SALES And $100 TAXABLE SALES

 

  DID YOU ORDER A SELLERS PERMIT?   IF YES, CLICK HERE       IF  NOT, CLICK HERE

The Questions Below are for Sellers Permit / Resale License Application and are Absolutely Necessary   

Website Address
 

NAME, ADDRESS & TELEPHONE NUMBER OF A PERSONAL REFERENCE. *

 

Must be in state Resident, not living with you

ABSOLUTELY NECESSARY for California!!

NAME, ADDRESS & TELEPHONE NUMBER OF ACCOUNTANT/BOOKKEEPER*

Just enter your name here if you don't have oneABSOLUTELY NECESSARY!! for California

NAME, ADDRESS & TELEPHONE NUMBER OF BUSINESS LANDLORD*  

 Just enter your name here if you are the landlord. but please provide it;   ABSOLUTELY NECESSARY!! for California

 

 
NAME & Approximate address OF BANK OR OTHER FINANCIAL INSTITUTION *

ABSOLUTELY NECESSARY!! for California
NAMES & ADDRESSES OF MAJOR SUPPLIERS ABSOLUTELY NECESSARY!!*  

Just enter a potential supplier or any relevant supplier.  Just do a search on the internet to find ANY relevant one.  Does not have to be a current supplier (enter "Sam's Club"...Anything  ABSOLUTELY NECESSARY!! for California 

 
How Did You Find Us?

What Search Word (s) did you use?


How would you rate our website?

 

bad poor average fair good

 

     AGREEMENT:

  • BY CLICKING ON THE CHECK  BOXES TO THE TERMS BELOW.

    I understand and agree that

    • This form will record the number of my computer

      • as evidence that I submitted this form and

      • agreed to to the agreement below

*You will be charged an  administrative fee of 15%  (minimum $15 and maximum $50) if you cancel your order FOR ANY REASON. 

*  NO REFUNDS AFTER WE SEND YOU THE COMPETED  FORMS BY EMAIL:  There will be no refund After we Email you the completed  Form. I.e., After you  purchase the service, submit  this form  and we complete and  send you the completed form by email.

* NOT LEGAL ADVICE: Neither xkr essex, inc.,  nor any of its employees or agents have provided you with any professional or legal advice.

*  YOU AUTHORIZE US:  You authorize the agents at Xkr Essex, Inc.  to obtain the  legal documents -  tax ids, and business licenses on your  behalf.

  By Typing my name / Signing Below, I Agree and Understand with all the above terms, conditions,  and  statements

Signature:* Please type your signature  Example: if your name is Michael Jackson, type /Michael Jackson/ 

Date:   *      

Copyright © 2004 [XKR ESSEX INC]. All rights reserved.
Revised: 11/12/12