Federal EIN Number Application for LLC

Contact Information (Fields with * are required)

Email: *

Telephone Number:

1. Legal name of entity (or individual) for whom the EIN is being requested *

2. Trade name of business (if different from name on line 1)

3. Executor, administrator, trustee, “care of” name

4a. Mailing address (room, apt., suite no. and street, or P.O. box)

4b. City, state, and ZIP code

5a. Street address (if different)

(Don’t enter a P.O. box.)

5b. City, state, and ZIP code

6. County and state where principal business is located

7. Name of responsible party

8. Type of entity (check only one box)

Sole proprietor

Partnership

Corporation

9. Reason for applying

Check only one box & specify below

Started new business (specify type)

Hired employees

Compliance with IRS withholding regulations

Banking purpose (specify purpose)

Changed type of organization (specify new type)

Purchased going business

Created a trust (specify type)

Created a pension plan (specify type)

Other (specify)

Please specify here:

10. Date business started or acquired

11. Closing month of accounting year

12. Do you have employees or will you be hiring them within the next 12 months?

Yes

If yes, First date wages were paid

13. Check one box that best describes the principal activity of your business.

Construction

Real Estate

Rental & Leasing

Manufacturing

Transportation & Warehousing

Finance & Insurance

Health Care & Social Assistance

Accommodation & Food Service

Wholesale-Agent/Broker

Wholesale-Other

Retail

Other (specify)

If other, please specify here

14. Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided.

15. Has the applicant entity shown on line 1 ever applied for and received an EIN?

Yes

If “Yes,” write previous EIN here

16. Please provide your Social Security Number or you may call us 405-743-0337 to securely submit your SSN after completing this form.

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

Yes

18. Does your business involve gambling/wagering?

Yes

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

Yes

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

Yes

21. Do you have, or do you expect to have, any employees who will receive Forms W-2 in the next 12 months? (Forms W-2 require additional filings with the IRS.)

Yes