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APPLICATION
FOR EMPLOYER IDENTIFICATION NUMBER To
be filed with Internal Revenue Service 1.
Name (True name as distinguished from trade name):
2. Trade Name, if any (Name under which business is operated, if different from item 1):
3.
Social Security Number, if sole proprietor
4.
Address of principal place of business (Number and
Street):
(City and State)
(Zip)
5.
Ending Month of accounting year
This
is not a substitute for legal advice. An
attorney must be consulted. |
|
6.
County of Business Location
7.
Type of Organization: __ Individual
__ Trust
__ Partnership
__ Other
__ Governmental __ Nonprofit
__ Corporation
8.
Date you acquired or started this business (Mo., Day,
Year)
9.
Reason for applying
__ Started New Business
__ Purchased Going Business
__ Other
10.
First date you paid or will pay wages for this business (Mo.,
Day, Year):
11.
Nature of Business
This
is not a substitute for legal advice. An
attorney must be consulted. |
|
12.
Do you operate more than one place of business?
__ Yes
__ No
13.
Peak number of employees expected in next 12 months (If none,
enter "0")
____ Nonagricultural
____ Agricultural
____ Household
14. If nature of business is manufacturing, state principal product and raw material used:
15.
To whom do you sell most of your products or services?
____ Business Establishments
____ General Public
____ Other
16.
Have you ever applied for an identification number for this or
any other business?
____ Yes
_____ No
If yes, enter name and trade name.
Also enter approx. date, city, state where you applied
and previous number if known:
Date:
Signature and Title:
Telephone:
This
is not a substitute for legal advice. An
attorney must be consulted. |
This is not a substitute for legal
advice. An
attorney must be consulted.
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