Blank Contract Legal Forms

APPLICATION FOR EMPLOYER IDENTIFICATION NUMBER

To be filed with Internal Revenue Service

1. Name (true name as distinguished from trade name):

EXETOR COMPANY ¹

2. Trade Name, if any (Name under which business is operated, if different from item 1):

N/A ²

3. Social Security Number, if sole proprietor:

N/A ³

4. Address of principal place of business (Number and Street):

123 Main Street ⁴

City and State Zip

Chicago, Illinois ⁴ 38167 ⁴

5. Ending Month of accounting year:

December 31 ⁵

6. County of Business Location:

Cook County ⁶

7. Type of Organization:⁷ __ Individual __ Trust __ Partnership

__ Other __ Governmental __ Nonprofit _X_ Corporation

8. Date you acquired or started this business (Mo., day, year):

April 1, 2006 ⁸

9. Reason for applying:⁹

_X_ Started New Business __ Purchased Going Business __ Other

This is not a substitute for legal advice. An attorney must be consulted.
Copyright Š1994 - 2009 by LAWCHEK, LTD.

10. First date you paid or will pay wages for this business (Mo., day, year):

May 1, 2006 ¹⁰

11. Nature of Business:

Engaging in real estate acquisitions with the principal interest on nursing homes and care facilities.¹¹

12. Do you operate more than one place of business?¹²

_X_ Yes __ No

13. Peak number of employees expected in next 12 months (If none, enter "0"):¹³

__1__ Nonagricultural _0___ Agricultural _1___ Household

14. If nature of business is manufacturing, state principal product and raw material used:

N/A ¹⁴

15. To whom do you sell most of your products or services?¹⁵

____ Business establishments __X__ General Public ____ Other

16. Have you ever applied for an identification number for this or any other business?¹⁶

____ Yes __X___ 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:

January 3, 20077¹⁷ Exetor President, President¹⁷ (555) 316-9999¹⁷

This is not a substitute for legal advice. An attorney must be consulted.
Copyright Š1994 - 2009 by LAWCHEK, LTD.

The form above is an example of how a typical form for the Application for Employer Identification Number may be completed.

2. Oftentimes companies use trade names, and although the application has a place for the trade name, appropriate protection of a trade name should be sought through legal counsel. Protection is generally accorded by an appropriate filing with the Secretary of State or some other public official.

4. This is self-explanatory and should include an address where mail may be received. It is not recommended to be a post office box.

5. The reason the month is important is due to the fact that many times corporations are on a fiscal rather than a calendar year. Therefore, the date of ending the fiscal year is necessary in blank 5.

11. It is not necessary to have a detailed explanation of the nature of the business; however, the basic nature of the business should be described for the federal authorities due to taxing purposes.

13. Three options are provided which are self-explanatory. Each has a blank for the indicated type of employee.

17. Be certain that the form is signed and appropriately dated and submitted to the IRS.

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