online tax id number

Business Information Worksheet

 

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The information entered in the following form is used for obtaining a State Resale Tax Certificate and/or a Federal Tax Identification Number.

As certain information may not pertain to your business, not all form fields are required. If you are unsure about a form field, simply enter it to the best of your ability, or, if does not apply, leave the form blank.
 

Please provide the following Contact Information

Contact Information
First Name
Last Name
Phone
E-mail

Please provide the Company Information

Company Name & Classification
Company Name
DBA (Doing Business As)
Type of Entity  

For Corporations, Limited Liability Corporations, or Limited Partnerships
Federal Tax Id Number (EIN )
State of Incorporation
Date of Incorporation

For Sole Proprietorship or Partnerships
Primary Owner's Name
Primary Owners Address
Federal Tax Id Number (EIN )
Date Business Started

Company Contact Information
Business Phone
Alternate Phone
FAX
Company E-mail
URL

Physical Business Address [ cannot be a PO Box ]
Street Address
Address (cont.)
City
County or
Municipality of City
State/Province
Zip/Postal Code

Business Mailing Postal Address [ leave blank if same as above ]
Street Address
Address (cont.)
City
County or
Municipality of City
State/Province
Zip/Postal Code

Primary Owner's Information

Primary Owner's Name
Street Address
Address (cont.)
City
County or
Municipality of City
State/Province
Zip/Postal Code
Primary Owner's
Social Security Number
Primary Owners Date of Birth
Primary Owner's
Home Telephone Number
 

Business Activity Description
 

 

 Please ensure that all necessary fields are completed.
Incomplete submissions will result in processing delays.
All information is stored securely & used only to process your tax id number request.

Revised: 05/04/12