online tax id number

 
Business Information Worksheet



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 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
Primary Owner's
Social Security Number
Primary Owners Date of Birth
Primary Owners Address

For Sole Proprietorship or Partnerships
Primary Owner's
Social Security Number
Primary Owners Date of Birth
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
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

Business Activity Description
 

 

 The information entered on this form will be reviewed by our staff.

Please print a copy and fax to (208) 275-1526 before submitting the form.

Revised: 05/04/12