EIN Information Request Form

Contact Information
Names and Surnames*
First Middle Last
Country Phone Area Code*
Phone*
Nationality*
Email*
Enter Email Confirm Email
Status*
- I'm US Citizen or US resident
- I'm NON-US citizen or resident
Do you have a SSN?*
- Yes
- No
Type of the Entity*
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Company Information
Business Name*
Please enter the Legal name of the Entity
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Partnership Information
Name of the Partnership*
Please enter the Legal name of the Entity
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Church Organization
Name of the Church Organization*
Please enter the Legal name of the Entity
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Non-Profit Organization
Name of the Organization*
Please enter the Legal name of the Entity
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Type of the Non-Profit*
Specify Organization Type*
Trust Information
Name of the Trust*
Type of Trust*
Corporation Information
Name of the Corporation*
Please enter the Legal name of the Entity
Trade Name / DBA (Optional)
Please enter the trade name of the business.
Additional Details
Which State was the LLC Organized In?*
Exact Number of LLC Members*
Taxation of the LLC*
- Individual/Partnership: Not taxed as a separate entity from owner(s).
- S-Corporation: Planning to elect an S-Corporation tax structure.
- Corporation: LLC is planning to elect a Corporation tax structure.
What Country was the Organization formed in?*
What State was the Organization formed in?*
What State was the Corporation Formed In?*
State/Territory where Estate is probated
County where Estate is probated (Please write the county name)
Reason for Applying*
Please select the reason that best describes why you are applying for a EIN Number.
Principal Business Activity*
Please enter the principle activity of your business. (Products or services)
Other Activity*
Specific Products/Services*
Certificate of Formation or Article of Organization*
Drop files here or
Accepted file types: jpg, pdf.
Certificate of Incorporation*
Drop files here or
Accepted file types: jpg, pdf.
Certificate of Incorporation*
Drop files here or
Accepted file types: jpg, pdf.
Certificate of Incorporation*
Drop files here or
Accepted file types: jpg, pdf.
Certificate of Partnership*
Drop files here or
Accepted file types: jpg, pdf.
Certificate of Non-Profit
Drop files here or
Accepted file types: jpg, pdf.
If you are individual please skip this step
Certificate of Church Organization
Drop files here or
Accepted file types: jpg, pdf.
General Questions
- Does your business own a highway motor vehicle weighing 55,000 pounds or more?
- Does your business involve gambling?
- Does your business sell or manufacture alcohol, tobacco, or firearms?
- Does your business pay federal excise taxes?
- Has the entity at the top of this form applied for an EIN (Tax ID) before?
- Do you have or expect to have an employee within 12 months, excluding owners?
Previous EIN Number
Previous EIN Number
Employee Information
Do you expect to pay less than $4,000 in wages over the next calendar year?*
- Yes
- No
Number of Agricultural Employees*
Number of Household Employees*
Number of Other Employees*
Date when first wages were or will be paid?*
Date Format: MM slash DD slash YYYY
Estate/Deceased Individual Information
Names and Surnames
First Name of Deceased Middle Name of Deceased Last Name of Deceased
SSN
Confirm SSN
Suffix (Jr, Sr, etc.)
General Partner Information
Names and Surnames*
First Middle Last
SSN*
Confirm SSN*
Suffix (Jr, Sr, etc.)
Title*
Owner/Individual Information
Names and Surnames*
First Middle Last
Confirm SSN
Confirm SSN
Suffix (Jr, Sr, etc.)
Title
Title
Responsible Party Information
Names and Surnames*
First Middle Last
SSN*
Confirm SSN*
Suffix (Jr, Sr, etc.)*
Title
Principal Officer Information
Names and Surnames*
First Middle Last
SSN*
Confirm SSN*
Suffix (Jr, Sr, etc.)
Title
Executor/Personal Representative
Names and Surnames*
First Middle Last
SSN*
Confirm SSN*
Suffix (Jr, Sr, etc.)
Title*
Grantor / Creator Information
Names and Surnames*
First Middle Last
SSN*
Confirm SSN*
Suffix (Jr, Sr, etc.)
Trustee Information
Names and Surnames*
First Middle Last
Title
Address Details
- Mailing address different than Business address?
Business Address (No PO Box)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address (PO Boxes Allowed)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates
Approximate date business was started or acquired*
Date Format: MM slash DD slash YYYY
Closing Month of Accounting Year*
Consent*
I have read and understand the Terms & Conditions, and Privacy Policy of this website. I agree that information I have provided is truthful and accurate. I hereby authorize delawareagency.com to act with Limited Power of Attorney to receive my EIN (Tax ID), as well as contact me regarding any additional information the submitted application my require.*

EIN Information Request Form

EIN Information Request Form

Contact Information

Company Information

Partnership Information

Church Organization

Non-Profit Organization

Trust Information

Corporation Information

Additional Details

Employee Information

Estate/Deceased Individual Information

General Partner Information

Owner/Individual Information

Responsible Party Information

Principal Officer Information

Executor/Personal Representative

Grantor / Creator Information

Trustee Information

Address Details

Dates