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EIN (Tax ID #) Only – $75
What type of structure is applying for an EIN?
Sole Proprietor
Corporation
Limited Liability Corporation (LLC)
What does your business or organization do?
Construction
Food Service
Transportation
Warehousing
Other
If you selected other:
E-Mail Address:
*
Social Security Number
Name of Sole Proprietor
*
Address
Address Line 2
City
State
Zip Code
Phone Number
Sole Proprietor Name
Trade name/DBA (if different from name)
County where Proprietor is located
State/Territory where Proprietor is located
Sole Proprietor Start Date
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