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SS-4 Form

SS-4

Step 1 of 2

50%

- Email*
- General Information
- 1. Legal name of entity (or individual) for whom the EIN is being requested
- 2. Trade name of business (if different from name on line 1)
- 3. Executor, administrator, trustee, “care of” name
- Mailing Address
- Mailing address (room, apt., suite no. and street, or P.O. box)
- City, state, and ZIP code (if foreign, see instructions)
- Is your street/home address different from your mailing address?
  - Yes
  - No
- Street address (if different) (Don’t enter a P.O. box.)
- City, state, and ZIP code (if foreign, see instructions)
- 6. County and state where principal business is located
- 7a. Name of Responsible Party
- 7b. SSN, ITIN, or EIN
- 8a. Is this application for a limited liability company (LLC) (or a foreign equivalent)?
  - Yes
  - No
- 8b. If 8a is “Yes,” enter the number of LLC members
- 8c. If 8a is “Yes,” was the LLC organized in the United States?
  - Yes
  - No
- 9a. Type of entity
- Sole Proprietor SSN
- Enter corporation form number to be filed
- Specify other nonprofit organization
- Specify other entity type
- Social Security Number of decedent (SSN)
- Plan Administrator TIN
- TIN of grantor
- If a corporation, name the state or foreign country (if applicable) where incorporated
- 9b. State
- 9b. Foreign Country
- Hidden
  Section Break
- 10. Reason for applying
- Type of Business
- Specify other reason
- Specify banking purpose
- Specify new type of organization
- Specify type of trust
- Specify type of pension plan
- 11. Date business started or acquired (month, day, year)
  MM slash DD slash YYYY
- 12. Closing month of the accounting year
- 13. Highest number of employees expected in the next 12 months (enter -0- if none). If no employees expected, skip line 14.
- Agricultural
- Household
- Other
- 14. Check this box if you expect your employment tax liability to be $1,000 or less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly. If you don’t check this box, you must file Form 941 for every quarter
  - 14. Check this box if you expect your employment tax liability to be $1,000 or less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly. If you don’t check this box, you must file Form 941 for every quarter
- 15. First date wages or annuities were paid (month, day, year). Note: If applicant is a withholding agent, enter date income will first be paid to nonresident alien (month, day, year)
  MM slash DD slash YYYY
- 16. Select one box that best describes the principal activity of your business.
- Specify principal activity of your business
- 17. Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided.
- 18. Has the applicant entity shown on line 1 ever applied for and received an EIN?
  - Yes
  - No
- Write previous Employee Identification Number (EIN):
- Third Party Designee
- Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS?
  - Yes
  - No
- Designee's Full Name
- Designee's Phone Number
- Designee's Fax Number
- Designee's Address
- Address and ZIP code
- Hidden
- Sign Here
- Print your name here
- Print your title here
- Date
  MM slash DD slash YYYY
- Applicant's Phone Number
- Applicant's Fax Number
- PDF Preview

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SS-4 Form
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