S Corporation Information Form

Complete This Form with the Information Requested

This gives us the necessary information to begin your paperwork.

Incorporation

Name (1st Choice):

Name (2nd Choice):

Name (3rd Choice):

Package Type

State of Formation:

Company Information

Contact Name:

Contact Address:

Contact City, State, and Zip Code:

Contact Email:

Contact Phone Number:

Legal Information

Company's Legal Address:

Legal Address City, State, & Zip Code:

Shipping Address:

Shipping Address City, State, & Zip Code:

Principal Business Activity:

Company Shares

Common

Number Authorized:

Par Value (enter decimal places):

Preferred

Number Authorized:

Par Value (enter decimal places):

Director Information

Director Name:

Director Address:

Director Name:

Director Address:

Director Name:

Director Address:

Director Name:

Director Address:

Officer Information

Officer Name:

Officer Address:

Officer Name:

Officer Address:

Officer Name:

Officer Address:

Officer Name:

Officer Address:

EIN Obtainment (Complete Package Only):

Name of Officer (as listed on tax return):

Officer’s SSN or ITIN:

State Specific Information:

Will you be operating your business in more than one state? Yes No

If yes, what other states? (Hold Ctrl key to select multiple)

Conclusion

Any Questions or Comments?

If so, enter them here:

Are you a real person?

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