LLC Formation Questionnaire

Please use the following form to provide your LLC information to us.

*Information submitted via this form is encrypted and will not be transmitted via email.

I. Organizer
Your contact information.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
II. Business
Your LLC's information
Business name (first choice)*
Business name (second choice)
DBA or trade name
State of incorporation*
Address (if different from Organizer's address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
General description of the business in which the LLC will engage*
III. Registered Agent
The person or entity who will accept service of process in the state
Name (if different from Organizer)
Address (if different from business address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
III. Responsible Party
The person or entity responsible for ensuring tax compliance with the IRS.
Name (if different from Organizer)
Tax ID (SSN or EIN) of the Responsible Party*
IV. Members
Number of members*
Full names and addresses of all members*
V. Information Needed for State Licenses
Peak number of employees expected in the next 12 months
Number of business locations
County of principal location
Have you ever held a business license in this location before?
- Yes
- No
Most of the products or services will be sold to
- Businesses
- General public
Estimated gross annual income
- $0 - $12,000
- $12,001 - $28,000
- $28,001 - $60,000
- $60,001 - $100,000
- $100,001 and above
Bank name and city
VII. Misc
*Optional*
Other important factors particular to your business

LLC Formation Questionnaire

Please use the following form to provide your LLC information to us.

I. Organizer

II. Business

III. Registered Agent

III. Responsible Party

IV. Members

V. Information Needed for State Licenses

VII. Misc