Home

Church Information

Name *

Trade Name / DBA *

Reason for applying *

Product or Services *

Please Specify *

Organization Formed In:

* Select only if it applies to your business

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 do you expect to have, any employees who will receive Forms W-2 in the next 12 months?

Church Address (No PO Boxes)

Address *

City *

State *

Zip Code *

Country *

Mailing Address (PO Boxes Allowed)

Mailing address different than Business address?

Address *

City *

State *

Zip Code *

Country *

Is this entity owned by another business?

Responsible Party Information

First Name *

Middle Name

Last Name *

Suffix (Jr, Sr, etc.)

Social Security Number *

Verify SSN *

State/Territory where articles of organization are (or will be) filed:

Dates

Approximate date business was started or acquired

Closing Month of Accounting Year

Contact Information

Phone Number *

Email *

Verify Email *

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 GovTotal 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.

Important Note: To continue to step 3 of your application you must fill out all fields in the application above.