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Estate/Deceased Individual Information

First Name *

Middle Name

Last Name *

Suffix (Jr, Sr, etc.)

Social Security Number *

Verify SSN *

Executor/Personal Representative 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?

Trust filing as an Estate under Sec. 645 (check if yes)

Managing Member Information

First Name *

Middle Name

Last Name *

Suffix (Jr, Sr, etc.)

Social Security Number *

Verify SSN *

Title *

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.