Back Office Desk

Contact Information

First Name

Last Name

Email

Phone

Title / Role

Entity Information

Legal Name of Entity

DBA / Trade Name

Care Of Name

Entity Type

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP / Postal Code

Country

Physical Business Address

Is the physical business address the same as the mailing address?

YesNo

Responsible Party

Responsible party generally means the individual who ultimately owns or controls the organization, or who exercises ultimate effective control over it.

Do not enter a Social Security Number or ITIN in this form. Back Office Desk will request any required taxpayer identification information separately through a secure method.

Responsible Party Full Name

Responsible Party Role / Title

Reason for Applying

Why are you applying for an EIN?

Business Dates & Accounting Year

Date Business Started or Acquired

Fiscal Year-End Month

Employees

Do you expect to have employees in the next 12 months?

YesNoNot Sure

Principal Business Activity

Primary Business Activity

Describe the main products, services, or business activities

Previous EIN

Has this entity ever applied for or received an EIN before?

YesNoNot Sure

Authorization to Assist With EIN Application

By submitting this form, you authorize Back Office Desk LLC ("Back Office Desk") to use the information you provide to assist with preparing your EIN application and, where permitted and appropriate, to act as a third-party designee in connection with completion of the application.

I authorize Back Office Desk to assist with my EIN application as described above.

Accuracy Confirmation

I confirm that the information I have provided is accurate and complete to the best of my knowledge.

EIN Application Information