Client Questionnaire For Forming An Entity Page 3

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SECOND ENTITY (if applicable)
Type of Entity (circle one):
Corporation
LLC
LP
How Taxed (circle one):
C-Corp
S-Corp
Partnership
Non-Profit
Sole Proprietorship
Purpose of Entity:
________________________________________________
Choice of Entity Name No. 1:
__________________________________________
Choice of Entity Name No. 2:
__________________________________________
Choice of Entity Name No. 3:
__________________________________________
Business Address:
________________________________________________
(if different from
Client’s address above):
________________________________________________
Initial Owners:
_____ Same as First Entity OR
Name:
_______________________________ Percent Owned: _____%
Name:
_______________________________ Percent Owned: _____%
Name:
_______________________________ Percent Owned: _____%
Name:
_______________________________ Percent Owned: _____%
Initial Directors/Managers:
_____ Same as First Entity OR
Name:
_______________________________
Name:
_______________________________
Name:
_______________________________
Name:
_______________________________
Officers:
_____ Same as First Entity OR
President:
_______________________________
VP:
_______________________________
Secretary:
_______________________________
Treasurer:
_______________________________

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