Publication 1635 - Understanding Your Employer Identification Numbers Page 16
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32Line 12
Enter the date the business began or will begin to pay wages to employees. If you
have no employees, enter N/A.
Line 13
Enter the highest number of employees expected in the next 12 months. If none, enter
0.
Line 14
Check the type of business you operate (i.e., advertising agency, real estate agency, etc.) If
none of the boxes describe your businesses, check “Other” and specify.
Line 15
Enter the principal line of merchandise sold, specific construction work done, products
sold, or services provided.
Line 16a:
Check “Yes” or “No” to whether or not you have ever applied for an EIN.
If you checked “No”, skip to Third Party Designee.
If you checked “Yes”, go to 16b and 16c.
Line 16b
If you checked “Yes” on 16a (Prior EIN), enter applicant’s legal name and trade name
shown on prior application if different from line 1 or 2 of Form SS-4.
Line 16c
If you checked “Yes” on Line 16a, give the date when the application was filed and
the city and state where it was filed. Enter previous EIN if known.
Complete only if Third Party Designee only if you want to authorize the named individual to
receive the EIN and answer questions about the completion of the application.
Name and Title: Print your name and title.
Telephone Number: Enter the telephone number where we can reach you if we have questions
about your application.
Signature is needed only if third party is designated.
2. Corporation
Line 1
Always enter the corporate name as it appears on the corporate charter. (If only
the corporation name is changing, the corporation does not need a new EIN.)
Line 2
Always enter Doing Business as (DBA) name.
Line 3
In-Care-Of line: If you have a designated person to receive your EIN information
write their name on this line. If none, enter N/A.
Line 4a Enter corporation mailing address.
Line 4b Enter your city, state and zip code.
Lines 5a and 5b Enter the business’ physical location only if different from lines 4a and 4b.
Line 6
Enter the county and state where principal business is located.
Line 7a Enter the first name, middle initial, and last name of the corporation’s principal officer.
Line 7b Enter Social Security Number (SSN) of the officer shown on Line 7a.
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Parent category: Financial