Publication 1635 - Understanding Your Employer Identification Numbers Page 17
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32Line 8a
Type of Business: Check either “Personal Service Corporation” or
“Corporation”. If you check “Corporation”, write in the type of corporate tax
returns that you will be filing (See CORPORATION under Chapter III,
Information by type of Business Entity, for the types of corporate returns.)
Line 8b
Enter the name of the state or foreign country where the business was
incorporated.
Line 9
Reason for applying. Check only one box. Do not enter N/A.
Line 10
Enter the date the business was started or acquired.
Line 11
Enter the month the corporate accounting year ends.
Line 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 you expect to have in the next 12 months. If
none enter 0.
Line 14
Check the box that best describes the principal activity of the business. If none of
the boxes describe your business, 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 applied for an EIN.
If “Yes”, complete lines 16b and 16c.
If “No”, skip 16b and 16c.
Line 16b If you checked “Yes” on 16a, 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.
CompleteThird 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 the name and title (i.e., owner, president, vice-president, etc.) of the
individual signing the Form SS-4. Sign and date.
Telephone Number: Enter the telephone number where we can reach you if we have questions
about your application.
Note: If you wish to become a small business corporation, you must file Form 2553, Election by a Small
Business Corporation.
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