Publication 1635 - Understanding Your Employer Identification Numbers Page 19

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Name and Title: Print the name and title (i.e., owner, partners,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.
4. Trust
Line 1
Enter the name of the Trust on the Trust Agreement.
Line 2
Enter DBA, Doing Business As, if different from line 1.
Line 3
In-Care-Of: Enter the name of the Executor or Trustee.
Line 4a
Enter mailing address of the Executor or Trustee where all correspondence will
be mailed.
Line 4b
Enter the city, state and zip code.
Lines 5a
and 5b Enter the physical location of the executor or trustee, only if different
from lines 4a and 4b.
Line 6
Enter the county and state where the Trust was created.
Line 7a
Enter the first name, middle initial, and last name of the Trustor.
Line 7b
Enter Social Security Number (SSN) of the name shown on Line 7a.
Line 8a
Type of Business: Check “Trust” box and enter the Social Security Number
(SSN) of the Grantor.
Line 8b
N/A
Line 9
Reason for applying: Check only one box. Do not enter N/A. If you checked
Trust on Line 8a, check “Created a Trust” and enter the type, i.e. Non-exempt
charitable trust.
Line 10
Enter the date the trust was legally created.
Line 11
Enter the month the accounting year ends. Generally, trust must adopt a calendar
year.
Line 12
Enter the date the trust will begin to pay wages – annuities. Enter N/A if you have
no employees.
Line 13
Enter the highest number of employees you expect (in each box) to have in the next
12 months for Agricultural, Household and Other. If none, enter 0.
Line 14
Check one box that best describes your 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.
17

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Parent category: Financial