Publication 1635 - Understanding Your Employer Identification Numbers Page 21
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32Line 14 N/A
Line 15 N/A
Line 16a-16c N/A
Complete Third Party Designee only if you want to authorize the named individual to
receive the EIN and answer questions about the completion of this form. If N/A,
complete the Name and Title area only.
Name and Title: Print the name and title (i.e., owner, president, vice-president, etc.).
Telephone Number: Enter the telephone number where we can reach you if we have
questions about your application.
Signature: The fiduciary must sign.
6. Estate (Decedent)
Line 1
Always enter the name of the Estate (for example, John Oak Estate).
Line 2
N/A
Line 3
Enter the name of the Executor/Executrix, Administrator/Administratrix,
Personal Representative or other fiduciary.
Line 4a
Enter the mailing address of the individual listed on line 3.
Line 4b
Enter the city, state, and zip code of the individual listed on line 3.
Lines 5a
and 5b Enter only if different from the mailing address on 4a and 4b.
Line 6
Enter the county and state where the will is probated.
Line 7a
N/A
Line 7b
N/A
Line 8a
Check “Estate” and enter the SSN of the Decedent (required).
Line 8b
N/A
Line 9
Check “Other” and enter “Estate”.
Line 10
Enter the date of death.
Line 11
Enter the last month of the decedents accounting year or trust.
Line 12
Enter the date the estate 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 plan to hire in the next 12 months..
If none, enter 0.
Line 14
N/A
Line 15
N/A
Line 16a -16c N/A
Complete Third Party Designee, only if you want to authorize the named individual to receive
the EIN and answer questions about the completion of this form. If N/A, complete the Name
and Title area only.
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Parent category: Financial