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Form SS-4 Application For Employer Identification Number SS-4 - Official Federal Forms
| Form SS-4 Application For Employer Identification Number Form. This is a national form and can be used in Department Of Treasury . |
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Form SS-4 1 Application for Employer Identification Number (For use by employers, corporations, partnerships, trusts, estates, churches, government agencies, Indian tribal entities, certain individuals, and others.) See separate instructions for each line. Keep a copy for your records. EIN OMB No. 1545-0003 (Rev. January 2010) Department of the Treasury Internal Revenue Service Legal name of entity (or individual) for whom the EIN is being requested Trade name of business (if different from name on line 1) Mailing address (room, apt., suite no. and street, or P.O. box) City, state, and ZIP code (if foreign, see instructions) County and state where principal business is located Name of responsible party 7b 8b Yes No SSN, ITIN, or EIN If 8a is "Yes," enter the number of LLC members Yes No 3 5a 5b Executor, administrator, trustee, "care of" name Street address (if different) (Do not enter a P.O. box.) City, state, and ZIP code (if foreign, see instructions) Type or print clearly. 8a 8c 9a 2 4a 4b 6 7a Is this application for a limited liability company (LLC) (or a foreign equivalent)? If 8a is "Yes," was the LLC organized in the United States? Type of entity (check only one box). Caution. If 8a is "Yes," see the instructions for the correct box to check. Sole proprietor (SSN) Partnership Corporation (enter form number to be filed) Personal service corporation Church or church-controlled organization Other nonprofit organization (specify) Other (specify) If a corporation, name the state or foreign country (if applicable) where incorporated Reason for applying (check only one box) Started new business (specify type) Hired employees (Check the box and see line 13.) Estate (SSN of decedent) Plan administrator (TIN) Trust (TIN of grantor) National Guard Farmers' cooperative State/local government Federal government/military 9b 10 State Indian tribal governments/enterprises REMIC Group Exemption Number (GEN) if any Foreign country Banking purpose (specify purpose) Changed type of organization (specify new type) Purchased going business Created a trust (specify type) 11 13 Created a pension plan (specify type) Compliance with IRS withholding regulations Other (specify) Date business started or acquired (month, day, year). See instructions. 12 Closing month of accounting year If you expect your employment tax liability to be $1,000 or less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly, check here. If no employees expected, skip line 14. (Your employment tax liability generally will be $1,000 or less if you expect to pay $4,000 or less in total Agricultural Other Household wages.) If you do not check this box, you must file Form 941 for every quarter. First date wages or annuities were paid (month, day, year). Note. If applicant is a withholding agent, enter date income will first be paid to nonresident alien (month, day, year) 14 Highest number of employees expected in the next 12 months (enter -0- if none). Check one box that best describes the principal activity of your business. Construction Rental & leasing Transportation & warehousing Finance & insurance Health care & social assistance Accommodation & food service Wholesale-agent/broker Retail Wholesale-other 15 16 17 18 Real estate Manufacturing Other (specify) Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided. Has the applicant entity shown on line 1 ever applied for and received an EIN? If "Yes," write previous EIN here Designee's name Yes No Complete this section only if you want to authorize the named individual to receive the entity's EIN and answer questions about the completion of this form. Third Party Designee Designee's telephone number (include area code) ( Address and ZIP code ) ) ) ) Form Designee's fax number (include area code) ( Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Name and title (type or print clearly) Applicant's telephone number (include area code) ( Date Cat. No. 16055N Applicant's fax number (include area code) Signature ( For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. SS-4 (Rev. 1-2010) Form SS-4 (Rev. 1-2010) Page 2 Do I Need an EIN? File Form SS-4 if the applicant entity does not already have an EIN but is required to show an EIN on any return, statement, or other document.1 See also the separate instructions for each line on Form SS-4. IF the applicant... Started a new business Hired (or will hire) employees, including household employees Opened a bank account Changed type of organization AND... Does not currently have (nor expect to have) employees Does not already have an EIN Needs an EIN for banking purposes only Either the legal character of the organization or its ownership changed (for example, you incorporate a sole proprietorship or form a partnership) 2 Does not already have an EIN The trust is other than a grantor trust or an IRA trust 4 Needs an EIN for reporting purposes Needs an EIN to complete a Form W-8 (other than Form W-8ECI), avoid withholding on portfolio assets, or claim tax treaty benefits 6 Needs an EIN to report estate income on Form 1041 Is an agent, broker, fiduciary, manager, tenant, or spouse who is required to file Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons Serves as a tax reporting agent for public assistance recipients under Rev. Proc. 80-4, 1980-1 C.B. 581 7 Needs an EIN to file Form 8832, Classification Election, for filing employment tax returns and excise tax returns, or for state reporting purposes 8 Needs an EIN to file Form 2553, Election by a Small Business Corporation 9 THEN... Complete lines 1, 2, 4a8a, 8bc (if applicable), 9a, 9b (if applicable), and 1014 and 1618. Complete lines 1, 2, 4a6, 7ab (if applicable), 8a, 8bc (if applicable), 9a, 9b (if applicable), 1018. Complete lines 15b, 7ab (if applicable), 8a, 8bc (if applicable), 9a, 9b (if applicable), 10, and 18. Complete lines 118 (as applicable). Purchased a going business 3 Created a trust Created a pension plan as a plan administrator 5 Is a foreign person needing an EIN to comply with IRS withholding regulations Is administering an estate Is a withholding agent for taxes on non-wage income paid to an alien (i.e., individual, corporation, or partnership, etc.) Is a state or local agency Is a single-mem
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