S-Corp Election Information Form

S-Corp Election Information Form
Submit your company’s details to initiate the S-Corporation election process.
Legal Name of Business
Employer Identification Number (EIN)
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
State of Incorporation
Date of Incorporation
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Responsible Party Full Name
First NameLast Name
Responsible Party Title/Role
Responsible Party Email
example@example.com
Responsible Party Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of Shareholders
Desired Effective Date for S-Corp Election
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Tax Year
If Fiscal Year, specify the month ending
Additional Comments or Instructions
Should be Empty: