Name of Corporation: *
Two (2) Alternate Names if above name is not available:
 *
 *
Business Address: *
Name of Director(s) or person(s) responsible for day-to-day management:
 *
 State you would like to incorporate:
Name of President: *
Name of Treasurer: *
Name of Secretary: *
Name & Address of Officers:
 *
 
 *
 
 *
Name and information of person for IRS to contact:
Name: *
Title: *
Phone Number: *
Fax Number:
Social Security Number: *
Will Corporation operate under the same legal name? * Yes No
If no please provide DBA name:
Will Employees be hired within 12 months? * Yes No
If yes please provide approximate amount of employees
Will the business be providing services involving health, law, accounting, or Consulting? * Yes No
What type of Business will you be providing? *

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