New Entity Questionnaire

Intake - New Entity

NEW ENTITY QUESTIONNAIRE

PROPOSED NAMES

(PLEASE PROVIDE 3 PROPOSED NAMES IN ORDER OF PREFERENCE) (AN LLC MUST END WITH "LLC" OR "LIMITED LIABILITY COMPANY" (A CORPORATION MUST END WITH "CORP. OR INC.") (AN LLP MUST END WITH "LLP" OR "LIMITED LIABILITY PARTNERSHIP")

ADDRESS OF ENTITY

OWNER INFORMATION

TAX MATTERS

TYPE OF BUSINESS

REGISTERED AGENT INFORMATION

MISC

FOR CORPORATION ONLY