This form contains 71 fields organized into 49 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Consent Statement
topmostSubform[0].Page3[0].f3_001[0 Text
Provide the name and title of the person authorized to sign the form.
topmostSubform[0].Page3[0].f3_002[0 Text
Enter the signature of the person authorized to sign the form.
Eighth Signature Title
Eighth Signer Title Text
Enter the job title or capacity of the eighth person signing the consent statement on behalf of the entity.
Eighth Signer Title
Eighth Signer Title Text
Enter the official title or position of the eighth person signing this form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Election Details
topmostSubform[0].Page3[0].f3_008[0 Text
Enter the entity's current classification for federal tax purposes.
topmostSubform[0].Page3[0].f3_009[0 Text
Enter the classification the entity is electing to be treated as for federal tax purposes.
Election Effective Date (Line 8)
Election Effective Date Date
Enter the date on which the entity classification election is to become effective.
Max length: 10 characters
Eleventh Signature Title
Eleventh Signer Title Text
Enter the job title or capacity of the eleventh person signing this form (e.g., President, Member, Manager).
Eleventh Signer Title
Eleventh Signer Title Text
Enter the job title or official capacity of the eleventh person who signs the declaration. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Eligible Entity Identification
Eligible entity legal name Text
Enter the full legal name of the eligible entity making the election.
Employer Identification Number (EIN) Text
Enter the eligible entity’s Employer Identification Number (EIN).
Max length: 10 characters
Entity Information
topmostSubform[0].Page3[0].f3_003[0 Text
Enter the name of the entity making the election.
topmostSubform[0].Page3[0].f3_004[0 Text
Enter the entity's employer identification number (EIN).
topmostSubform[0].Page3[0].f3_005[0 Text
Enter the entity's address, including street, city, state, and ZIP code.
topmostSubform[0].Page3[0].f3_006[0 Text
Enter the date the entity was formed.
topmostSubform[0].Page3[0].f3_007[0 Text
Enter the state or country under whose laws the entity was created.
Fifteenth Signature Title
Fifteenth Signer Title Text
Enter the job title or capacity of the fifteenth person signing the consent statement.
Fifteenth Signer Title
Fifteenth Signer Title Text
Enter the official title or position of the fifteenth person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Fifth Signature Title
Fifth Signer Title Text
Enter the official title/position of the fifth person signing the consent statement (e.g., President, Manager, Member).
Fifth Signer Title
Fifth Signer Title Text
Enter the job title or capacity of the fifth person who signs the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Filing Indicators (Check if Applicable)
Address change Checkbox
Check this box if the mailing address for this filing has changed since the form was last published or since your previous filing.
Late classification relief sought under Revenue Procedure 2009-41 Checkbox
Check this box if you are requesting late entity classification election relief under Revenue Procedure 2009-41.
Relief for a late change of entity classification election sought under Revenue Procedure 2010-32 Checkbox
Check this box if you are requesting relief for a late change of an entity classification election under Revenue Procedure 2010-32.
First Signature Title
First Signer Title Text
Enter the job title or capacity (for example, officer, manager, or member) of the first person signing the form.
First Signer Title
First Signer Title Text
Enter the official title or position of the first person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Foreign Country of Organization (Line 7)
Foreign country of organization Text
Enter the name of the foreign country where the eligible entity was created or organized. Fill only if 'Foreign eligible entity taxed as an association (corporation)', 'Foreign eligible entity taxed as a partnership', 'Foreign single-owner entity disregarded as separate entity' is selected (any).
Depends on: Foreign eligible entity taxed as an association (corporation), Foreign eligible entity taxed as a partnership, Foreign single-owner entity disregarded as separate entity
Fourteenth Signature Title
Fourteenth Signer Title Text
Enter the job title or official capacity of the fourteenth person signing the consent statement.
Fourteenth Signer Title
Fourteenth Signer Title Text
Enter the official title or position of the fourteenth person signing this form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Fourth Signature Title
Fourth Signer Title Text
Enter the official title/position of the fourth person signing the consent statement (e.g., Member, Manager, Officer).
Fourth Signer Title
Fourth Signer Title Text
Enter the job title or official capacity of the fourth person signing this form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
IRS Contact Person Information (Lines 9-10)
IRS Contact Person Name and Title Text
Enter the full name and job title of the person the IRS may contact for additional information about this election.
IRS Contact Person Telephone Number Text
Enter the telephone number for the contact person listed above.
Late Election Relief Explanation
Late Election Explanation Text
Provide a detailed explanation of why the entity classification election was not filed on time. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Mailing Address
Mailing Address Line 1 (Street or P.O. Box) Text
Enter the mailing street address and room or suite number, or a P.O. box number if applicable.
Mailing Address Line 2 (City, State, ZIP / Country) Text
Enter the city or town, state, and ZIP code, or for a foreign address enter the city, province or state, postal code, and country.
More Than One Owner (Line 3)
Yes (more than one owner) Checkbox
Check this box if the eligible entity has more than one owner.
No (only one owner) Checkbox
Check this box if the eligible entity has only one owner.
Ninth Signature Title
Ninth Signer Title Text
Enter the official title or position (for example, officer, manager, or member) of the ninth person signing the consent statement.
Ninth Signer Title
Ninth Signer Title Text
Enter the official title/position of the ninth person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Parent Corporation Information (Line 5)
Parent corporation name Text
Enter the legal name of the parent corporation that owns the eligible entity and files a consolidated return.
Parent corporation EIN Text
Enter the employer identification number (EIN) of the parent corporation.
Prior Election Was Initial Classification Effective on Formation Date (2b)
Yes Checkbox
Check this box if the eligible entity’s prior election was an initial classification election by a newly formed entity that was effective on the date of formation. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
Check this box if the eligible entity’s prior election was not an initial classification election effective on the date of formation. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Prior Election Within Last 60 Months (2a)
Yes Checkbox
Check this box if the eligible entity previously filed an entity election with an effective date within the last 60 months. Fill only if 'Change in current classification' is selected.
Depends on: Change in current classification
No Checkbox
Check this box if the eligible entity has not previously filed an entity election with an effective date within the last 60 months. Fill only if 'Change in current classification' is selected.
Depends on: Change in current classification
Second Signature Title
Second signer title Text
Enter the official title/position of the second person signing the consent statement.
Second Signer Title
Second Signer Title Text
Enter the official title or position of the second person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Seventh Signature Title
Seventh Signer Title Text
Enter the official title/position of the seventh person signing the consent statement.
Seventh Signer Title
Seventh Signer Title Text
Enter the job title or official capacity of the seventh person who signs this form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Single Owner Information (Line 4)
Single Owner Name Text
Enter the full legal name of the entity’s single owner. Fill only if 'No (only one owner)' is 'Yes'.
Depends on: No (only one owner)
Single Owner Identifying Number Text
Enter the single owner’s identifying number (such as an SSN, EIN, or other tax identification number). Fill only if 'No (only one owner)' is 'Yes'.
Depends on: No (only one owner)
Sixteenth Signature Title
Sixteenth Signer Title Text
Enter the official title/position of the person providing the sixteenth signature.
Sixteenth Signer Title
Sixteenth Signer Title Text
Enter the official title or position of the sixteenth individual who signed the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Sixth Signature Title
Sixth Signer Title Text
Enter the job title or capacity of the sixth person signing the consent statement.
Sixth Signer Title
Sixth Signer Title Text
Enter the official title or position of the sixth person who signs the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Tenth Signature Title
10th Signer Title Text
Enter the job title or capacity of the tenth person who signs the consent statement.
Tenth Signer Title
Tenth Signer Title Text
Enter the official title or position of the tenth person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Third Signature Title
Third Signer Title Text
Enter the job title or capacity of the third person signing the consent statement (e.g., officer, manager, or member).
Third Signer Title
Third Signer Title Text
Enter the official title or position of the third person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Thirteenth Signature Title
Thirteenth Signer Title Text
Enter the official title/position of the person providing the thirteenth signature on this form.
Thirteenth Signer Title
Thirteenth Signer Title Text
Enter the job title or capacity of the thirteenth person signing the form. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Twelfth Signature Title
Twelfth Signer Title Text
Enter the job title or official capacity of the person providing the twelfth signature.
Twelfth Signer Title
Twelfth Signer Title Text
Enter the job title or capacity of the twelfth person who signs the statement. Fill only if 'Late classification relief sought under Revenue Procedure 2009-41' is 'Yes' or 'Relief for a late change of entity classification election sought under Revenue Procedure 2010-32' is 'Yes'.
Depends on: Late classification relief sought under Revenue Procedure 2009-41, Relief for a late change of entity classification election sought under Revenue Procedure 2010-32
Type of Election
Initial classification by a newly-formed entity Checkbox
Check this box if the entity is newly formed and is making its initial entity classification election.
Change in current classification Checkbox
Check this box if the entity is changing its current entity classification election.
Type of Entity (Line 6)
Domestic eligible entity taxed as an association (corporation) Checkbox
Check this box if the entity is a domestic eligible entity and is electing to be classified as an association taxable as a corporation.
Domestic eligible entity taxed as a partnership Checkbox
Check this box if the entity is a domestic eligible entity and is electing to be classified as a partnership.
Domestic single-owner entity disregarded as separate entity Checkbox
Check this box if the entity is a domestic eligible entity with a single owner and is electing to be disregarded as a separate entity.
Foreign eligible entity taxed as an association (corporation) Checkbox
Check this box if the entity is a foreign eligible entity and is electing to be classified as an association taxable as a corporation.
Foreign eligible entity taxed as a partnership Checkbox
Check this box if the entity is a foreign eligible entity and is electing to be classified as a partnership.
Foreign single-owner entity disregarded as separate entity Checkbox
Check this box if the entity is a foreign eligible entity with a single owner and is electing to be disregarded as a separate entity.