Form SS-4 (Rev. December 2025), Application for Employer Identification Number Completed Form Examples and Samples
Explore detailed examples and completed samples of IRS Form SS-4 (Rev. December 2025), Application for Employer Identification Number. See how to correctly fill out the SS-4 form for various business types, including S Corporations, LLCs, and sole proprietorships, to successfully apply for your EIN.
Form SS-4 Example – S Corporation
How this form was filled:
This is an example of a completed Form SS-4 for a newly formed S Corporation. It correctly identifies the legal entity name, specifies the responsible party, and indicates the reason for applying is 'Started new business.' The form also includes expected employee information and a third-party designee.
Information used to fill out the document:
- Legal Name of Entity: Bright Future Tech Inc.
- Trade Name (DBA): Bright Tech Solutions
- Mailing Address: 456 Innovation Drive, Suite 100, Austin, TX 78701
- Responsible Party Name: Jane Smith
- Responsible Party SSN: 987-65-4321
- Entity Type: Corporation (elected to be an S corporation by filing Form 2553)
- State of Incorporation: Texas
- Reason for Applying: Started new business
- Date Business Started: January 15, 2026
- Closing Month of Accounting Year: December
- Highest Number of Employees Expected: 2
- First Date Wages Paid or Annuities Paid: February 1, 2026
- Principal Business Activity: Consulting
- Principal Line of Service: IT Consulting Services
- Has the applicant ever applied for an EIN before?: No
- Applicant Name & Title: Jane Smith, President
- Applicant Phone Number: 512-555-0199
- Third-Party Designee Name: John Adams, CPA
- Designee Phone Number: 512-555-0150
What this filled form sample shows:
- Correctly indicates the entity type as a Corporation with an S Corp election.
- Clearly identifies the Responsible Party as required by the IRS.
- Specifies a valid Reason for Applying ('Started new business').
- Includes projected employee numbers and first wage payment date, critical for payroll tax setup.
- Optionally includes a Third-Party Designee to handle correspondence with the IRS.
Form specifications and details:
| Form Name: | Form SS-4, Application for Employer Identification Number |
| Form Revision: | December 2025 |
| Use Case: | Newly formed S Corporation applying for its first EIN. |
Created: February 02, 2026 10:22 PM
