This form contains 89 fields organized into 20 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Closing Month of Accounting Year (Line 12)
Line 12 - Closing Month of Accounting Year Text
Enter the month that your accounting (tax) year ends.
Corporation Incorporation Location (Line 9b)
Line 9b Incorporation State Text
Enter the U.S. state where the corporation was incorporated. Fill only if 'Line 9a: Corporation (enter form number to be filed)' is 'Yes'.
Depends on: Line 9a: Corporation (enter form number to be filed)
Line 9b Incorporation Foreign Country Text
Enter the foreign country where the corporation was incorporated, if applicable. Fill only if 'Line 9a: Corporation (enter form number to be filed)' is 'Yes'.
Depends on: Line 9a: Corporation (enter form number to be filed)
County and State Where Principal Business Is Located
County and State of Principal Business Location Text
Enter the county and state where the business’s principal place of business is located.
Date Business Started or Acquired (Line 11)
Line 11 Date Business Started or Acquired Date
Enter the date the business began operations or the date it was acquired.
EIN
EIN Text
Enter the entity's Employer Identification Number (EIN).
Max length: 10 characters
Employment Tax Liability Under $1,000 (Line 14)
Line 14: Employment tax liability $1,000 or less (file Form 944 annually) Checkbox
Check this box if you expect your total employment tax liability to be $1,000 or less for the full calendar year and you want to file Form 944 annually instead of filing Form 941 quarterly. Fill only if 'Line 13 Agricultural Employees (Highest Expected)', 'Line 13 Household Employees (Highest Expected)', 'Line 13 Other Employees (Highest Expected)' are all '0' (all).
Depends on: Line 13 Agricultural Employees (Highest Expected), Line 13 Household Employees (Highest Expected), Line 13 Other Employees (Highest Expected)
Entity Names
Legal Name of Entity or Individual Text
Enter the full legal name of the entity or individual for whom the EIN is being requested.
Trade Name (DBA) Text
Enter the business trade name (doing business as) if it is different from the legal name provided on line 1. Fill only if 'Legal Name of Entity or Individual' is different (any).
Depends on: Legal Name of Entity or Individual
Care Of (c/o) Name Text
Enter the name of the executor, administrator, trustee, or other person or organization listed as “care of” for this EIN application.
First Date Wages or Annuities Were Paid (Line 15)
Line 15 - First Date Wages or Annuities Were Paid Date
Enter the first date on which wages or annuities were paid.
Highest Number of Employees Expected in Next 12 Months (Line 13)
Line 13 Agricultural Employees (Highest Expected) Number
Enter the highest number of agricultural employees you expect to have at any time during the next 12 months.
Line 13 Household Employees (Highest Expected) Number
Enter the highest number of household employees you expect to have at any time during the next 12 months.
Line 13 Other Employees (Highest Expected) Number
Enter the highest number of employees (other than agricultural or household) you expect to have at any time during the next 12 months.
LLC Information (Lines 8a–8c)
Line 8a – LLC application: Yes Checkbox
Check this box if the EIN application is for a limited liability company (LLC) (or a foreign equivalent).
Line 8a – LLC application: No Checkbox
Check this box if the EIN application is not for a limited liability company (LLC) (or a foreign equivalent).
Line 8b – Number of LLC Members Text
Enter the total number of members in the LLC (if you answered “Yes” to Line 8a). Fill only if 'Line 8a – LLC application: Yes' is 'Yes'.
Depends on: Line 8a – LLC application: Yes
Line 8c – LLC organized in the United States: Yes Checkbox
Check this box if you answered “Yes” on line 8a and the LLC was organized in the United States. Fill only if 'Line 8a – LLC application: Yes' is 'Yes'.
Depends on: Line 8a – LLC application: Yes
Line 8c – LLC organized in the United States: No Checkbox
Check this box if you answered “Yes” on line 8a and the LLC was not organized in the United States. Fill only if 'Line 8a – LLC application: Yes' is 'Yes'.
Depends on: Line 8a – LLC application: Yes
Mailing Address
Mailing Address (Street or P.O. Box) Text
Enter the mailing address, including room/apartment/suite number and street address or P.O. box.
Mailing Address (City, State, ZIP Code) Text
Enter the city, state, and ZIP code for the mailing address.
Principal Activity of Business (Line 16)
Line 16 - Health care & social assistance Checkbox
Check this box if the business’s principal activity is health care services or social assistance.
Line 16 - Wholesale—agent/broker Checkbox
Check this box if the business’s principal activity is wholesale trade as an agent or broker.
Line 16 - Construction Checkbox
Check this box if the business’s principal activity is construction work.
Line 16 - Rental & leasing Checkbox
Check this box if the business’s principal activity is renting or leasing property, equipment, or vehicles.
Line 16 - Transportation & warehousing Checkbox
Check this box if the business’s principal activity is transportation services or warehousing/storage.
Line 16 - Accommodation & food service Checkbox
Check this box if the business’s principal activity is providing accommodations or food service (such as hotels or restaurants).
Line 16 - Wholesale—other Checkbox
Check this box if the business’s principal activity is wholesale trade other than agent/broker.
Line 16 - Retail Checkbox
Check this box if the business’s principal activity is selling goods directly to consumers (retail).
Line 16 - Real estate Checkbox
Check this box if the business’s principal activity is real estate (such as buying, selling, renting, or managing real property).
Line 16 - Manufacturing Checkbox
Check this box if the business’s principal activity is manufacturing or producing goods.
Line 16 - Finance & insurance Checkbox
Check this box if the business’s principal activity is providing financial services or insurance.
Line 16 - Other (specify) Checkbox
Check this box if none of the listed categories describes the business’s principal activity and you will specify the activity.
Line 16 Other Principal Business Activity (Specify) Text
Enter a brief description of the business’s principal activity if none of the listed activity categories on Line 16 apply. Fill only if 'Line 16 - Other (specify)' is 'Yes'.
Depends on: Line 16 - Other (specify)
Principal Line of Merchandise/Services (Line 17)
Line 17 Principal line of merchandise or services Text
Enter a brief description of the entity’s principal line of merchandise sold, specific construction work done, products produced, or services provided.
Prior EIN Application (Line 18)
Line 18 - Yes Checkbox
Check this box if the applicant entity shown on line 1 has ever applied for and received an EIN before.
Line 18 - No Checkbox
Check this box if the applicant entity shown on line 1 has never applied for or received an EIN before.
Line 18 Prior EIN Text
Enter the applicant entity’s previous Employer Identification Number (EIN) if it has applied for and received an EIN before. Fill only if 'Line 18 - Yes' is 'Yes'.
Max length: 10 characters
Depends on: Line 18 - Yes
Reason for Applying (Line 10)
Line 10 – Started new business Checkbox
Check this box if you are applying for an EIN because you started a new business (and will specify the type).
Line 10 Started New Business - Type (Line 1) Text
Enter the type of business that was started as the reason for applying for an EIN. Fill only if 'Line 10 – Started new business' is 'Yes'.
Depends on: Line 10 – Started new business
Line 10 Started New Business - Type (Line 2) Text
Enter any additional text to complete the description of the type of business that was started as the reason for applying for an EIN.
Line 10 – Changed type of organization Checkbox
Check this box if you are applying because your organization changed its type (and will specify the new type).
Line 10 Changed Type of Organization - New Type Text
Enter the new type of organization as the reason for applying for an EIN. Fill only if 'Line 10 – Changed type of organization' is 'Yes'.
Depends on: Line 10 – Changed type of organization
Line 10 – Purchased going business Checkbox
Check this box if you are applying because you purchased an existing, operating business.
Line 10 – Hired employees Checkbox
Check this box if you are applying for an EIN because you hired employees (and will follow the form’s instruction to see line 13).
Line 10 – Created a trust Checkbox
Check this box if you are applying because you created a trust (and will specify the trust type).
Line 10 Created a Trust - Trust Type Text
Enter the type of trust created as the reason for applying for an EIN. Fill only if 'Line 10 – Created a trust' is 'Yes'.
Depends on: Line 10 – Created a trust
Line 10 – Compliance with IRS withholding regulations Checkbox
Check this box if you need an EIN to comply with IRS withholding requirements.
Line 10 – Created a pension plan Checkbox
Check this box if you are applying because you created a pension plan (and will specify the plan type).
Line 10 Created a Pension Plan - Plan Type Text
Enter the type of pension plan created as the reason for applying for an EIN. Fill only if 'Line 10 – Created a pension plan' is 'Yes'.
Depends on: Line 10 – Created a pension plan
Line 10 – Other Checkbox
Check this box if none of the listed reasons apply and you will specify another reason.
Line 10 – Banking purpose Checkbox
Check this box if you need an EIN for a banking-related reason (and will specify the purpose).
Line 10 Banking Purpose - Purpose Text
Enter the specific banking purpose as the reason for applying for an EIN. Fill only if 'Line 10 – Banking purpose' is 'Yes'.
Depends on: Line 10 – Banking purpose
Line 10 Other Reason - Specify Text
Enter the other reason for applying for an EIN if none of the listed reasons apply. Fill only if 'Line 10 – Other' is 'Yes'.
Depends on: Line 10 – Other
Responsible Party
Responsible party name Text
Enter the full name of the responsible party for the entity applying for the EIN.
Responsible party SSN/ITIN/EIN Text
Enter the responsible party’s identifying number (SSN, ITIN, or EIN).
Max length: 11 characters
Signature and Applicant Contact
Name and Title Text
Enter the applicant’s name and official title, typed or printed clearly.
Applicant Telephone Number Text
Enter the applicant’s telephone number, including the area code.
Applicant Fax Number Text
Enter the applicant’s fax number, including the area code.
Street Address (If Different)
Street Address (If Different) - Street Address Text
Enter the street address (room, apartment, suite number, and street) for the entity if it is different from the mailing address. Fill only if 'Mailing Address (Street or P.O. Box)' is different (any).
Depends on: Mailing Address (Street or P.O. Box)
Street Address (If Different) - City, State, ZIP Code Text
Enter the city, state, and ZIP code for the street address if it is different from the mailing address. Fill only if 'Mailing Address (Street or P.O. Box)' is different (any).
Depends on: Mailing Address (Street or P.O. Box)
Third Party Designee
Third Party Designee Name Text
Enter the full name of the third-party designee authorized to receive the entity’s EIN and answer questions about this application.
Third Party Designee Telephone Number Text
Enter the third-party designee’s telephone number, including area code.
Third Party Designee Address and ZIP Code Text
Enter the third-party designee’s mailing address and ZIP code.
Third Party Designee Fax Number Text
Enter the third-party designee’s fax number, including area code.
Type of Entity (Line 9a)
Line 9a: Sole proprietor (SSN) Checkbox
Check this box if the entity applying for the EIN is a sole proprietor and will use the owner's Social Security number.
Line 9a Sole Proprietor SSN Text
Enter the Social Security number (SSN) for the sole proprietor.
Max length: 11 characters
Line 9a: Estate (SSN of decedent) Checkbox
Check this box if the EIN is being requested for an estate of a deceased individual.
Line 9a Estate Decedent SSN Text
Enter the Social Security number of the decedent for the estate.
Max length: 11 characters
Line 9a: Partnership Checkbox
Check this box if the entity applying for the EIN is a partnership.
Line 9a: Plan administrator (TIN) Checkbox
Check this box if the applicant is a plan administrator requesting an EIN and will use the plan administrator's taxpayer identification number.
Line 9a Plan Administrator TIN Text
Enter the taxpayer identification number (TIN) of the plan administrator.
Max length: 11 characters
Line 9a: Corporation (enter form number to be filed) Checkbox
Check this box if the entity applying for the EIN is a corporation.
Line 9a Corporation Form Number Text
Enter the form number the corporation will file. Fill only if 'Line 9a: Corporation (enter form number to be filed)' is 'Yes'.
Depends on: Line 9a: Corporation (enter form number to be filed)
Line 9a: Trust (TIN of grantor) Checkbox
Check this box if the EIN is being requested for a trust and will use the grantor's taxpayer identification number.
Line 9a Trust Grantor TIN Text
Enter the taxpayer identification number (TIN) of the grantor for the trust.
Max length: 11 characters
Line 9a: Personal service corporation Checkbox
Check this box if the entity applying for the EIN is classified as a personal service corporation.
Line 9a: Military/National Guard Checkbox
Check this box if the entity applying for the EIN is a military or National Guard organization.
Line 9a: State/local government Checkbox
Check this box if the entity applying for the EIN is a state or local government entity.
Line 9a: Church or church-controlled organization Checkbox
Check this box if the entity applying for the EIN is a church or a church-controlled organization.
Line 9a: Farmers’ cooperative Checkbox
Check this box if the entity applying for the EIN is a farmers’ cooperative.
Line 9a: Federal government Checkbox
Check this box if the entity applying for the EIN is a federal government entity.
Line 9a: Other nonprofit organization (specify) Checkbox
Check this box if the entity applying for the EIN is a nonprofit organization that does not fit the other listed categories and you will specify the type.
Line 9a Other Nonprofit Organization Specification Text
Provide the type of nonprofit organization if selecting “Other nonprofit organization (specify)”. Fill only if 'Line 9a: Other nonprofit organization (specify)' is 'Yes'.
Depends on: Line 9a: Other nonprofit organization (specify)
Line 9a: REMIC Checkbox
Check this box if the entity applying for the EIN is a Real Estate Mortgage Investment Conduit (REMIC).
Line 9a: Indian tribal governments/enterprises Checkbox
Check this box if the entity applying for the EIN is an Indian tribal government or a tribal enterprise.
Line 9a: Other (specify) Checkbox
Check this box if the entity applying for the EIN does not fit any of the listed entity types and you will specify the type.
Line 9a Other Entity Type Specification Text
Provide the entity type if selecting “Other (specify)”. Fill only if 'Line 9a: Other (specify)' is 'Yes'.
Depends on: Line 9a: Other (specify)
Line 9a Group Exemption Number (GEN) Text
Enter the group exemption number (GEN), if any.