Form SS-4, Application for EIN Instructions
This form contains 89 fields organized into 1 section. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| EIN | Text | |
| topmostSubform[0].Page1[0].f1_2[0 | Text | |
| 2 Trade name of business (if different from name on line 1) | Text | |
| 3 Executor, administrator, trustee, "care of" name | Text | |
| 4a Mailing address (room, apt., suite no. and street, or P.O. box) | Text | |
| 4b City, state, and ZIP code (if foreign, see instructions) | Text | |
| 5a Street address (if different) (Don't enter a P.O. box.) | Text | |
| 5b City, state, and ZIP code (if foreign, see instructions) | Text | |
| 6 County and state where principal business is located | Text | |
| 7a Name of responsible party | Text | |
| 7b SSN, ITIN, or EIN | Text | |
| topmostSubform[0].Page1[0].c1_1[0]_1 | CheckBox | |
| topmostSubform[0].Page1[0].c1_1[1]_2 | CheckBox | |
| 8b If 8a is "Yes," enter the number of LLC members | Text | |
| topmostSubform[0].Page1[0].c1_2[0]_1 | CheckBox | |
| topmostSubform[0].Page1[0].c1_2[1]_2 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[0]_1 | CheckBox | |
| Sole proprietor (SSN) | Text | |
| topmostSubform[0].Page1[0].c1_3[1]_8 | CheckBox | |
| topmostSubform[0].Page1[0].f1_14[0 | Text | |
| topmostSubform[0].Page1[0].c1_3[2]_2 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[3]_9 | CheckBox | |
| topmostSubform[0].Page1[0].f1_15[0 | Text | |
| topmostSubform[0].Page1[0].c1_3[4]_3 | CheckBox | |
| topmostSubform[0].Page1[0].f1_16[0 | Text | |
| topmostSubform[0].Page1[0].c1_3[5]_10 | CheckBox | |
| topmostSubform[0].Page1[0].f1_17[0 | Text | |
| topmostSubform[0].Page1[0].c1_3[6]_4 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[7]_11 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[8]_14 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[9]_5 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[10]_12 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[11]_15 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[12]_6 | CheckBox | |
| topmostSubform[0].Page1[0].f1_18[0 | Text | |
| topmostSubform[0].Page1[0].c1_3[13]_13 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[14]_16 | CheckBox | |
| topmostSubform[0].Page1[0].c1_3[15]_7 | CheckBox | |
| topmostSubform[0].Page1[0].f1_19[0 | Text | |
| Group Exemption Number (GEN) if any | Text | |
| State | Text | |
| Foreign country | Text | |
| topmostSubform[0].Page1[0].c1_4[0]_5 | CheckBox | |
| topmostSubform[0].Page1[0].f1_24[0 | Text | |
| topmostSubform[0].Page1[0].c1_4[1]_1 | CheckBox | |
| topmostSubform[0].Page1[0].f1_25[0 | Text | |
| topmostSubform[0].Page1[0].f1_26[0 | Text | |
| topmostSubform[0].Page1[0].c1_4[2]_6 | CheckBox | |
| topmostSubform[0].Page1[0].f1_27[0 | Text | |
| topmostSubform[0].Page1[0].c1_4[3]_7 | CheckBox | |
| topmostSubform[0].Page1[0].c1_4[4]_2 | CheckBox | |
| topmostSubform[0].Page1[0].c1_4[5]_8 | CheckBox | |
| topmostSubform[0].Page1[0].f1_28[0 | Text | |
| topmostSubform[0].Page1[0].c1_4[6]_3 | CheckBox | |
| topmostSubform[0].Page1[0].c1_4[7]_9 | CheckBox | |
| topmostSubform[0].Page1[0].f1_29[0 | Text | |
| topmostSubform[0].Page1[0].c1_4[8]_4 | CheckBox | |
| topmostSubform[0].Page1[0].f1_30[0 | Text | |
| Date business started or acquired (month, day, year). See instructions. 11 | Text | |
| 12 Closing month of accounting year | Text | |
| topmostSubform[0].Page1[0].f1_33[0 | Text | |
| Household | Text | |
| Other | Text | |
| topmostSubform[0].Page1[0].c1_5[0]_1 | CheckBox | |
| topmostSubform[0].Page1[0].f1_36[0 | Text | |
| topmostSubform[0].Page1[0].c1_6[0]_7 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[1]_10 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[2]_1 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[3]_3 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[4]_5 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[5]_8 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[6]_11 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[7]_12 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[8]_2 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[9]_4 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[10]_6 | CheckBox | |
| topmostSubform[0].Page1[0].c1_6[11]_9 | CheckBox | |
| topmostSubform[0].Page1[0].f1_37[0 | Text | |
| topmostSubform[0].Page1[0].f1_38[0 | Text | |
| topmostSubform[0].Page1[0].c1_7[0]_1 | CheckBox | |
| topmostSubform[0].Page1[0].c1_7[1]_2 | CheckBox | |
| If "Yes," write previous EIN here | Text | |
| Designee's name | Text | |
| Designee's telephone number (include area code) | Text | |
| Address and ZIP code | Text | |
| Designee's fax number (include area code) | Text | |
| Name and title (type or print clearly) | Text | |
| Applicant's telephone number (include area code) | Text | |
| Applicant's fax number (include area code) | Text |