LLC Intake Form

Name your LLC - Be creative! Unique names are more likely to be approved by the state. (Provide as many options as you'd like)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Business ( General description is fine i.e. real estate or restaurant)(Required)

Membership (Ownership of the Company)

Full Legal Name	I want my trust or an individual to own this company	Percentage of Ownership	Actions

There are no Members.

Officers

Full Legal Name	Email Address	Actions

There are no Officers.

The Managers of the Company are who handle the day-to-day business, open bank accounts, sign contracts and the likes. If you marked that the member on the prior page will be a manager you wont need to list them here. [at least 1 manager required]

Enroll in the Registered Agent Program?(Required)

Registered Agent Name

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

State of Registration(Required)

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