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Report - Owners, Officers, Partners & Directors
This form is used for reporting the members of your business or organization including Owners, Officers, Partners & Directors. - You received this form because your tax preparer requests more information to prepare your tax return.
Return to Reporting Page
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Reporting Entity (Choose One)
*
Self Employed / Sole Proprietor - No EIN
Single Member LLC
Business - C CORP
Business - S CORP
Partnership
Non-Profit
Not Sure
Contact Name
*
First
Middle
Last
Contact Email
*
Contact Phone #
*
% Business Custom
EIN# 9 Digit
*
Numbers Only. Leave blank if you do not have an EIN number.
Business Address:
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How Many Partners or Directors?
*
1
2
3
4
5
More than 5
Add Owners / Partners / Directors
Add or Remove Owners / Partners / Directors by clicking the + or - (plus or minus) signs. This form allows you to add up to 5 members.
Full Name
*
First
Middle
Last
Title
*
Partner, President, Authorized Member, Managing Manager, CEO...
Ownership %
*
Numbers only.
SS#
*
Numbers Only.
Add
Remove
Custom Captcha
*
=
Send to your Tax Preparer
Call or Text
Call or Text