Essential Service Solutions
Company Name


​DBA(Doing Business AS)


Company Phone Number


Email


Type of Business Entity


State of Incorporation (applies to corporate entities only)


Company Address (P.O. Boxes are not acceptable)






Owner Address (P.O. Boxes are not acceptable)






Mailing Address


Does your business do any of the following: 1) own a highway motor vehicle weighing 55,000 pounds or more, 2) involve gambling, 3) sell or manufacture alcohol, tobacco, or firearms, 4) pay federal excise taxes, 5) received or applied for an EIN before, 6) currently have, or plan to hire employees within the next year



​If Yes, Please Enter number(s) in which applies to your company



​Business Description






Owner Information

​Owner's Full Name



Owner's Social Security Number


FEDERAL PRIVACY ACT - Disclosure of your Social Security number is required and authorized under law, for the purpose of tax administration and identification of any individual affected by applicable law, 42 U.S.C. §405(c)(2)(C)(i)


​Electronic Signature of Owner                                                                                                      Signature Date



Please review the information above before submitting the information for processing. Once the above information is submitted, you will not be able to use the back button on your browser to edit the information entered.





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Fee listed below are Only service fees. Clients are responsible for any and all filing fees.


EIN Application
EIN Application $50
YesNo