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Application For Employer Identification Number: Wagoner

The document is the IRS Form SS-4, used to apply for an Employer Identification Number (EIN) for various entities including businesses and trusts. It includes sections for providing the legal name, mailing address, responsible party, and details about the business type and activities. The form must be completed accurately and submitted to the IRS to obtain an EIN.

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0% found this document useful (0 votes)
39 views1 page

Application For Employer Identification Number: Wagoner

The document is the IRS Form SS-4, used to apply for an Employer Identification Number (EIN) for various entities including businesses and trusts. It includes sections for providing the legal name, mailing address, responsible party, and details about the business type and activities. The form must be completed accurately and submitted to the IRS to obtain an EIN.

Uploaded by

ampsonisaac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form

(Rev. December 2019)


SS-4 Application for Employer Identification Number
(For use by employers, corporations, partnerships, trusts, estates, churches,
government agencies, Indian tribal entities, certainindividuals, and others.)
EIN
OMB No. 1545-0003

▶ Go to www.irs.gov/FormSS4 for instructions and the latest information.


Department of the Treasury
Internal Revenue Service ▶ See separate instructions for each line. ▶ Keep a copy for your records. 84-4002863
81-4960763
14-1974870
1 Legal name of entity (or individual) for whom the EIN is being requested 3597244
2075307
2315952 487-
92- 2-
RANGE FURNACE CLEANING INC 0838030
MCKAY MORTGAGE COMPANY LLC 026774184-3-
4080691 486-
EIN_OBTAINED
Type or print clearly.

OLDINGS
2
OLOFT Trade
ACCOUNTANCY name
HOLDIN
BRAUER INC
of
MELANG
RD
G Pbusiness
IBRIDG
PLNCLA
KG A
LCIN
OY(if
NG
R
BMMA OF
HT Ldifferent
GEORGIAIN
LADEL
C
IE N from name
LC
O
D on line 1)
CORP 3 Executor, administrator, trustee, “care of” name
1444208
430478 47-
3LEGGEDSTOOL
CL
ES STRAIGHT HEADRUSH M A
3216716
106972 84-
JORDAN
B CST FLAME
HOLDING INSIG
4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a Street address (if different) (Don’t enter a P.O.47-
4125131 box.)
RK
HTH HOLDINGS HOLDINGS
15977
2828 FIR RD
811 HARRISON
LOCH RAVEN STREET
RD 4413749 82-
4b
BARTLETT
605
GLEWOOD DAVIS City,1state,
3TH
MY and AZIP
ARKETPLACE
GR
CAPTAIN code
PPLE SS (if foreign,
DELTA LARCH see instructions) 5b City, state, and ZIP code (if foreign,2029466
see instructions)
45-
DING
LA PINE, TXMN,
EVELETH,
BALTIMORE, 97730
MD, 55734
21218 ork16402
751894 491633847-
AS
H
6 NORTHIA
LLS, LBANY,
ILLINOIS CITY,
NOR
County TH
6009
and C3
ALIFORNIA
CAROL
stateCAROLINA
where Oprincipal
HIO
INA 27948 MISSOU business
12
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Name Y L
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N
M IAN
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responsible party CAROLINA 7b SSN, ITIN, or EIN 139103881-
RFAX,
21 5 SOME CAROLINA 95135 35
DAVID P. ROSU 84-4002863
81-4960763 294838782-
LARRY
FREDERICK ROBERTS MCKAY TA C 28117 14-1974870
LON
8a Mlo
O
R
NaIM
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W
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OOonA
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N erKOITCOCK
ANDULE
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this DNNISEW
N LOUIS
VL
AVIDMIRGINIA
K
R P
E
TCOK
application
AYMOND CAROLINA
RN for a limitedYORK
L N company (LLC)
liability 8b If 8a is “Yes,” enter the 1191396
number of
83-
EW
A (or
UTHER R
EO REGON
a foreignCequivalent)?
STEVEN
ALIFORNIA
J ACKIE B J.ERSEY
. . . . . . . Yes No LLC members . . . 3378797 . . . ▶ 1
8c If 8a is “Yes,” wasOthe
CIELLC organized in the United States? . . . . . . . . . . . . . . . . . . Yes No
ENJAMIN
MARVINA
9a Type ofSentity
HENRY MITH M(check
ARTIN only one box). Caution: If 8a is “Yes,” see the instructions for the correct box to check.
Sole proprietor (SSN) Estate (SSN of decedent)
SOROKO RAY ABBAN RU
Partnership Plan administrator (TIN)
JOHNSON
DOLF W ARD
Corporation (enter form number to be filed) ▶ Trust (TIN of grantor)
STARKS
WILLIEW ARREN
Personal service corporation Military/National Guard State/local government
ROGERSHARRIS GRAY B
Church or church-controlled organization Farmers’ cooperative Federal government
558851129

AI Other nonprofit organization (specify) ▶ REMIC Indian tribal governments/enterprises


X Other (specify) ▶Disregarded Entity - Single Member LLC Group Exemption Number (GEN) if any ▶
9b If a corporation, name the state or foreign country (if State Foreign country
applicable) where incorporated
10 Reason for applying (check only one box) Banking purpose (specify purpose) ▶
X Started new business (specify type) ▶ Changed type of organization (specify new type) ▶

Purchased going business


Hired employees (Check the box and see line 13.) Created a trust (specify type) ▶
Compliance with IRS withholding regulations Created a pension plan (specify type) ▶
Other (specify) ▶

11 Date business started or acquired (month, day, year). See instructions. 12 Closing month of accounting year December
06/12/2022 14 If you expect your employment tax liability to be $1,000 or
13 Highest number of employees expected in the next 12 months (enter -0- if less in a full calendar year and want to file Form 944
annually instead of Forms 941 quarterly, check here.
none). If no employees expected, skip line 14.
(Your employment tax liability generally will be $1,000
or less if you expect to pay $5,000 or less in total wages.)
Agricultural Household Other If you don’t check this box, you must file Form 941 for
0 0 12 every quarter.
15 First date wages or annuities were paid (month, day, year). Note: If applicant is a withholding agent, enter date income will first be paid to
nonresident alien (month, day, year) ...........................................................................................▶ 09/29/2022
16 Check one box that best describes the principal activity of your business. Health care & social assistance Wholesale-agent/broker
Construction Rental & leasing Transportation & warehousing Accommodation & food service Wholesale-other Retail
X Real estate Manufacturing Finance & insurance X Other (specify) ▶ Barbershop
17 Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided.
Barbershop
18 Has the applicant entity shown on line 1 ever applied for and received an EIN? Yes X No
If “Yes,” write previous EIN here ▶
Complete this section only if you want to authorize the named individual to receive the entity’s EIN and answer questions about the completion of this form.
Third Designee’s name Designee’s telephone number (include area code)
Party
Designee Address and ZIP code Designee’s fax number (include area code)

Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Applicant’s telephonenumber(includeareacode)
Name and title (type or print clearly) ▶ Kevin Benard MCKAY,
FREDERICK Maloy, Member
MEMBER (541)3501891
218-290-6369
(410) 591-9941
Applicant’s fax number (include area code)
Signature ▶ Date ▶
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 16055N Form SS-4 (Rev. 12-2019)
*01+558851129*

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