Entity CreationWorksheet Entity Creation Form What is your full legal name? * Email * Phone * What kind of entity are you looking for? * S CorpLLCLPC Corp What state will this entity be formed in? Alabama Alaska American Samoa Arizona Arkansas Baker Island California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Jarvis Island Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Maryland Massachusetts Michigan Midway Atoll Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Wake Island Washington West Virginia Wisconsin Wyoming First Choice of Name * Second Choice of Name * Third Choice of Name * Email * What is your phone number? * Do you have a physical address in the state where the entity will be formed? PO Boxes are not acceptable. * Yes No You will need a registered agent. Do you want me to get this for you? * Yes No This will generally be $55 in additional costs Physical Address * Physical Address No PO Boxes No PO Boxes Physical Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Do you have a separate mailing address? * Yes No Mailing Address * Mailing Address PO Box is acceptable PO Box is acceptable Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Do you have a living trust? * Yes No What is the name of your trust? * Will anyone else own this entity? * Yes No What percentage will you own? * Other Owner Information Name * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal What percentage will this person own? * plus1 Add minus1 Remove Who will be CEO? * If one person owns the corporation, that person will hold all three roles. This is purely ceremonial. Who will be CFO? * If two people own the corporation, I recommend one person be CEO and the other be CFO and Secretary. Who will be Secretary? * If two people own the corporation, I recommend one person be CEO and the other be CFO and Secretary. Submit If you are human, leave this field blank.