Company Information
- Type of legal entity
- Legal name of entity
- EIN/Tax ID number
- State of Registration
- Month/year established
- Company phone number
- Company description
- Company address
Applicant Information
- Legal name
- Job title
- Ownership %
- Physical Address
- Email address
- Phone number
- Date of birth
- SSN/Tax ID number
Owners/Authorized Signers/Control Person
- Legal name
- Job title
- Ownership %
- Email address
- Physical address
- Phone number
- Date of birth
- SSN/Tax ID number
Beneficial owner information will be required for each individual who owns 25% or more, directly or indirectly, of the company.