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Personal Service Corporation Application

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A Personal Service Corporation is a type of Business Entity which performs personal services as its principal activity; in the fields of accounting, actuarial science, architecture, consulting, engineering, health, law and the performing arts. It provides an individual with a unique tax identification in order to provide services to another for a profit.

Personal Service Corporation Information

* Select only if it applies to your business

Previous EIN number, first 2 digits:
Previous EIN number, last 7 digits:
Number of OR expected number of Agricultural Employees:
Number of OR expected number of Household Employees:
Number of OR expected number of Other Employees:
First date wages were/will be paid:

Business Address (No PO Boxes)

Mailing Address (PO Boxes Allowed)

Entity Owned By Another Business:

Owner/Individual Information


Contact Information

Important Note: To continue to step 3 of your application you must fill out all fields in the application above.