Corporate Transparency Act - Beneficial Ownership Reporting

Thank you for allowing Evans & Davis to assist in your Beneficial Ownership Reporting to FinCen.

The following information is the information we will need to submit the report on your behalf.

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* 1. Do you agree to this contract with Evans & Davis?

Yes

View Contract Here

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* 2. Your Business Name

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* 3. Alternate names through which your business operates under (Registered with the state or DBA)

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* 4. Business Address

Street

City

State

Postal Code

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* 5. State Where Business is Located

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* 6. FEIN/EIN of Business

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* 7. Owner #1's Information (Over 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 8. What Percentage of the Business does Owner #1 own?

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* 9. Upload Owner #1's Driver's License, State ID or Passport

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* 10. Owner #2's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 11. What Percentage of the Business does Owner #2 own?

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* 12. Upload Owner #2's Driver's License, State ID or Passport

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* 13. Owner #3's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 14. What Percentage of the Business does Owner #3 own?

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* 15. Upload Owner#3's Driver's License, State ID or Passport

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* 16. Owner #4's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 17. What Percentage of the Business does Owner #4 own?

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* 18. Upload Owner #4's Driver's License, State ID or Passport

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* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #1's Information

Full Legal Name

Date of Birth

Current Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 20. Upload Manager #1's Driver's License, State ID or Passport

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* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #2's Information

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 22. Upload Manager #2's Driver's License, State ID or Passport

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* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #3's Information

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 24. Upload Manager #3's Driver's License, State ID or Passport

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* 25. Did Evans & Davis draft your Operating Agreement?

Yes

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* 26. If Evans & Davis did not draft your Operating Agreement, please click here to upload it.

Please click here to remit payment via credit card, debit card or check information.
In the Client Account Section - Insert 0 (Zero)

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Corporate Transparency Act - Beneficial Ownership Reporting

Question Title

* 1. Do you agree to this contract with Evans & Davis?

Question Title

* 2. Your Business Name

Question Title

* 3. Alternate names through which your business operates under (Registered with the state or DBA)

Question Title

* 4. Business Address

Question Title

* 5. State Where Business is Located

Question Title

* 6. FEIN/EIN of Business

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* 7. Owner #1's Information (Over 25% ownership)

Question Title

* 8. What Percentage of the Business does Owner #1 own?

Question Title

* 9. Upload Owner #1's Driver's License, State ID or Passport

Question Title

* 10. Owner #2's Information (If owns more than 25% ownership)

Question Title

* 11. What Percentage of the Business does Owner #2 own?

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* 12. Upload Owner #2's Driver's License, State ID or Passport

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* 13. Owner #3's Information (If owns more than 25% ownership)

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* 14. What Percentage of the Business does Owner #3 own?

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* 15. Upload Owner#3's Driver's License, State ID or Passport

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* 16. Owner #4's Information (If owns more than 25% ownership)

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* 17. What Percentage of the Business does Owner #4 own?

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* 18. Upload Owner #4's Driver's License, State ID or Passport

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* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #1's Information

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* 20. Upload Manager #1's Driver's License, State ID or Passport

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* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #2's Information

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* 22. Upload Manager #2's Driver's License, State ID or Passport

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* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #3's Information

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* 24. Upload Manager #3's Driver's License, State ID or Passport

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* 25. Did Evans & Davis draft your Operating Agreement?

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* 26. If Evans & Davis did not draft your Operating Agreement, please click here to upload it.

* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #1's Information

* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #2's Information

* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #3's Information