1 · Business
Business name (as registered, or the name you want for a new LLC)
DBA / trade name (if any)
Principal business address (street address, no P.O. box)
City
County
State
ZIP
Mailing address (if different)
Business phone
Business email
2 · LLC
State of formation
Formation date
State file / entity number
We need this to file your Certificate of Formation / Articles of Organization.
Backup name choice 1
Backup name choice 2
State to form the LLC in
Date the business starts
Registered agent name and street address (if not you)
All members / owners (full name, home address, ownership % for each)
3 · EIN
EIN9 digits, as on your IRS letter
These are the questions on the IRS EIN application (Form SS-4). The IRS also needs the owner’s Social Security number or ITIN. Do not type it here; Ignite will get it from you by phone.
Responsible party (owner named on the EIN)
Number of LLC members
Employees expected in the next 12 months (0 if just you)
First date wages will be paid (if hiring)
Accounting year endsDecember January February March April May June July August September October November
I authorize Ignite Business Consulting LLC to apply for the EIN on my behalf as third party designee.
4 · Owner / Company Official
FMCSA requires the owner to verify identity personally with Login.gov, a photo ID and a phone or tablet camera.
Full name
Title
Ownership %
Owner phone
Owner email (for Login.gov)
Other members or officers (name, title, %)
5 · Operation
Other cargo (describe)
6 · Vehicles & Drivers
Number of trucks
Number of trailers
Number of drivers
Truck details (year, make, model, VIN, GVWR for each)
Trailer details (type and GVWR for each)
7 · Insurance
Your agent files proof of insurance (BMC-91/91X) with FMCSA. Minimum liability is $750,000 when any truck or truck-and-trailer is 10,001 lbs GVWR or more.
Agent / agency name
Agent phone
Agent email
8 · Authorization
I authorize Ignite Business Consulting LLC to file my LLC and EIN if requested above, prepare my USDOT/MC application with me, and file my BOC-3 and UCR on my company’s behalf.
Type your full name as signature
Date
After submitting, send Ignite: Articles of Organization, EIN letter, truck and trailer registrations or titles, and your insurance quote or binder.
Submit intake form