Entity Formation Intake Form Name of Applicant * First Name Last Name Email * Phone * Country (###) ### #### Desired Business Structure * Limited Liability Company Corporation Close Corporation Professional Corporation Not-for-Profit Company Name * Purposes of the Company * Please provide a brief description of what the company will be used for. Office Address * Note: this information will be publicly available on the Department of State records. Mailing Address * Name of Owner(s) * Percentage of Ownership per Owner * Is your business remote/online? * Please specify whether you receive clients or not. Yes No How did you hear about us? * Social Media Google Referral Thank you!