Inc Enrollment Sheet | DSD Insurance

Corporation Enrollment Sheet

Required information to start your Corporation

Company name (choose 3 and list in order of priority in the space provided – we will check for availability against state records).

IMPORTANT: Using simple names such as initials most likely will NOT be accepted by the state. Try to create a more unique name to ensure your name will be accepted.

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Email: inc@dsdinsurance.com

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
What state do you live in?*
What state do you sell your goods in?**
What state do you purchase goods in?*
What states do you have customers in?*
Choose a name for your business - Option 1*
Company name CAN NOT include any names or brand names that are associated with the business you are contracted for
Choose a name for your business - Option 2*
Choose a name for your business - Option 3*
If you have given permission to share your information AND have an Accountant please enter their email address below
Would you like to request that Bylaws are prepared for your Corporation ($50)? Bylaws will show proof that you are at least a 51% owner in your Corporation.*
- Yes
- No
(Optional Service) Would you like for us to obtain your EIN from the IRS (Fee $75)?*
- Yes - Please obtain my EIN
- No - Do not obtain my EIN
Special Instructions/Comments
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DSD Insurance
135 Hayesbury Drive
Pelham, AL 35124
DIRECTIONS
(866) 621-1770