This is also applicable for the signers on any of these accounts.) Date: Password: Business Name: Physical Street Address: City State Zip: Mailing Address: City State Zip: If different from Physical Address If different from Physical Address EIN: Business Type: Business Phone: Association/Organization Money Service Business Other: Corporation Partnership Limited Liability Corporation Sole Proprietor Principal Business Activity: REQUIRED – Be Specific Documentation Requirements Document Type Articles of Incorporation Articles of organization Partnership Agreement Trust Agreements Copy of EIN Application Business License Resolution of Authority Personal Information Sheets Copies of Driver’s Licenses and Social Security Cards Received Pending Yes No Verification Verification Type ChexSystems OFAC Secretary of State Report Port: Date: Initials:.
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