Please indicate the percentage between
0-100% below.

*Required

Do you rent or own your business location?

Please type in your Federal Tax ID in the field below

Please enter your business start date below

*Required

Please input your date of birth in the field below

Please input your social security number in the field below

Do you want to add a second owner?

Please add second owner if your ownership is less than 100%. (*Not Required)

Please indicate the percentage between
0-100% below.

*Required

Please input the second owner's date of birth in the field below

Please input the second owner's social security number in the field below