Nevada LLC Intake Form

Step 1 of 2

Is your business in Nevada?(Required)

Yes

Contact Form

Please fill out this contact form and a representative will contact you.

Full Name(Required)

Email(Required)

Phone Number(Required)

Contact Form

Please fill out your contact information to proceed.

Full Name(Required)

Email(Required)

Phone

Entity Name – First Choice(Required)

Your LLC name must be unique in your formation state. We’ll check name availability and use the first name available in the order you provide. We will automatically insert the required “LLC” suffix to the company name.

Entity Name – Second Choice

LLC Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Your LLC must have a physical street address, which may be a residence address but not a PO Box. You may list a different mailing address including a PO Box or PMB where such addresses are permitted on forms.

Is the mailing address the same as the physical address for the LLC?(Required)

Yes

Mailing Address Of The LLC(Required)

Street Address Address Line 2 City State ZIP Code

Registered Agent Services for the first year are included in the package. If you wish to select your own Registered Agent, please check the box

Yes, I would like my own registered agent.

Please provide the name and address of the registered agent.

Name of registered agent

Address of registered agent

Street Address Address Line 2 City State ZIP Code

How many members are in your company?(Required)

At least 1 member. If you have 10+ please call 1 (800) 503-4443 to speak to a specialist.

Unfortunately, this form does not support LLC’s with 10 or more members. Please contact us by calling (800) 503-4443 or emailing admin@nwincorp.com for personalized help.

Member #1 Information

Member #1: Full Name of Individual Member or Legal Entity Name(Required)

Member #1: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #1: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #1: Email(Required)

Member #1: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #1: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #1: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #2 Information

Member #2: Full Name of Individual Member or Legal Entity Name(Required)

Member #2: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #2: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #2: Email(Required)

Member #2: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #2: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #2: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #3 Information

Member #3: Full Name of Individual Member or Legal Entity Name(Required)

Member #3: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #3: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #3: Email(Required)

Member #3: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #3: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #3: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #4 Information

Member #4: Full Name of Individual Member or Legal Entity Name(Required)

Member #4: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #4: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #4: Email(Required)

Member #4: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #4: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #4: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #5 Information

Member #5: Full Name of Individual Member or Legal Entity Name(Required)

Member #5: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #5: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #5: Email(Required)

Member #5: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #5: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #5: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #6 Information

Member #6: Full Name of Individual Member or Legal Entity Name(Required)

Member #6: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #6: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #6: Email(Required)

Member #6: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #6: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #6: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #7 Information

Member #7: Full Name of Individual Member or Legal Entity Name(Required)

Member #7: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #7: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #7: Email(Required)

Member #7: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #7: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #7: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #8 Information

Member #8: Full Name of Individual Member or Legal Entity Name(Required)

Member #8: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #8: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #8: Email(Required)

Member #8: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #8: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #8: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Member #9 Information

Member #9: Full Name of Individual Member or Legal Entity Name(Required)

Member #9: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required)

Use the same mailing address of this LLC

Use a different mailing address

Member #9: Mailing Address

Street Address Address Line 2 City State ZIP Code

Member #9: Email(Required)

Member #9: SSN or EIN (Tax-ID)(Required)

123-45-6789 (SSN) or 12-3456789 (EIN)

Member #9: Percentage (%) Ownership of the LLC being formed(Required)

Please enter a number from 1 to 100.

If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.

Member #9: What is the initial capital contribution from this member?

Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.

Will you be making the S-Corp election?

Yes

If you are not sure about this question, please contact us at 1 (800) 503-4443

Will the LLC be managed by all of the members or by managers?(Required)

Member managed: All of the owners participate in running the business.

Manager managed: management is delegated to one person or multiple managers

If you are not sure about this question, please contact us at 1 (800) 503-4443

How many managers are in your company(Required)

This form does not support receiving more than 10 managers. Please contact us at 1 (800) 503-4443 to speak to a specialist regarding this.

Manager #1 Information

Manager #1: Full Name(Required)

Manager #1: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #1: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #1: Email Address(Required)

Manager #1: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #2 Information

Manager #2: Full Name(Required)

Manager #2: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #2: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #2: Email Address(Required)

Manager #2: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #3 Information

Manager #3: Full Name(Required)

Manager #3: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #3: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #3: Email Address(Required)

Manager #3: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #4 Information

Manager #4: Full Name(Required)

Manager #4: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #4: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #4: Email Address(Required)

Manager #4: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #5 Information

Manager #5: Full Name(Required)

Manager #5: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #5: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #5: Email Address(Required)

Manager #5: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #6 Information

Manager #6: Full Name(Required)

Manager #6: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #6: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #6: Email Address(Required)

Manager #6: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #7 Information

Manager #7: Full Name(Required)

Manager #7: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #7: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #7: Email Address(Required)

Manager #7: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #8 Information

Manager #8: Full Name(Required)

Manager #8: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #8: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #8: Email Address(Required)

Manager #8: Social Security Number (SSN)(Required)

Example: 123-45-6789

Manager #9 Information

Manager #9: Full Name(Required)

Manager #9: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required)

Yes, use the same mailing address.

No, use a separate mailing address for this manager.

Manager #9: Address(Required)

Street Address Address Line 2 City State ZIP Code

Manager #9: Email Address(Required)

Manager #9: Social Security Number (SSN)(Required)

Example: 123-45-6789

Which member/entity will be the EIN responsible party?

Member #1

Which member/entity will be the EIN responsible party?

Member #1

Member #2

Which member/entity will be the EIN responsible party?

Member #1

Member #2

Member #3

Which member/entity will be the EIN responsible party?

Member #1

Member #2

Member #3

Member #4

Which member/entity will be the EIN responsible party?

What is the title of this member?(Required)

CEO, CFO, CTO, Etc.

What is the contact number of this member?(Required)

By clicking this checkbox, I authorize Nationwide Incorporators to submit the required forms for the EIN in the name of the responsible party(Required)

I authorize Nationwide Incorporators to submit the required forms for the EIN of the responsible party.

Nevada LLC Intake Form