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SSA-1694
Request For Business Entity Taxpayer Information
Download and Print
the SSA-1694
Request may not be processed if the form is incomplete or illegible.
BUSINESS INFORMATION
Employer Identification Number (EIN)
Name of the Business Entity
Tax Mailing Address
P.O. Box, Street, Apt., or Suite No.
City -
State -
ZIP Code or Postal Zone -
Country
PERJURY STATEMENT
I declare under penalty of perjury that I have examined all of the information on this request and it is true to the best of my knowledge. I am aware that if I knowingly and willingly make any false representation about any material fact provided herein or knowingly and willingly make any false representation to obtain information from Social Security records, and/or attempt to deceive the Social Security Administration as to my true identity, I could be criminally punished by a fine or imprisonment or both.
Printed Name
Signature
Date
/
/
Contact Name
Phone Number (including area code)
FOR AGENCY
And much more...
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