CTA Filing by Company Applicant

Please complete the form below and a member of our staff will contact you with any questions and a payment link.

Alternate Names Used By CompanyPlease include any trade names, dbas, alias, or none

Company Identifying Number

EIN
SSN or ITIN
Foreign Tax ID

Company EIN (or foreign tax ID, if foreign entity registered in the US does not have EIN)*

Date of Formation To choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

Company's Principle Place of Address in the United States*

(If you do not have a U.S. address, you may use your registered agents address.)

Beneficial Owner Information (all individuals who own 25% or more or have substantial control over the entity; visit our information page or the FinCEN website for details.)

# of Beneficial Owners*Please list the number of beneficial owners.

#1 Beneficial Owner FinCen Identifier If you have a FinCEN Identifier please add it here, if you do not have one skip to the Beneficial Owner Identification questions below

If the FinCEN identifier was provided above for #1 Beneficial Owner, the information below about #1 Beneficial Owner can be left blank.

#1 Beneficial Owner First Name

#1 Beneficial Owner Last Name

#1 Beneficial Owner Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

#1 Beneficial Owner Residential Address

#1 Beneficial Owners Personal ID #

#1 Beneficial Owner Identifying Document Type

Driver’s License or State ID
US passport
Foreign Passport

#1 Beneficial Owners Drivers License or Passport Document*Please upload an image of the identifying document used

#2 Beneficial Owner FinCen IdentifierIf you have a FinCEN Identifier please add it here, if you do not have one skip to the Beneficial Owner Identification questions below

If the FinCEN identifier was provided above for #2 Beneficial Owner, the information below about #2 Beneficial Owner can be left blank.

#2 Beneficial Owner First Name

#2 Beneficial Owner Last Name

#2 Beneficial Owner Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

#2 Beneficial Owner Residential Address

#2 Beneficial Owners Personal ID #

#2 Beneficial Owner Identifying Document Type

Driver's License or State ID
US passport
Foreign Passport

#2 Beneficial Owners Drivers License or Passport DocumentPlease upload an image of the identifying document used

#3 Beneficial Owner FinCen IdentifierIf you have a FinCEN Identifier please add it here, if you do not have one skip to the Beneficial Owner Identification questions below

If the FinCEN identifier was provided above for #3 Beneficial Owner, the information below about #3 Beneficial Owner can be left blank.

#3 Beneficial Owner First Name

#3 Beneficial Owner Last Name

#3 Beneficial Owner Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

#3 Beneficial Owner Residential Address

#3 Beneficial Owners Personal ID #

#3 Beneficial Owner Identifying Document Type

Driver's License or State ID
US Passport
Foreign Passport

#3 Beneficial Owners Drivers License or Passport DocumentPlease upload an image of the identifying document used

#4 Beneficial Owner FinCen IdentifierIf you have a FinCEN Identifier please add it here, if you do not have one skip to the Beneficial Owner Identification questions below

If the FinCEN identifier was provided above for #4 Beneficial Owner, the information below about #4 Beneficial Owner can be left blank.

#4 Beneficial Owner First Name

#4 Beneficial Owner Last Name

#4 Beneficial Owner Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

#4 Beneficial Owner Residential Address

#4 Beneficial Owners Personal ID #

#4 Beneficial Owner Identifying Document Type

Driver's License or State ID
US Passport
Foreign Passport

#4 Beneficial Owners Drivers License or Passport DocumentPlease upload an image of the identifying document used

#5 Beneficial Owner FinCen IdentifierIf you have a FinCEN Identifier please add it here, if you do not have one skip to the Beneficial Owner Identification questions below

If the FinCEN identifier was provided above for #5 Beneficial Owner, the information below about #5 Beneficial Owner can be left blank.

#5 Beneficial Owner First Name

#5 Beneficial Owner Last Name

#5 Beneficial Owner Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

#5 Beneficial Owner Residential Address

#5 Beneficial Owners Personal ID #

#5 Beneficial Owner Identifying Document Type

Driver's License or State ID
US Passport
Foreign Passport

#5 Beneficial Owners Drivers License or Passport DocumentPlease upload an image of the identifying document used

Company Applicant Information (Not needed for entities formed BEFORE January 1, 2024)

This section should only be completed by an authorized company applicant (such as accountants or order placers) filing on behalf of the beneficial owner.

If the beneficial owner is completing this form, there is no need to fill out this section.

Company Applicant FinCen Identifier (if available)If you have a FinCEN Identifier please add it here, if you do not have one skip to the Company Applicant Identification questions below

If the FinCEN identifier was provided above, the information below can be left blank.

Company Applicant Date of BirthTo choose a date quickly and efficiently, just click on the month or year to open a dropdown menu with all available options, avoiding the need to scroll through dates using arrows.

Company Applicant Address Type

Residential Address
Business Address

Company Applicant Address(Note: if applicant directed formation as a part of their employment, the business address should be listed.)

Company Applicant Personal ID #

Company Applicant Personal ID Documentation

CTA Filing Contact First and Last Name*First and last name of the person to contact regarding any questions about this CTA filing

CTA Filing Contact Phone Number*Phone number of the person to contact regarding any questions about this CTA filing

CTA Filing Contact Email*Email of the person to contact regarding any questions about this CTA filing

I certify that to the best of my knowledge, all of the information provided above is complete and accurate. By clicking submit below, I consent to allow American Incorporators Ltd. to store and process the personal information I submitted above. Further, I absolve American Incorporators Ltd. of any liability for using the provided information for the CTA filing for the company listed.*

If you discover any errors or omissions in the information provided after the BOIR has been filed, American Incorporators can help file an update with FinCEN. Please contact our office for help with this. (Note: the correction must be filed within 30 days of realizing the error.)

CTA Filing by Company Applicant

Company Information

Beneficial Owner Information (all individuals who own 25% or more or have substantial control over the entity; visit our information page or the FinCEN website for details.)

Company Applicant Information (Not needed for entities formed BEFORE January 1, 2024)