LLC Intake DetailsΔFirst Name Middle Name Last Name New Business Name Email Company Purpose Keep it simple and broad, typically 2-3 words(Your office address is not public unless you also use it as your registered agent address, so you can use your home address for an online business)Office Address Address Line 1 Address Line 2 City State Zip Code Registered Agent Address – Select –My Office AddressIowa Registered Agent ($50/year)OtherThis address is public informationOther AddressAddress Line 1 Address Line 2 City State Zip Code Phone Number # of Members/Owners (if known) Full Name(s) of other Members/Owners (if applicable) Other Email(s) If desired, enter the email(s) of anyone else you believe should receive details/updatesBusiness Type (if known) – Select –SeriesSingle MemberPartnershipCorporationNon-ProfitOtherChoose what type of business your new LLC will beIf you selected other, please explain: Does your company hold interest in agriculture? Yes NoSubmit Form
