New IC-DISC Application

Structure:	C Corporation S Corporation Other
Name:
Title:
Company:
Address:
City:
St:
Zip:
Phone:
Fax:
Email:
EIN:
Formation Fee:	$2,500	Please Note: Complete Turnkey! * Fees include all required intercompany Agreements, Annual Delaware fees and filings, Delaware Resident Agent Fee, EIN Filing, IRS Election, Stock transfer service and compliance assistance
Annual Fee: Please do not send fees at this time Formation is completed and confirmed within 48 hours .	$1,500
IC-DISC Name Preferred:
Name one DISC Officer:
Officer last 4 digits of SSN #:
Officers Home Address:
Exporter Tax Year:
Estimated Annual Export Sales:	In Millions
Estimated Export Profit Margin %:
Preparers Name:
Preparers Title:
Preparers Email Address:
Please check to Acknowledge you are authorized by the Company listed to submit this application on behalf of the Company.	I am Authorized
Authorization Code:	Type the characters you see in the picture below.