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Office Hall

Information needed to file BOIR

Owner Information

First name(Required)

Last name(Required)

Email(Required)

Phone

Birthday(Required)

Month

Day

Year

Social Security Number(Required)

Home Address

Multi-line address

Country/Region

Address

City

Zip / Postal code

Company Information

Company Legal Name(Required)

Alternate Name (i.e. DBA)Trade Name)

EIN

Business Address

HomeADDRESS

Country/Region(Required)

Address(Required)

City(Required)

Zip / Postal code(Required)

You must upload a picture of your driver license

Driver License Front

Driver License Back

Signature

Payment to file BOIR

$1

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