Common use of Entity Information Clause in Contracts

Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Address: City: State: Zip: Phone : Fax : E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax.

Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Sole Proprietor Other (specify): Address: City: State: Zip: Phone Phone: Fax Fax: E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax.

Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Sole Proprietor Other (specify): Address: City: State: Zip: Phone Phone: Fax Fax: E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax.. Doing Business Data Form EIN/TIN: