Entity Information Form Use this simple form to send eResidentAgent the necessary information to prepare your documents. A representative from our office will follow up with you to complete the process.
Your name:
Address:
Address 2:
City/State/Zip:
Telephone: (213-111-2222)
Fax: (213-111-2222)
Email:
Company Information
Company name:
Is the principal address the same as the above address?
Jurisdiction CA (The state where an agent is required.)
What is the entity type?
President:
Vice-President:
Assistant Vice-President:
Secretrary:
Assistant Secretary:
Treasurer/CFO:
Other: Title:
Manager 1:
Manager 2:
General Partner 1:
General Partner 2:
