NJMVC ENTITY IDENTIFICATION NUMBER (EIN) REQUEST FORM
To be completed by company owner, officer or authorized signatory
Initial (Complete A) Address Change (Complete A&B) Name Change (Complete A&C)
Section A. Business Information
Legal Name of Company: ______________________________________________________________
Federal Employer Identification Number (FEIN): ____________________________________________
Mailing Address on file with the Internal Revenue Service (IRS):
Address: ___________________________________________________________________________
City: ________________________________________ State: __________ Zip: ___________________
Business Description: _________________________________________________________________
Name of Executive Requesting MVC EIN: _______________________________Title: ______________
Relationship to Company: ________________ Driver’s License Number: ________________ State: ___
Signature: _________________________________________________ Date: ____________________
Tel. No.: (_____) _________ - ______________ Fax No.: (_____) _________ - ______________
Email: ______________________________________________________________________________
Submit this completed application with the following;
1. A copy of the following business organization documents:
a. A certified document from the IRS displaying the entity’s name, current address (same as
above) and FEIN;
b. Certificate of Formation for LLC or Incorporation Papers for Corp./Inc. from the Division of
Commercial Recording; or a Trade Name Certificate for Sole Proprietorship;
2. An original or certified copy of power of attorney, certifying that the Executive applying for the MVC EIN
is an authorized signatory of the entity; and
3. If the Executive requesting MVC EIN holds an out-of-State I.D., a color photocopy of the driver’s
license or other photo identification.
4. Lienholders only – submit items 1a, 2, and 3 and one of the following documents accordingly.
a. Banks – Copy of Banking Commission Documents
b. Credit Unions – Copy of Charter Papers
Note: All other financial institutions and out-of-state dealerships – no other documents are required.
