Online Application

WGA SPONSORED EXTRATERRITORIAL INCOME EXCLUSION

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Website Address:

Primary Products Exported:

Business Activity Code (from tax return):

Estimated Annual Export Sales (including Canada/Mexico):

Est. Sales of Foreign Subsidiaries (foreign use):

Legal Type of Entity:

C Corp S Corp LLP LLC Partnership

Fiscal Year-End:

-- mm/dd/yy

Tax Basis:

Accrual Cash Hybrid

Book Basis:

Accrual Cash Hybrid

Federal Tax ID#

Name & Address of Tax Consultant:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country