New Client Intake – Corporations Please enable JavaScript in your browser to complete this form.Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation. Privacy Policy All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption. Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case. Social Security numbers are most often used to positively identify parties. Most courts require Social Security numbers of all parties in a case. Some other examples of how this information may be used include: a) initial service; b) in court orders; c) in required reports or other documents filed with the State. If you have any questions, please don’t hesitate to contact our law office. We look forward to working with you!Name *FirstLastCompanyIf the client is a company, (Corporation or Limited Liability Company) please list the company name here.AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Best Contact Phone NumberPreferred Contact MethodPhoneEmailNo PreferencBirthdateSocial Security NumberIf the Client is a company (corporation or limited liability company), please enter the Federal Employment Identification Number (FEIN) here.Have you filed a name reservation with the applicable Secretary of State?YesNoWhat it what is your first choice for the company name? *If your company will be an Inc. the name of the business must contain one of the following designations: Corporation, Corp., Corp, Incorporated, Inc., Inc, Company, Co., Co, Limited, Ltd., Ltd. If your company will be a LLC the name of the business must contain one of the following designations: Limited Liability Company, LLC, LLC., L.L.C., L.C., LC, Ltd. Liability Company, Ltd Liability Company, Ltd. Company, Ltd Company, Ltd. Liability Co., Ltd Liability Co, Ltd. Liability Co, Ltd Liability Co., Limited Company, Limited Co., Limited Co, Ltd. Co., Ltd Co, Ltd. Co, Ltd Co., L.L.CWhat it what is your second choice for the company name? *What is your third choice for the company name? *What is the address for the principal place of business of the company? *Do you want the Berney Law Firm to serve as the registered agent for the first year of incorporation? (included in corporate flat fee) *YesNoThe registered agent is the person who receives service of important documents on behalf of the business.Please state the legal name, address, phone number, email address and ownership percentage for each of the owners of the corporation. *Please state the amount of each owners initial capital contribution. *The Initial capital contribution can be in the form of money, services or property. At a minimum, we recommend an initial Capital contribution of $100 per owner, assuming that each owner has the same ownership percentage.Do you want to come in to pickup the corporate kit or would you like it mailed (mailing will incur an extra $25.00 mailing fee)? *The corporate kit will be available upon completion of the matter. Kits can be picked up at 934 Glenwood Avenue SE, Suite 110, Atlanta, GA 30316. Please secifiy a mailing address here if you prefer that the kit be mailed. Submit