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S Corporation - Shareholder's Consent
To Initial Election
The undersigned, being a shareholder of __________(1)____________,
a _____(2)_______ corporation, hereby consents to the election
of that corporation, made on Internal Revenue Service Form
2553 to which this statement is attached, to be treated as
a small business corporation under Section 1362(a) of the
Internal Revenue Code of 1954.
The name and address of the corporation are: _______(3)_________,
________(4)________. The corporation's tax-payer identification
number is: ______(5)________.
The undersigned shareholder's name and address and tax-payer
identification number are as follows:
Name and Address Taxpayer Identification No.
The number of shares owned by the undersigned shareholder,
and the date or dates when the undersigned shareholder acquired
those shares, are as follows:
Number of Shares Date(s) Acquired
The information in this document is designed to provide an
outline that you can follow when formulating business or personal
plans. Due to the variances of many local, city, county and
state laws, we recommend that you seek professional legal
counseling before entering into any contract or agreement.
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