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0811411996 03:54
<br />219-2718372
<br />MILTON GROUP INC
<br />PAGE 09
<br />Form SSA?
<br />(Rev. December 1993)
<br />0e98*1ment of the trsaevry
<br />Inlemal Revenue seance
<br />Application for Employer Identification Number
<br />(For use by employers, corporations, partnerships, trusts, estates, churches,
<br />government agencies, certain individuals, and others, See instruCtion9.)
<br />1 Name of applicant (Legal name) (See instructions.)
<br />AMERICAN HOME DREAMS, 7NC.
<br />2 Trade name of business d different from name in Ilne 1
<br />Executor, trustee, "care of" name
<br />EIN
<br />OMB No. 1545.0003
<br />Expires 12-31-96
<br />as Mailing address (street address) (room, apt., or suite no.) I5s Business address. if different from address In lines as and 4b
<br />316 S. EDDY ST.
<br />4b City, state. and ZIP code 6b City, slate, and ZIP code
<br />SOUTH BEND, IN 46617
<br />6 County and stale Where principal business is located
<br />ST. JOSEPH COUNTY, INDIANA
<br />7 Name of pnr,cipal officer, genarai partner, grantor• owner, or trustor—SSN required (See instructions.) ► 274-48-6793
<br />RICARDO MILTON
<br />as Type or entity (Check only one box.) (See instructions.) ❑ Estate (SSN of decedent) ❑ Trust
<br />❑ Sole Proprietor (SSN) ❑ Plain aciministrator-SSN ❑ aartnershio
<br />❑ REMIC r-) Personal service Corp. ❑ Other corporation (specity) ❑ farmers' cooperw.-e
<br />Ej
<br />❑ State/Vocal gu,rernment ❑ National a�ui rC �� ❑ Federal government military Church or church con rolled organization® Other nonprn. f;t organization_ Ispecily) )3 INn%� �E E if GEN applicable) —
<br />❑ Other (specify, ► —__—_
<br />ab If a corporation, .tame the state or foreign country
<br />(if applicable) where incorporated ►
<br />Foreign country
<br />a Reason for apply'ng (Cherie oniv one box.) ❑ Changed type of organization (specify) ►
<br />❑ Staneo new business (speclty) ► ❑ Purchased going business
<br />❑ Hired employees ❑ Created a trust (specify) ►
<br />❑ created a per•ston plan tspecffY type) ►
<br />❑ Banking purpose (speclfyf ► ❑ Otnee
<br />10 Date business starteo or a:ao-red (Mo.. day, year) (See instructions.)
<br />MARCH 4 1996
<br />11 Enter dosing month of accounfing year. (See lnstrucl,ons )
<br />12 First date wages or annuities were paid or will be paid (Mo.. day, year). Note: If applicant Is a withholding agent. enter care income will first
<br />De paid to nonresidenr al+er, WO- day. year) . . . . . . . . • . . ► AUGUST 1997
<br />Nonagricultural AgriCi,;Rural Household
<br />13 Enter highest n,lrnber of employees expected in the next 12 months, Note: If the applicant 0
<br />does nor expecr 'o have any emoloyees during fne period enter -Q." . ► a 0 _
<br />14 Principal activftl (See of irvc'-ms.l ► PROVIDING HOUSES FOR LOW OR MODERATE INCOME F'AM71 TES
<br />Yes No
<br />15 Is the principal 5ine5S activlty manufacturing?
<br />❑ ®
<br />:�
<br />If "Ye&," principa product and raw material used t►
<br />16 To whom are m:st of VIP.. Orr'JOCIS or services sold? Please check the appropriaie box. ❑ Business (wholesale)
<br />® N/A
<br />Public (retail [ j Other (specify) ► ❑
<br />17a Has the applicant ever al)D4e9 for an identification number lot this cr any other business? . . . . . . ❑ 'tea No
<br />Note: Ir "Yes." n,ease cornaerF lines r 7b and r 7c
<br />1Yb n you checked -fie "Ye:.' D- line 17a, give applicant's legal name and trade name, if different than name shown on prior apphcaton_
<br />Legal name ► Trade name ► _
<br />17c Enter approxlrr a'.e date c•ty. r11c state where the application was filed and the previous employer Icientlticalton number it known,
<br />ADprOx,maie dair, when lueo lN,L lay yearn City ano state where filed I previous EIN
<br />U�.Mer DenVIE5 01 DVIVY Ucr•�, v-' ea finis appliCason Boa to the best of my Ynovilew aa0 Dellel it Is true. correct an0 COmDlele Business leleonont ndmDe' linclute area QUW
<br />Name nnQ hlre (Please lewd or Drir.-. c+ea-li W
<br />Signature ► (�^�Lr"c1
<br />rc
<br />A m f /,I-crt
<br />Note: Do not write below Iris line. For official use
<br />Please leave
<br />blank ►
<br />For Paperwork Radu,,tion Act Notice, see attached instructions.
<br />Cat No 16055N
<br />(219)271, 721/8�/
<br />Dale ► Mh r -r l(J
<br />Reason for aDDf'r+n4
<br />Form SS-4 (Rev 12-93,
<br />
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