Orders & Payments

On-line Service Order

I would like to order:*
If "other" please specify:
In the State of:
State
County of:
Entity Name:
Please provide three possible names of your entity. The first available choice will be registered. "INC" will be added to your corporate choice unless another corporate ending is provided.
First Choice:*
Second Choice:
Third Choice:
Authorized Stock & Par Value
Amount of shares:
- No Par Value
- Par Value of per share
Corporate Address/ Address for Process
Company Address:*
Company City:*
Company State:*
State
Company Zip Code:*
Purposes
Please state the company purposes:
Directors/Officers/Members/Managers
1st Name:*
1st Address:*
Street Address City State Zip
2nd Name:
2nd Address:
Street Address City State Zip
Please choose additional services:
- Tax Id $45.00 (download, sign and send SS4 with your order)
SS-4-2010.pdf
- S-election $75.00
- Overnight shipping USPS $30.00 and up
Contact Information
Contact Name:*
Contact Address:*
Contact Street Address Contact Suite/Room/Apt# Contact City Contact State Contact Zip Code
Daytime Phone:*
Fax:
Email:
Shipping Address:
- Please check the box is the same as contact
No PO Boxes please
Shipping Name:
Shipping Address
Street Address City State Zip Country

*We cannot process your order untill payment is received
Payment information
Please select a method of payment:*
Credit Card
Card Number:
Expiration Date:
CRV:
Billing address:
- Check the box if the same as contact information
Billing Name:
Billing Address:
Street Address City State Zip
Please indicate any comments or special instructions:
*Please check for typos and make sure all information is correct
*All orders are processed to order and there will be no refunds or exchanges
*Print the copy for your records before submission
Upload Signed Document Here

Pay DE R/A Fees

Company's Name:
Company's file number or customer ID:*
Amount Authorized:*
Credit Card Billing Information:
Name*
First Name Last Name
Address*
Address Street 1 Address Street 2 City State ZIP Code
Credit Card Number:*
Credit Card Expiration:*
Security Code:*
Daytime Phone:*
Fax #:
Email:
Please let us know if there are any changes to your mailing address or contact information

Forms in pdf

Affidavit for PC

Affidavit for PLLC

Credit Card Authorization

Publication Service Order

Service Order

SS-4