Cover Sheet Template - Arizona Corporation Commission
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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION
COVER SHEET
USE A SEPARATE COVER SHEET FOR EACH DOCUMENT
1.
WHAT ARE YOU FILING?
New Entity
Change to existing entity
Re-submission/Correction
2.
ENTITY NAME:
3.
CALCULATE YOUR FEES
:
(copies, certificate of good standing and expedited processing are all optional)
Document filing fee
fee schedule
Subtotal:
(fees are listed on the bottom of the form or on the
)
Do you want EXPEDITED processing?
Subtotal:
If YES, add $35.00
YES
NO
Corporation certified copies
Subtotal:
$ 5.00 each x
(enter number of copies requested)
LLC certified copies
Subtotal:
$10.00 each x
(enter number of copies requested)
Certificate of Good Standing
Subtotal:
$10.00 each x
(enter number of copies requested)
TOTAL AMOUNT DUE:
TOTAL YOUR AMOUNT OWED
4.
PAYMENT METHOD:
MOD Account
#
Cash - do not mail cash. Cash may be used only for in-person submittals.
Checks or money orders - must be made payable to "Arizona Corporation Commission," with all words spelled out and no
abbreviations. Checks must be completely and properly filled out, including the amount sections. UNACCEPTABLE CHECKS
include: no imprinted or preprinted name and address of the account holder; no imprinted or preprinted check number;
handwritten or stamped names, addresses, or check numbers; temporary checks (new accounts).
Credit cards - may be used for in-person submittals, and for online corporation annual reports, online name reservations, or
online certificates of good standing. We accept only Visa, MasterCard, and American Express.
5.
REQUIRED - RETURN DELIVERY OPTION (PLEASE PRINT CLEARLY and select only ONE):
Email
Email address:
Pick up
Name:
Phone:
Mail
Name:
Address:
City:
State:
Zip:
Phone:
DOCUMENTS WILL BE MAILED IF THEY ARE NOT PICKED UP IN A TIMELY MANNER (APPROXIMATELY ONE WEEK)
FOR ARIZONA CORPORATION COMMISSION USE ONLY
PICK-UP BY: _________________________________________________
DATE: ________________
View current processing times at:
Arizona Corporation Commission – Corporations Division
CFCVLR REV 03/2015
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