Form Ar:0038 - Extension Request Letter printable pdf download

Form Ar:0038 - Extension Request Letter

_________________________________________________________________________________________________________

ACC

O NOT WRITE ABOVE THIS LINE

FOR

USE ONLY

EXTENSION REQUEST LETTER

Pursuant to A.R.S. §§10-1622.(C) & 10-11622.(C).

Requested by:

Name:

_____________________________________________________

Address:

_____________________________________________________

RE:

Corporation Name: ________________________________________________

File Number:________________ Annual Report Due Date:__________________

Enclosed find check #____________ in the amount of $________________

to pay the annual registration fee for the above referenced corporation.

THE ABOVE REFERENCED CORPORATION WILL BE UNABLE TO FILE THE ANNUAL

REPORT ON OR BEFORE THE SPECIFIED DUE DATE. ON BEHALF OF THE

CORPORATION, I WOULD LIKE TO REQUEST A 6 MONTH EXTENSION TO FILE THE

ANNUAL REPORT.

Date: _________________________

Signature:_________________________________________________

Printed Name: __________________________________________

Title: _____________________________________

* * * * * * * * * * FOR OFFICE USE ONLY * * * * * * * * * *

A SIX-MONTH EXTENSION IS HEREBY GRANTED TO THE ABOVE-NAMED CORPORATION

PURSUANT TO A.R.S. §§ 10-1622.(C) or 10-11622.(C). A BUSINESS CORPORATION’S

FAILURE TO FILE THE ANNUAL REPORT BY THIS DATE WILL RESULT IN A PENALTY OF

20% PER MONTH CALCULATED FROM THE ORIGINAL DUE DATE.

NEW DUE DATE: ___________________________

AR:0038

Arizona Corporation Commission

Rev 09/2008

Corporations Division

Form Ar:0038 - Extension Request Letter