Request For Business Organization Services Form - Colorado - 2011
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1COLORADO SECRETARY OF STATE
Many services are available FREE online!
Please visit our website,
, and select “Business”.
Payment is required with request.
REQUEST FOR BUSINESS ORGANIZATION SERVICES
Entity Name / Trademark
___________________________________________________________
(Exact name to be researched)
Entity ID or Document Number (if known)
_________________________
Date of Formation / Registration
_________________________
Jurisdiction (if applicable)
_________________________
□
□
Indicate standard of service requested
Regular
Expedite (add $10 to the regular fee)
OR
For $5.00: Select one or more (up to 5) of the following. The total fee will be $5.00 for regular service or $15.00 for
expedited service. If ordering more than five (5) items, the fee will be $25.00 ($35.00 for expedited service).
□
Certificate of Good Standing
□
Certificate of Fact of Incorporation, Existence, or Organization
□
Certificate of Fact – other (indicate type): __________________________________________
(Specify the fact to be certified in the certificate)
□
Certified copy, specific document(s)
____________________________________________
(For copies of all documents, see below)
(List specific document numbers)
For $25.00: Select one or more of the following plus any number of the above orders. The total fee will be $25.00 for
regular service or $35.00 for expedited service.
□
Certificate of Good Standing – Long form
□
Certificate of Fact of No Record (purged history search required)
□
Certified copies of all documents
□
Search of records not electronically accessible
□
Rebuild record
Information will be added to the electronic records
(
.)
Supporting information: ___________________________________________________
Apostilles (No additional charge)
□
Apostilles for the documents ordered above are requested for: _________________________________
(Country)
REQUESTING PARTY
Name ______________________________________________________
Phone ___________________________
Address _____________________________________ City _____________________ State _____ ZIP ___________
□
□
Mail
Pick up
Fed Ex/UPS Account Number ____________________
Prepaid Account Number ________________________
Job Number _____________________
CERTIFIED_ORDER
Page 1 of 1
Rev. 6/10/2011
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