Form Ss984 - 2008 - Transmittal Information For All Business Filings And Foreign Qualification Questionnaire - Louisiana Secretary Of State
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Commercial
TATE OF
OUISIANA
(225) 925-4704
S
S
ECRETARY OF
TATE
(225) 922-0435 Fax
JAY DARDENNE
Administrative Services
(225) 925-4704
SECRETARY OF STATE
(225) 925-4726 Fax
Uniform Commercial Code
(225) 922-1193
(225) 922-0452 Fax
TRANSMITTAL INFORMATION
For All Business Filings
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
City
State
Zip Code
Fax number
Daytime phone number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Registered agent, officer, entity status information available via the Internet
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address:
SS984 Rev. 06/08
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