Application Of Registration For Foreign Business Trust Form Page 6

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ROSS MILLER
1-Hour Expedite
Secretary of State
206 North Carson Street
Customer Order Instructions
Carson City, Nevada 89701-4299
(775) 684 5708
Website:
USE BLACK INK ONLY - DO NOT HIGHLIGHT
SUBMIT THIS COMPLETED FORM WITH YOUR FILING
1-Hour Expedite Service Requested: $1000.00 Fee Included
Date:
Return to:
Address:
Phone:
Contact Person:
Return Delivery
FedEx: Account #
(mark one):
Hold for Pick Up
Mail to Address Above
Other
(explain below)
Confirmation Fax Number:
Confirmation E-mail Address:
Name of Entity:
Order Description
(include items being ordered and fee breakdown)*:
* PLEASE NOTE: this office keeps the original paperwork. The first file
Total Amount:
stamped copy ordered at the time of filing is at no charge. Each
additional copy is $2.00 per page (plus $30.00 for each certification.)
Method of Payment:
eCheck/Credit Card
Trust Account
Check/Money Order
(attach checklist)
Use balance remaining in job #
Nevada Secretary of State 1hr Order Instructions
Reset
Revised: 7-1-08

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