Application For Certificate Of Existence Form

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State of Alabama
Application for Certificate of Existence
Pursuant to the provisions of the Alabama Business Corporation Act, the applicant named below
hereby requests a Certificate of Existence be issued for the following entity [FORM MUST BE
TYPED OR LASER-PRINTED]:
Complete Legal Name of Entity:
Fictitious Name in Alabama (if applicable):
State/County of Incorporation/Organization:
Date of Incorporation/Registration/Qualification:
FEES & MAILING/FAXING INSTRUCTIONS: detailed on attached page.
The Certificate of Existence is to be forwarded* to:
Mailing Address
(
)
Date
Telephone Number
Name of Applicant
If you wish to pay by credit card:
Card Type:
(Visa, MC, Discover & AmEx)
Service Requested (check all that apply):
$5.00
$10.00 expedited LLC
$100.00 expedited For-Profit Corporation
Card Number:
Expiration Mo/Yr:
/
Card Holder Name:
Complete Billing Address :
Street or PO
City
State
Zip
Signature of Card Holder:
MUST be Signature of Card Holder
*All documents are mailed standard USPS unless envelopes with special postage or overnight
courier envelopes are included with the Application. Any overnight courier envelopes must have
a completed airbill with the billing information completed and clearly marked “bill recipient.”
App Cert Exist 6/2010 
 

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