Request For Certificates Or Copies Form
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1
2FINANCIAL UNIT USE ONLY
REQUEST FOR CERTIFICATES OR COPIES
AMT. REC’D
$
CA CR
TRANS. ID
ONLY ONE BUSINESS NAME OR BUSINESS ID # PER FORM
BATCH DATE
Date______________
NAME OF REQUESTING PARTY
CUSTOMER ID #, IF ANY
STREET ADDRESS – P O BOX
CITY, STATE, ZIP CODE
I have provided my customer ID # and
authorize SOTS to debit my account
PHONE NUMBER
(
)
BUSINESS ENTITY NAME (Print complete name of business as it appears on the records of the Secretary of the State Office)
OR
BUSINESS ID #
CERTIFICATES OF LEGAL EXISTENCE
Be certain you check the correct box. The Concord Computer system automatically issues
these certificates based on information you provide.
PLEASE INDICATE QUANTITY ORDERED
1. Corporations
__________
Express Certificate of Legal Existence …………… $50.00
__________
Short Form Certificate (reflects all name changes)…
$80.00
__________
Long Form Certificate (domestic only) ………..…..
$120.00
{Cannot be expedited}
2. Limited Liability Companies
__________
Express Certificate …………………………………. $50.00
__________
Short Form Certificate (reflects all name changes)…
$50.00
__________
Long Form Certificate (domestic only) …………...
$100.00
{Cannot be expedited}
3. Limited Partnerships
__________
Certificate of Legal Existence …………………….. $50.00
4. Limited Liability Partnerships
__________
Express Certificate ………………………………... $40.00
__________
Short Form Certificate …………………………….
$80.00
__________
Long Form Certificate (domestic only) …..………...
$120.00
{Cannot be expedited}
5. Statutory Trusts
__________
Express Certificate ………………………………... $40.00
__________
Short Form Certificate …………………………….
$80.00
6. Special Certificates
__________
Certificate Evidencing… ____________________
$50.00
__________________________________________
__________
No Record
$50.00
{Cannot be expedited}
(See reverse side)
Revised 12/11/09
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Parent category: Legal