Form Scc21.2 - Expedited Service Request - 2009

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COMMONWEALTH OF VIRGINIA
Expedited Service Request
STATE CORPORATION COMMISSION
CLERK’S OFFICE
1300 E MAIN ST
SCC21.2
RICHMOND, VA 23219
Business Entity Filing
(04/09)
(804) 371-9733
(866) 722-2551 Toll-free in Virginia
Print Form
**Read Information & Instructions pages before completing this form**
Reset Form
This form MUST be completed and placed on top of EACH document submission
(so it can be readily identified as a request for expedited review and processing).
Entity Name:
Entity’s SCC ID No.
(if known):
Return Evidence of Filing To:
Return Evidence of Filing By:
(Correspondent’s name and address)
(mark all that apply)
Hold for Pickup (Available at 4:00 p.m.)
First-Class Mail
USPS Express Mail
(Prepaid envelope required.)
Overnight via
UPS
Fed Ex
(Completed airbill with account number required.)
Contact Person: ____________________________________
Fax
(Additional charge of $25. Only available for
Expedited Filings, Categories A and C.)
Phone Number: (
) _______ - _________ ext _________
Complete, if not correspondent:
Fax Number: (
) _______ - _________
Name: ____________________________
E-mail: ____________________________________________
Fax No.: (
) ________ - ___________
FOR OFFICE USE ONLY
~~~ See Information & Instructions for description of categories. ~~~
Expedited Service(s) Requested:
Expedite Fee(s):
***
(mark service requested)
***(does not include filing fee(s) – see footnote)
Category A Expedite Business Entity Document listed in Schedule A
Same Day Service (In by Noon)
$ 200
$ 100
Next Day Service (In by 4:00 p.m.)
Category B Preliminary Review of a Document listed in Schedule A
nd
(2
Business Day Service Only – In by 4:00 p.m.)
$ 50
(Note: No fee if document is a preliminary review
resubmission within 30 days of initial submission.)
Category C Expedite Business Entity Document listed in Schedule C
$ 50
(Next Day Service Only – In by 4:00 p.m.
I/O
$ 50
Reinstatement Packet
***
Remember to include payment for all applicable fees (e.g., charter/entrance, reinstatement, filing, fax and expedite fees)

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