Document Filing Sheet - Delaware Division Of Corporations Page 2
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2State of Delaware - Division of Corporations
DOCUMENT FILING SHEET - Fax# 302/739-3812
Priority 1
Priority 2
Priority 3
Priority 4
Priority 7
(One hr)
(Two Hr.)
(Same Day)
(24 Hour)
(Reg. Work)
DO NOT WRITE IN THIS SPACE
SUBMITTER’S INFORMATION
SUBMITTER’S INFORMATION
Company/Firm or
Company/Firm or
Individual’s Name
Individual’s Name
Return Address
Return Address
City – State - Zip
Attention:
Attention:
Phone#
Fax#
Phone#
Fax#
E-mail address
E-mail address
Account Number
Account Number
(to be used when charging a Depository Acct.)
DOCUMENT FILING REQUEST INFORMATION
Name of Company/Entity
File Number
Reservation Number
Type of Document
Check if document is:
Changing Name
Changing Registered Agent
Changing Stock
METHOD OF RETURN
OTHER DOCUMENT FILING INFORMATION
_____
Messenger/Pick up
Select Express Type
_____
Express Service Delivery
# of Certified Copies returned
Acct#___________________________________
_____
Regular Mail
Other requests
_____
Other __________________________________
Check #
Total $ enclosed
COMMENTS/FILING INSTRUCTIONS
Card Type
CREDIT CARD INFORMATION
(Visa, MasterCard or Discover Card Only)
-
-
-
Expiration Date -
/
Sec. Code_________
Signature __________________________________________
INSTRUCTIONS
1.
Visit
for complete
instructions on how to properly complete this memo.
2.
Fully shade in the required Priority Square using a
dark pencil or marker, staying within the square.
3.
Each request must be submitted as a separate item,
with its own Filing Sheet as the FIRST PAGE.
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