Form Llc-50.25 - Llc Fax Transmittal Request Form For Certificates Of Good Standing And/or Certified Copies Of Documents - 2010 Page 2

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Form LLC-50.25
4. Name and Daytime Phone Number of Contact Person:
Name
Telephone Number
4.
E-mail:
5. Mail to:
First Name
Middle initial
Last Name
Number
Street
Suite #
City
State
ZIP Code
Expedited requests will be mailed within 24 hours. Unless express carrier account number is provided for billing to your account,
the document(s) will be sent by regular mail to the address above.
Express Mail Carrier and Account Number:
(page 2)
Printed by authority of the State of Illinois. November 2010 — 1 — LLC-40.5

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