Expedited Service Request - Connecticut Secretary Of State

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EXPEDITED
SERVICE REQUEST
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 0611 j-0470 / REV 5-1-98
1 NAME OF ENTITY:
-
INAME OF PARTY REQUESTING SERVICE:
ADDRESS OF REQUESTING PARTY:
CHECK ONE:
MAIL
PICK UP
See reverse side for details
CHECK EXPEDITED SERVICE BEING REQUESTED
AND PROVIDE NECESSARY DETAILS BELOW
(NOTE: EXPEDlTED SERVICE FEE IS $25 PER TRANSACTION
- SEE #5 ON REVERSE SIDE
GENERAL
FILING:
REVIEW OF DOCUMENT
CERTIFICATES:
EXPRESS
SHORT FORM (reflects name changes - not available for
limited partnerships)
COPIES:
PLAIN
CERTIFIED
NUMBER
Specify type of document below. Include volume and page if document is currently on file.
Type of document
Volume
Page
SPACE FOR OFFICE USE ONLY

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