Form Nfp 115.15 - Corporate Fax Transmittal Request Form For Certificates Of Good Standing And/or Copies Of Documents - 2012
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NFP 115.15
FORM
CORPORATE FAX TRANSMITTAL REQUEST
FORM FOR CERTIFICATES OF GOOD STANDING
AND/OR COPIES OF DOCUMENTS
Illinois General Not For Profit Corporation Act
Secretary of State
Department of Business Services
Corporations Division
501 S. Second St., Rm. 350
Springfield, IL 62756
FAX: 217-524-8281
_____________________________ File #:______________________________
Date: ___________
Approved: ___________
1. Corporation Name: _______________________________________________________________________________
2. Secretary of State File Number:_____________________________________________________________________
8 digits
Request for:
☐ Expedited Certificate of Good Standing ............................................................................................................$15
☐ Expedited Certified Copy of Articles of Incorporation and all amendments......................................................$30
☐ Expedited Certified Copy of Other Document (set forth below)........................................................................$30
______________________________________________________________________________________________
Name of Document
Date Filed
In addition to the above fees, an additional $2 processor fee is charged when paying by credit card.
3. Credit Card (select one):
☐ Visa
☐ Mastercard
_____________________________________________________________________
Name as it appears on card.
☐ Discover
☐ American Express
_____________________________________________________________________
Account Number
Expiration Date
4. Name and Daytime Phone Number of Contact Person:
______________________________________________________________________________________________
Name
Telephone Number
5. Shipment method (select one):
☐ Regular Mail
(Complete item 6a.)
☐ United Parcel Service
(Complete item 6a & 6b.)
☐ Fax
(Complete item 6c.)
6a. Send to:
_____________________________________________________________________________________
First Name
Middle Name
Last Name
_____________________________________________________________________________________
Number
Street
Apt./Ste. #
_____________________________________________________________________________________
City
State
ZIP Code
6b. UPS Account Number: __________________________________________________________________________
Account Number
Account ZIP Code
6c. Fax to: ________________________________________________________________________________________
Name
Fax Number
Expedited requests will be sent out within 24 hours via the above selected method.
Printed by authority of the State of Illinois. August 2012 - 1 - C 342.1
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