Form Cscl/cd-274 - Certification And Copies Request
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1CSCL/CD-274 (10/17)
Michigan Department of Licensing and Regulatory Affairs
FOR BUREAU USE ONLY
Corporations, Securities & Commercial Licensing Bureau
Invoice Number
F
HC
Completed By
Corporations Division
Business Services Section - (517) 241-6470
CERTIFICATION AND COPIES REQUEST
(Authorized by P.A. 284 of 1972, P.A. 162 of 1982, P.A. 213 of 1982, P.A. 23 of 1993, as amended)
Identification Number
Entity Name
A.
B.
C.
D.
E.
For orders submitted at the counter, add 25% surcharge.
COPIES:
CERTIFIED - minimum fee is $16.00; seven pages or more $1.00 additional per page.
U UNCERTIFIED - minimum fee is $6.00; seven pages or more $1.00 additional per page.
Original Documents ONLY - NO Amendments
Original Documents and ALL Amendments
Annual Report(s)/Statement(s) Specify year(s)
Other:
filed
CERTIFICATE(S):
Good Standing (Corporation and LLC) - $10.00
Status (LLC) - $10.00
Not Cancelled (Limited Partnership) - $10.00
Certificate of Fact - Listing ALL documents filed - $50.00
Other Certificate of Fact - $20.00 - stating
Certificate of Fact - No Record - $20.00
Counter
Email
Return by:
Mail
Billing Address:
Shipping Address: (MAIL ONLY, if different than Billing)
Name
Name
Attention
Attention
Street Address
Street Address
Apt/Suite/Other
Apt/Suite/Other
City
State
ZIP Code
City
State
ZIP Code
Email
Telephone Number
Telephone Number
(
)
(
)
**Orders totaling $100 or more require 50% deposit before order can be released.**
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Parent category: Legal