Llc Fax Transmittal Request Form For Certificates Of Good Standing

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Illinois
LLC-50.25
Form
Limited Liability Company Act
FILE #
March 2015
LLC Fax Transmittal Request Form
Submit 8 digit file # above.
Secretary of State
for Certificates of Good Standing
Department of Business Services
Limited Liability Division
and/or Certified Copies of
501 S. Second St., Rm. 351
Documents
Springfield, IL 62756
217-524-8008
This space for use by Secretary of State.
Approved:
FAX: 217-524-3390
1. Limited Liability Company Name:
Request for:
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Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
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Expedited Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45
r
Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
r
Expedited Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75
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Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
r
Expedited Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75
Name of Document
Date Filed
In addition to the above fees, an additional 2.35 percent payment processor fee will be charged when paying by credit card
(minimum $1).
2. Credit Card (check one):
r
Visa
Name of Card Holder
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Mastercard
r
Discover
r
Account Number
American Express
Billing Address of Account:
Name (if different from above)
Number
Street
Suite #
City
State
ZIP Code
3. Name and Daytime Phone Number of Contact Person:
Telephone Number
Name
Email
4. Shipment Method (check one):
r
r
r
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Regular Mail (Complete 5a.)
Express Mail (Complete 5a. and 5b.)
Fax (Complete 5c.)
Email (Complete 5d.)
5a. Send to:
First Name
Middle Initial
Last Name
Number
Street
Suite #
City
State
ZIP Code
5b. Express Mail Carrier and Account Number:
Account Number
Carrier Name
Name
Fax Number
Expedited requests will be sent within 24 hours.
Printed by authority of the State of Illinois. June 2016 — 1 — LLC-40.9

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