Alabama Secretary Of State - Foreign Limited Liability Company Application For Registration Form Page 3

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Secretary of State Payment Option Sheet:
If you do not send an acknowledgement copy and a pre-
addressed postage paid envelope with the filling, you will not receive a credit card or prepaid account
receipt from the Secretary of State’s Office. Hold for pickup request – we do not offer a call for pick-up
feature - will have the receipt attached. Office personnel will not be able to search credit card or prepaid
account transactions to help you balance your accounts. Please do not use these options if you have
problems collecting receipts from your filing agents. The document of record will be stamped showing
the receipt of the filing fee and expedite fee but no copy or convenience fees.
Information completing this form, if any, MUST be typed or the filing will be returned
without review.
Entity Name:
Service Requested:
$150.00 Registration filing fee
$100.00 Expedited Processing fee (must be included with initial
filing – we will not be able to pull the filing to upgrade to
expedited processing)
Hold at Front Desk for Pick-up for:
(Service providers who run couriers for pick-up – we do not have a call for pick-up service)
Check is attached - Please make one check payable for the total amount of the fees (i.e., $250 if
you are requesting expedited service) to the Alabama Secretary of State.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
Credit Card Type:
(Visa, MC, Discover & AmEx)
Card Number:
Expiration Mo/Yr:
/
(MM/YY)
Card Holder Name:
Complete Billing Address:
Street or PO
City
State
Zip
Signature of Card Holder:
MUST be Signature of Card Holder
Foreign LLC Registration Payment Sheet   
 
 

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