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| Important Form
Instructions: |
- To avoid delay, please fully complete
all required fields.
- Click the
 button for helpful hints where available.
- Total charges will appear neat the
bottom of the form.
- If paying by check, you will need to
fax the completed check
to us at 800-398-0461 after your order has been
submitted.
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Contact Information (Must
include email address)
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| Your Name: |
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| E-mail: |
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| Confirm E-mail: |
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| Phone No.: |
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Fax No.:
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| General Company
Information |
| State of Formation: |
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| Company Name: |
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| Second Choice: |
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*Include the proper ending (Limited Liability Company, LLC, Ltd., etc.)
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| Business Address |
| Street: |
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| City: |
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| State: |
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| Zip: |
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County or Parish:
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| Registered Agent (Must
Complete) |
Parcorp as Registered Agent ($169/year)
(Recommended) or
The individual
listed below will act as the Agent. (no charge) |
| Agents Name: |
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| Agents Address |
Same as Business or
Address listed
here. |
| Street Address: |
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| City: |
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| State: |
*Must be State of Formation |
| Zip Code: |
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County or Parish:
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Principal Business
Activity (briefly describe business)
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| LLC Members - Owners (At
least 1 member required) |
| Member #1 Name: |
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Address:
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| Member #2 Name: |
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Address:
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| Member #3 Name: |
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Address:
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| Company Management
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Company is to be Managed by all of its Members (Member
Managed)
Company is to Managed by one or more Managers
listed here: |
| Manager Name(s): |
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Address:
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| Optional Services and
Accessories |
| Standard Filing |
$75 Plus State Fees.
**NOW
ONLY $45**
If Express
Filing is not selected your LLC will be formed using Standard Filing Service.
(average formation time 3-5 weeks) |
| Express Filing |
With Express Filing your LLC will be formed in an average of 1-5
business days. To use Express Filing select the State of Formation.
Fees are in addition to Standard Filing Fees. |
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Add $100 in AL, DE, DC,
MD, ME,
NM, TX
Add $125 in AK, CA,
NY, OK, UT
Add
$175 in GA, HI,
IL, NC,
NV, OH, PA, VA
Add $85 in all other States
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Incorporation
Package |
NEW
- Add $120 Save over 10% by ordering our new
incorporation package. Package includes all the essential items of a
new LLC formation including the Standard LLC
Kit with
Company Seal, Full Tax ID Service and the LLC forms package.
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| Other Services |
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$35.00 Overnight delivery of
Confirmation from State.
$25.00 Federal Tax ID Application (Prep only)
$50.00 Complete Tax ID Service
(Prep & Filing)
$45.00 Certified Copy of Articles of
Organization |
LLC Accessories
(An LLC must maintain certain records
which include an Operating Agreement.. Any of the following kits
will provide you with all the necessary items to meet these
requirements.)
Highly recommended for all new LLC's. |
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$75.00 Standard LLC Kit w/Seal (plus
$9.00 S&H)
$85.00 Associate LLC Kit w/Seal
(plus $9.00 S&H)
$99.00 Executive LLC Kit w/Seal
(plus $9.00 S&H)
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| Shipping Info |
| Ship to: |
Business Address or Other Address listed |
Name & Address:
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| Your Total Charges |
| Standard Fee: |
$ 75.00
**NOW ONLY $45** |
| State Fees: |
$ |
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| Total Charges: |
$ Includes Additional
Items Selected |
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*Sales Tax may be added for Illinois Residents. |
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| Special
Promo Code: |
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| Payment Options |
(Visa, MC, Amex, Discover or payment by Check)
We cannot process your order until payment is received in full. |
| Name on Card: |
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| Card Number: |
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| Expiration:
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Card Security Code:
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(3
digit code on back of Visa, MasterCard and Discover Cards) (4 digit
code on front of American Express Cards)
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Check
Information (Payment by Check Only)
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| Bank Routing
No.
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| Account No.
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| Check No.
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| **
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Must Fax Check to us at 800-398-0461**
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| Miscellaneous Info |
How did you hear about us?
Referral
Print Ad Accountant
Attorney
Repeat Customer (including Accountants, Attorneys, etc.)
Search Engine:
Yahoo Alta
Vista Ask Jeeves
AOL Google
Other:
Other Referral Source:
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Comments:
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| Authorization
& Approval |
| By pressing the "Incorporate"
button below you are acknowledging that Parcorp Services, its employees and agents have
not provided any legal, tax or financial advice and that the information provided above is
accurate. You further authorize Parcorp Services and/or its
employees or agents to form this business entity on your behalf by
acting as incorporator or organizer of the business. |