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Prepayment Account Deposit Form - Ohio
| Prepayment Account Deposit Form Form. This is a Ohio form and can be used in General Secretary Of State . |
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OHIO SECRETARY OF STATE BUSINESS SERVICES DIVISION PREPAYMENT ACCOUNT DEPOSIT FORM Business Name Business Address City State Zip Code Primary Contact: Name Secondary Contact: Name (Area Code) Phone # (Area Code) Phone # Email Address Email Address The following Prepayment Account # has been established with the Secretary of State's Office for the exclusive use of the above named business. Unauthorized use may result in cancellation of the filings processed. Secretary of State: Please process the check(s) or cash amount submitted with this form, and deposit the amount to the Prepayment Account # listed below. Prepayment Account: Confidential / / / / / / $ / / / Amount submitted for deposit: TYPE OF PAYMENT: Cash Receipt # Check # Note: Businesses may elect to use their logo and address information in customizing this form for their use. Reconcilement of Account activity is the responsibility of the business establishing the account. Account information may be monitored via the internet at: www.state.oh.us/sos/. SOS should be notified of discrepancies within 45 days of posting. Correspondence concerning Prepayment Accounts can be emailed to: prepay@sos.state.oh.us SOS Office Use Only: Batch#/Order#: Processed by: Date: Last Updated: December 12, 2001 American LegalNet, Inc. www.FormsWorkflow.com
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