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Expedited Request By Fax Cover Sheet - Corporate Charter Division - Maryland

Expedited Request By Fax Cover Sheet - Corporate Charter Division Form. This is a Maryland form and can be used in Business Entity Secretary Of State .
 Fillable pdf Last Modified 2/20/2008
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Maryland SDAT Corporate Charter Division Expedited Request by Fax Cover Sheet Fax all request to: (410) 333-7097 Please type or print legibly, you may also fill this form out on your pc. Name of entity:________________________________________________________ Phone number: _______________________ Fax number: _______________________ Number of pages transmitted:_________ Contact person: _____________________________ Name and address for return mail: ___________________________________________________ _________________________________________________________________________________________ SERVICE REQUESTED NOTE: All faxed filings and requests are expedited and an expedited filing surcharge beyond the processing fee applies to each request. See Fee Schedule at http://www.dat.state.md.us/sdatweb/fees.html for the appropriate fees or e-mail charterhelp@dat.state.md.us. Check all that apply. ENTITY FILING File Document Return original document. Note a $5.00 fee applies to this service effective 7/1/05. Certified copies of document being filed Short form Certificates of Status RECORD REQUEST Number of certified copies Number of certificates Department ID______________________ Entity Name ____________________________________________ Certificate of Status for existing entity Number of certificates Copies of documents previously recorded Attach separate sheet and specify: the name and title of each document; the date of recording, if known; liber and folio, if known; the number of copies wanted of each document. Credit Card Information Mastercard Visa (No other credit cards will be accepted.) Account number: ____________________________________ Expiration date:_________________________________ Cardholder's name: ____________________________________________ Signature of cardholder: ________________________________________ This transaction will not be accepted without a signature. DEPARTMENTAL USE ONLY=========================================================== AUTH NO. _________________ CLERK: ____________ FEE:________________ American LegalNet, Inc. www.FormsWorkflow.com
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