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Corporate Fax Transmittal Request For Certificates Of Good Standing-Copies Of Documents BCA-15.15 - Illinois

Corporate Fax Transmittal Request For Certificates Of Good Standing-Copies Of Documents Form. This is a Illinois form and can be used in Corporation Secretary Of State .
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FORM BCA 15.15 CORPORATE FAX TRANSMITTAL REQUEST FORM FOR CERTIFICATES OF GOOD STANDING AND/OR COPIES OF DOCUMENT Illinois Business Corporation Act Secretary of State Department of Business Services Corporations Division 501 S. Second St., Rm. 350 Springfield, IL 62756 www.cyberdriveillinois.com Print Reset Save FAX: 217-524-8281 _____________________________ File #: ______________________________ 1. Corporation Name:_______________________________________________________________________________ Request for: Expedited Certificate of Good Standing............................................................................................................$45 Expedited Certified Copy of Articles of Incorporation and all amendments (minimum)....................................$75 Expedited Certified Copy of Other Document (set forth below) (minimum)......................................................$75 Name of Document Date Filed 8 digits Date: ___________ Approved: ___________ 2. Secretary of State File Number:_____________________________________________________________________ ______________________________________________________________________________________________ In addition to the above fees, an additional $2 processor fee is charged when paying by credit card. 3. Credit Card (SELECT ONE): Visa Mastercard Discover American Express _____________________________________________________________________ _____________________________________________________________________ Account Number Expiration Date Name as it appears on card 4. Name and Daytime Phone Number of Contact Person: ______________________________________________________________________________________________ 5. Shipment method (SELECT ONE): Regular Mail (Complete item 6a.) United Parcel Service (Complete item 6a & 6b.) Fax (Complete item 6c.) Email (Complete item 6d.) First Name Number City Name Telephone Number 6a. Send to: _____________________________________________________________________________________ _____________________________________________________________________________________ State ZIP Code Account Number Account ZIP Code Fax Number Street Apt./Ste. # _____________________________________________________________________________________ Middle Name Last Name 6b. UPS Account Number: __________________________________________________________________________ Name 6c. Fax to: ________________________________________________________________________________________ 6d. Email address: _________________________________________________________________________________ Expedited requests will be sent out within 24 hours via the above selected method. Printed by authority of the State of Illinois. April 2015 - 1 - C 341.1 American LegalNet, Inc. www.FormsWorkFlow.com
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