Free LLC Fax Transmittal Request Form for Certificates of Good Standing and/or Certified Copies of Documents - Illinois

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LLC-50.25

Illinois Limited Liability Company Act
LLC Fax Transmittal Request Form for Certificates of Good Standing and/or Certified Copies of Documents
This space for use by Secretary of State.

FILE # This space for use by Secretary of State.

Secretary of State Jesse White
Department of Business Services Limited Liability Division Rm. 351 Howlett Bldg. 501 S. Second St. Springfield, IL 62756 www.cyberdriveillinois.com

FAX: 217-524-3390
1. Limited Liability Company Name: 2. Secretary of State File Number:

Approved:

8 digits

Request for:



Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25 Expedited Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45 Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25 Expedited Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75 Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25 Expedited Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75

Name of Document

Date Filed

In addition to the above fees, an additional $2 payment processor fee will be charged when paying by credit card. 3. Credit Card (check one):



Visa Mastercard Discover American Express
Account Number Exp. Date

Exact Name of Card Holder: Exact Billing Address of Account:
Name (if different from above)

Number

Street

Suite #

City

State

ZIP Code

(page 1)

Printed by authority of the State of Illinois. August 2007 -- 1 -- LLC-40.3

4. Name and Daytime Phone Number of Contact Person (if different from item 3):

Name

Telephone Number

5. Mail to:
First Name Middle initial Last Name

Number

Street

Suite #

City

State

ZIP Code

Expedited requests will be mailed within 24 hours. Unless express carrier account number is provided for billing to your account, the document(s) will be sent by regular mail to the address above. Express Mail Carrier and Account Number:

(page 2)

Printed by authority of the State of Illinois. August 2007 -- 1 -- LLC-40.3