Free Corporate Fax Transmittal Request Form For Certificates Of Good Standing And/Or Copies Of Documents - Illinois

FORM NFP 115.15 CORPORATE FAX TRANSMITTAL REQUEST FORM FOR CERTIFICATES OF GOOD STANDING AND/OR COPIES OF DOCUMENTS Illinois General Not For Profit Corporation Act Secretary of State Department of Business Services Corporations Division 501 S. Second St., Rm. 350 Springfield, IL 62756 www.cyberdriveillinois.com

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FAX: 217-524-8281
_____________________________ File #:______________________________ Date: ___________ Approved: ___________

1. Corporation Name: _______________________________________________________________________________ 2. Secretary of State File Number:_____________________________________________________________________
8 digits

Request for: Expedited Expedited Expedited Expedited Expedited

Certificate of Good Standing ............................................................................................................$15 Certified Copy of Articles of Incorporation and all amendments (minimum)....................................$35 Photocopy of Articles of Incorporation and all amendments (minimum)..........................................$30 Certified Copy of Other Document (set forth below) (minimum)......................................................$35 Photocopy of Other Document (set forth below)..............................................................................$30
Name of Document Date Filed

______________________________________________________________________________________________ Copy fee is based on the number of pages. More than 10 pages requires an additional charge of 50 cents per page. 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

_____________________________________________________________________
Name as it appears on card.

_____________________________________________________________________
Account Number Expiration Date

4. Name and Daytime Phone Number of Contact Person: ______________________________________________________________________________________________
Name Telephone Number

5. Shipment method (select one): Regular Mail (Complete item 6a.) United Parcel Service (Complete item 6a & 6b.) Fax (Complete item 6c.) 6a. Send to: _____________________________________________________________________________________
First Name Number City Middle Name Street State Last Name Apt./Ste. # ZIP Code

_____________________________________________________________________________________ _____________________________________________________________________________________ 6b. UPS Account Number: __________________________________________________________________________
Account Number Name Account ZIP Code Fax Number

6c. Fax to: ________________________________________________________________________________________ Expedited requests will be sent out within 24 hours via the above selected method.
Printed by authority of the State of Illinois. September 2008 - 1 - C 342