Free charge account_flyer.p65 - Iowa

MICHAEL A. MAURO SECRETARY OF STATE STATE OF IOWA

NOTICE to Charge Account Customers Regarding Filing Procedures

Because of legislative budget cuts, we are having to streamline certain administrative functions. The legislative cuts have eliminated our ability to research and complete a Charge Transaction Form on your behalf. Please take note of the following new procedures:

When filing documents (including UCCs) by mail or FAX, and charging to your account ­ you MUST include the Charge Transaction Form with your filing. This form has space for your name and account number. A Charge Transaction Form is printed on the reverse side of this Notice. You may copy this Form as needed. Documents which are not accompanied by the Charge Transaction Form may be returned UNFILED. Supply the Invoice Reference information on the form. This detail will appear on your billing to remind you of the subject of the particular filing.
Thank you for your cooperation in adjusting to these new procedures.

MICHAEL A. MAURO SECRETARY OF STATE STATE OF IOWA

NOTICE to Charge Account Customers Regarding Filing Procedures

Because of legislative budget cuts, we are having to streamline certain administrative functions. The legislative cuts have eliminated our ability to research and complete a Charge Transaction Form on your behalf. Please take note of the following new procedures:

When filing documents (including UCCs) by mail or FAX, and charging to your account ­ you MUST include the Charge Transaction Form with your filing. This form has space for your name and account number. A Charge Transaction Form is printed on the reverse side of this Notice. You may copy this Form as needed. Documents which are not accompanied by the Charge Transaction Form may be returned UNFILED. Supply the Invoice Reference information on the form. This detail will appear on your billing to remind you of the subject of the particular filing.
Thank you for your cooperation in adjusting to these new procedures.

MICHAEL A. MAURO SECRETARY OF STATE STATE OF IOWA

CHARGE TRANSACTION FORM

Instructions: (Make copies of this form as needed.) Complete this form, sign and return with filing to the Secretary of State for processing. TYPE OR PRINT CLEARLY. 1. Customer Account Number: __________________________________________________

2. Customer Name: ___________________________________________________________

3. Invoice Reference: __________________________________________________________
(This description will appear on your monthly statement. Maximum 30 characters.)

4. Authorized Signature: _______________________________________ Date: ______________

SHADED AREA - FOR OFFICE USE ONLY Transaction Date: ____________________ Dept. ___________ Amount: $ _________________

Processor: __________________________

Dept. ___________

Amount: $ _________________

MICHAEL A. MAURO SECRETARY OF STATE STATE OF IOWA

CHARGE TRANSACTION FORM

Instructions: (Make copies of this form as needed.) Complete this form, sign and return with filing to the Secretary of State for processing. TYPE OR PRINT CLEARLY. 1. Customer Account Number: __________________________________________________

2. Customer Name: ___________________________________________________________

3. Invoice Reference: __________________________________________________________
(This description will appear on your monthly statement. Maximum 30 characters.)

4. Authorized Signature: _______________________________________ Date: ______________

SHADED AREA - FOR OFFICE USE ONLY Transaction Date: ____________________ Dept. ___________ Amount: $ _________________

Processor: __________________________

Dept. ___________

Amount: $ _________________