Kentucky Secretary of State TREY GRAYSON
Division of Corporations CORPORATE RECORDS P.O. Box 718 Frankfort, KY 40602 (502) 564-3490 Phone (502) 564-4075 Fax http://www.sos.ky.gov/
Request for Corporate Documents
BUSINESS NAME:
CERTIFICATES REQUESTED All certificates are $10.00 each
DOMESTIC CORPORATION/LIMITED LIABILITY COMPANY
___ CERTIFICATE OF EXISTENCE ___ CERTIFICATE OF EXISTENCE, INCLUDE ASSUMED NAME ________________________________ ___ LONGFORM CERTICATE OF EXISTENCE ___ CERTIFICATE OF AUTHORIZATION ___ CERTIFICATE OF ADMINISTRATIVE DISSOLUTION ___ LONGFORM CERTICATE OF AUTHORIZATION ___ CERTIFICATE OF NO RECORD ___ CERTIFICATE OF REVOCATION
DOMESTIC LIMITED PARTNERSHIP
___ CERTIFICATE OF FORMATION ___ CERTIFICATE OF NO RECORD
FOREIGN CORPORATION/LIMITED LIABILITY COMPANY
REGISTERED LIMITED LIABILITY PARTNERSHIP
___ CERTIFICATE OF NO RECORD ___ CERTIFICATE OF NO RECORD
DOCUMENTS REQUESTED
___ ALL DOCUMENTS FILED ___ ALL DOCUMENTS FILED (EXCLUDING ANNUAL REPORTS) ___ ANNUAL REPORT - YEAR(S) ______________________________ ___ APPLICATION FOR CERTIFICATE OF AUTHORITY ___ ARTICLES, AMENDMENTS, MERGERS ___ INCLUDE ASSUMED NAMES ___ ARTICLES OF INCORPORATION ___ ARTICLES OF ORGANIZATION ___ STATEMENT OF QUALIFICATION ___ APPLICATION FOR CERTIFICATE OF AUTHORITY AS A LIMITED PARTNERSHIP FOREIGN ___ LIST SPECIFIC DOCUMENT _______________________________ ___ CERTIFICATE OF LIMITED PARTNERSHIP ___ STATEMENT OF PARTNERSHIP AUTHORITY
___ APPLICATION FOR CERTIFICATE OF AUTHORITY AS A FOREIGN BUSINESS TRUST
Please indicate if your document request is for regular copies or certified copies:
___ REGULAR COPIES ($5.00 up to 5 pages, then $0.50 a page thereafter) ___ CERTIFIED COPIES ($5.00 up to 5 pages, then $0.50 a page thereafter and $5.00 for the certificate)
REQUESTOR'S INFORMATION: Contact Person: _______________________________________________ Company: _______________________________________________________ Mailing Address: _______________________________________________________________________________________________________________ Phone Number: _______________________Fax Number: ________________________________ Email Address: _________________________________ If you want the documents returned by fax, an additional fee of $5.00 is assessed: Fax return: Yes: ____ PAYMENT INFORMATION:
[ ] CHECK___________________ [ ] PRE-PAID [ ] CREDIT CARD #__________________________________ EXPIRATION DATE ____________
No: ____
ACCOUNT #____________ AGENT #____________ PIN #____________
COMMENTS: ___________________________________________________________________________________________________________________
(06/09)