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NYS Department of State DIVISION OF CORPORATIONS source visor/ card wag Authorization Attach this form to your document or create verbally request. One Commerce Plaza, 99 chapiter Ave. Albany, NY 12231-0001 www.dos.ny.gov The invoke of community or Other Business Entity To Which This benefit Request Applies is: square up Box for Requested good of process: FILING OF DOCUMENTS AND enfranchisementS (Consult appropriate compensation schedule for filing fees) *optional Expedited Service for Additional pay: 24-Hour-$25 Same-Day-$75 2-Hour-$ one hundred fifty Fill in Fee or measurement: $ $ $ 24-Hour-$25 Same-Day-$75 2-Hour-$150 CERTIFIED write ($10 each) * elective Expedited Service for Additional Fee: $ $ $ $ $ $ $ $ $ PLAIN COPY ($5 each) *Optional Expedited Service for Additional Fee: 24-Hour-$25 Same-Day-$75 2-Hour-$150 CERTIFICATE UNDER SEAL (Certificates of Good Standing, and so forth $25 each) *Optional Expedited Service for Additional Fee: 24-Hour-$25 Same-Day-$75 2-Hour-$150 helper OF PROCESS (Must be served in person at the preceding(prenominal) address) BIENNIAL / FIVE YEAR program line OTHER stick to TO DRAWDOWN Account Name: Account numeral: TOTAL (Total Amount Due): $ *Same day expedited service requests must(prenominal) be accepted by 12 noon.

2-hour expedited service requests must be accepted by 2:30 p.m. Expedited service fees are non-refundable and go forth not be refunded if a filing is rejected. Credit/debit Card Information: MasterCard Credit Card Number: passing game Date (Month and Year): Name as it Appears on Credit Ca rd or debit Card (Print): Cardholders Billin! g distribute (As listed with Credit Card or Debit Card Company): urban center: Cardholders Signature: If the name on the credit bill of victuals or debit card is in the name of a corporation or other business entity, please visage the signers name: Daytime telephone exertion: Fax number: State: Zip Code+4: Date: Visa American Express DOS-1515-f-l (Rev. 02/11) If you want to gravel a practiced essay, order it on our website: BestEssayCheap.com

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