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ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION COVER SHEET USE A SEPARATE COVER SHEET FOR EACH DOCUMENT
Clear Form
ARE YOU FILING:
New Entity
Change to existing entity
Re-submission/Correction
PLEASE COMPLETE ALL APPROPRIATE SECTIONS
Type in Corp/LLC Name: ___________________________________________________________________________ FILING TYPE Articles of Domestication Articles of Incorporation (Profit) Articles of Incorporation (Non Profit) Articles of Organization (Limited Liability Company) Application For Authority (Business) Application to Conduct Affairs (Non Profit) Application for New Authority Application for Registration Articles of Amendment Articles of Amendment & Restatement Articles of Correction Articles of Merger/Share Exchange Articles of Merger (Limited Liability Company) Affidavit of Publication CORPORATIONS -Certified Copies*
*If copies are for different entities the Expedite fee applies to each entity
REGULAR SERVICE FEE $100.00 $ 60.00 $ 40.00 $ 50.00 $175.00 $175.00 $175.00 $150.00 $ 25.00 $ 25.00 $ 25.00 $100.00 $ 50.00 $ 0.00 $5.00 Each (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) Regular Fee
EXPEDITED SERVICE FEE $135.00 $ 95.00 $ 75.00 $ 85.00 $210.00 $210.00 $210.00 $185.00 $ 60.00 $ 60.00 $ 60.00 $135.00 $ 85.00 $ 35.00 $40.00 (______) (Enter Quantity) $45.00 (______) (Enter Quantity) $45.00 (______) (Enter Quantity) Expedite Fee
LLCs - Certified Copies*
*If copies are for different entities the Expedite fee applies to each entity
Good Standing Certificate*
*If Good Standing Certificates are for different entities the Expedite fee applies to each entity
Other: _____________________________________ SELECT PAYMENT TYPE: Check M.O.D. Account Cash Credit Card -- for in-person filings only No fee required SELECT ONE RETURN DELIVERY OPTION: Mail
DO NOT WRITE YOUR CREDIT CARD NUMBER ON THIS FORM! Check # ________________ MOD Acct # ______________ Check Amount $______________ Mod Amount $ ______________
Cash Amount $______________ CC Amount $ ______________
Pick Up
Fax # (_______)______________________
REQUIRED: Please list the person or company who will be picking up the completed documents.
DOCUMENTS WILL BE MAILED IF THEY ARE NOT PICKED UP IN A TIMELY MANNER (APPROXIMATELY TWO WEEKS).
Person or Company Name: Address: City: State:
Phone Number:
Zip:
FOR ARIZONA CORPORATION COMMISSION USE ONLY PICK-UP BY: ____________________________________________________ DATE: _________________________
View current process times at: www.azcc.gov/Divisions/Corporations
CFCVLR REV 03/13/2009