NYS Department of State DIVISION OF CORPORATIONS …
[Pages:1]NYS Department of State DIVISION OF CORPORATIONS
Credit Card/Debit Card Authorization
One Commerce Plaza, 99 Washington Ave.
Albany, NY 12231-0001 dos.state.ny.us
Attach this form to your document or written request.
The Department of State's Division of Corporations accepts MasterCard, Visa, American Express and Diners Club for payment of certain fees.
Name of Corporation or Other Business Entity To Which This Service Request Applies:
Check Box for Requested Service:
G FILING OF DOCUMENTS AND CERTIFICATES
(Please consult the appropriate fee schedule for specific filing fees)
*Optional Expedited Service:
G 24 hour-$25
G Same day-$75
G CERTIFIED COPY ($10 each)
*Optional Expedited Service:
G 24 hour-$25
G Same day-$75
G PLAIN COPY ($5 each)
*Optional Expedited Service:
G 24 hour-$25
G Same day-$75
G CERTIFICATE UNDER SEAL (Certificates of Good Standing, etc. ($25 each)
*Optional Expedited Service:
G 24 hour-$25
G Same day-$75
G SERVICE OF PROCESS (Must be served in person at the above address)
G BIENNIAL/FIVE YEAR STATEMENT
G OTHER
G DEPOSIT TO DRAWDOWN
Account Name:
G 2 hour-$150 G 2 hour-$150 G 2 hour-$150 G 2 hour-$150
Account Number:
TOTAL (Total Amount due)
* Same day expedited service requests must be received by 12 noon.
2 hour expedited service requests must be received by 2:30 p.m.
Expedited service fees are non-refundable and will not be refunded if a filing is rejected.
Q Q Q Q MasterCard
Visa American Express Diners Club
Card Number:
Fill in Fee or Amount:
$ $ $ $ $ $ $ $ $ $ $ $
$
Expiration Date: (Month and Year) Name as it Appears on the Credit Card or Debit Card (Print)
Cardholder's Billing Address as Listed with Credit Card or Debit Card Company
City
State
Zip Code+4
Cardholder's Signature
Date
If the name on the credit card or debit card is in the name of a corporation or other business entity, please print the signer's name:
Daytime telephone number:
Fax number:
DOS-1515 (Rev. 4/08)
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- chapter 1 lobbying overview and definitions
- frequently asked questions is my not for profit
- business entity registration software system
- sample llc filing receipt
- annual report biennial statement llc ny
- new york state department of corporations biennial
- nys department of state division of corporations
- division of corporations credit card debit card
- form dtf 96 2 11 report of address change for business
- department of taxation and finance instructions for form
Related searches
- nys department of state division of corporations
- department of state division of licensing services
- department of state division of licensing ny
- ny department of state division of licensing
- nys department of state division of licensing
- nyc department of state division of licensing
- florida department of state division of corporations
- department of state division of corporation
- delaware department of state division of corp
- department of state division of licensing service
- delaware department of state division of corporations
- department of state division of licensing