Advanced Entity Formation System

To place an order for Professional Service Entities (PC, PLLC), please complete and submit the following worksheet. Prices are as follows:

            PC Incorporation Service - $528.00

* This fee is an estimate only. It is possible to incur additional disbursements in order to complete this order. If so the additional fees will be charged to the credit card provided for payment.

** IF Consents from State Agencies are necessary, add another $30 per consent attempt (in addition to any disbursement assessed by the agency)

In order to keep your credit card transaction secure, please contact our Corporate Department at: 518-465-8951 or Toll Free 800-640-7863 and supply us with your credit card information. If not paying by credit card, send Certified or Attorney Check with the applicable fee to:

Attorneys Process & Research Service Inc.
283 Washington Ave.
Albany, N. Y. 12206

Your Name *


Firm Name *


Address *



Phone *


Fax (if available)


Email *


3 Choices of PC Name (in order of preference)




Name of Profession (i.e. law, medicine, etc .)

*if law, you'll need a good standing from the appellate division

Names, Addresses, and License Numbers of Professionals


Service of Process Address



County (principal business)


Stock Structure (PC Only - 200/npv)


Management By: (if PLLC or LLP)
1 or more or a class of members     1 or more or a class of managers

Duration: (if PLLC or LLP)
(Give latest date of dissolution below)     Perpetual

Latest Date for Dissolution: (mm/dd/yyyy)

How would you like to be contacted
Email	Phone	Fax

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Please make sure all required fields (denoted with a *) are filled in before submission