Advanced Entity Formation System

To place an order for Incorporation, please complete and submit the following worksheet.
Prices are as follows:

            Incorporation Service - $282.00

* 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.

** Fee is for incorporating corporations whose initial tax on the authorized capitalization does not exceed $10.00. Oversized corporate seals, specially printed stock certificates and sub chapter s minutes are not included in this price. Add local sales tax based on corporate outfit price of $60.00 and an LLC/NFP outfit price of $80.00. We will bill you for any additional disbursements if incurred. NYS residents add $5.00 + tax shipping charge.

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

Name Of Corporation: (three choices in order of preference)


Purposes:

All Incusive ($282)
Specific ($285)

Location Of Principal Office:
County of


Authorized Capitalization: (If left blank, 200/NPV will be used.)
Number of Shares

Par Value


Service Of Process Address: (Address may be outside of New York State)


Special Instructions

Your Firm *
Address *
Your Name *
Email *
Your Phone *	Your Fax (if available)

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