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Business Entities Records Order Form. This is a California form and can be use in Corporations Secretary Of State.
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Tags: Business Entities Records Order Form, BE-IRC, California Secretary Of State, Corporations
Secretary of State
Business Programs Division
th
Certification and Records
(916) 657-5448
1500 11 Street, 3rd Floor
P.O. Box 944260
Sacramento, CA 94244-2600
Business Entities Records Order Form
To obtain information relating to a business entity of record with the California Secretary of State, complete both
pages of this order form, attach a check made payable to the Secretary of State for the appropriate amount or
an amount “not to exceed” a specified amount written below the amount payable line, and submit your request:
x
By mail, along with a self-addressed envelope, to Secretary of State, Certification and
Records, P.O. Box 944260, Sacramento, CA 94244-2600.
x
In person (drop off), to the Secretary of State's Sacramento office at 1500 11th Street,
3rd Floor, Sacramento, CA 95814. A special handling fee of $10.00 per entity is applicable for
any information requested over the counter except status reports.
Note: Information requests are processed only in the Secretary of State's Sacramento office. For our current
processing times, go to www.sos.ca.gov/business/be/processing-times.htm.
Requestor's Information
Your name:
Firm name, if any:
Address:
City / State / Zip:
Phone #:
FAX #:
Entity Name (If known, also include the entity file number.)
The space below is reserved for office use only.
$
Affix Cert. & Seal
Making first page
$
Making additional pages
$
Certificate of
$
Status Inquiry
$
Statement of Information
$
U.S. Fax
$
Other
$
Special Handling
$
TOTAL AMOUNT DUE
$
TOTAL AMOUNT REC’D $
REFUND AMOUNT
$
BALANCE DUE
$
THIS SPACE FOR OFFICE USE ONLY
BE - IRC ORDER FORM (REV 08/2010)
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Entity Name (If known, also include the entity file number.)
Entity Type (Select the applicable entity type. CHECK ONLY ONE BOX.)
Corporation (Corp)
Limited Partnership
Limited Liability Partnership
Limited Liability Company (LLC)
General Partnership
Other
Enter the other entity type.
Copy Requests
x
x
Plain (uncertified) Copies: $1.00 for the first page and $0.50 for each additional page; and
Certified Copies: $1.00 for the first page, $0.50 for each additional page AND $5.00 certification fee per document.
If the number of pages is unknown when ordering copies, you may send either a check in the amount of $20.00 per entity (refunds will be issued
for amounts over $5.00) or a blank check with a not to exceed amount written below the payment line (e.g., “NOT TO EXCEED $20.00”). A
notice will be included with the order indicating the amount for which the check was completed. If the fees provided are insufficient, a fee letter
indicating the total amount due will be sent to the requestor. The order will be completed upon receipt of the total fees.
Copy of ALL Documents of Record (e.g., initial filing, amendments, statements, etc.) ......................
Plain Copies
Certified Copies
Copy of Initial Formation/Registration Document ......................................................................
Plain Copies
Certified Copies
Copy of ALL Amendment Documents .........................................................................................
Plain Copies
Certified Copies
Copy of
Plain Copies
Certified Copies
Copy of ALL Statement of Information Documents of Record .........................................................
Plain Copies
Certified Copies
Copy of Most Recent Statement of Information (complete or no change) ................................
Plain Copies
Certified Copies
Copy of Last Complete Statement of Information ....................................................................
Plain Copies
Certified Copies
Copy of Last No Change Statement of Information ..................................................................
Plain Copies
Certified Copies
Copy of ALL Corporate Disclosure Statement Documents of Record ..........................................
Plain Copies
Certified Copies
Copy of Most Recent Corporate Disclosure Statement ...........................................................
Plain Copies
Certified Copies
Enter the title of the document and, if known, the file date and/or document number.
Corp & LLC Only:
Publicly Traded Corp Only:
Please note: A “certified” copy of a Corporate Disclosure Statement filed prior to September 28, 2004 will include the Statement of Information that was
filed together with that document.
Status Reports – $4.00 Each
Includes the complete entity name, file number, status, jurisdiction, and address(es); and when applicable, name and address of principal
member/manager/officer, name and address of agent for service of process and type of business.
Status Report ..............................................................................................................................................................................
Report(s)
Certificates – $5.00 Each
Certificate of Status (certifying to the current status of the entity) ...............................................................................................
Certificate(s)
Certificate of Filing of
Certificate(s)
Enter the title of the document and, if known, the file date and/or document number.
Certificate of No Record ...........................................................................................................................................
Certificate(s)
Certificate of Listing ($5.00 for each document listed) ...............................................................................................................
Certificate(s)
FAX Return of Copies, Status Reports and/or Certificates
Domestic FAX (transmitted within the United States) ........................................................................................................................... $ 5.00 per entity
International FAX (transmitted outside the United States)........................................................................................................................... $10.00 per entity
Special Handling Service – In Person Delivery Only
Special Handling Fee (not applicable for orders submitted by mail) .................................................................................................. $10.00 per entity
BE- IRC ORDER FORM (REV 08/2010)
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