Records Order Form Limited Partnerships, Limited Liability Companies, Limited Liability Partnerships and General Partnerships To obtain information relating to a Limited Partnership, Limited Liability Company, Limited Liability Partnership or General Partnership of record with the Secretary of State, complete the information below along with the order form on the following page, attach a check (made payable to the Secretary of State) for the appropriate amount (or "not to exceed" a specified amount written below the amount payable line) and submit your request: • By mail, along with a self-addressed envelope, to Secretary of State, Information Retrieval / Certification Unit (IRC), 1500 11th Street, 3rd Floor, Sacramento, CA 95814. Please refer Business Entities Mail Processing Times for current mail processing times. • In person, to the Secretary of State's office in Sacramento. A special handling fee of $10.00 per entity is applicable for any of the following information requested over-the-counter except status printouts. REQUESTOR INFORMATION YOUR NAME: FIRM NAME (if any) MAILING ADDRESS: CITY: STATE: TELEPHONE NUMBER: ZIP: FAX NUMBER: SUBJECT BUSINESS ENTITY ENTITY NAME AND/OR NUMBER THE SPACE BELOW IS RESERVED FOR OFFICE USE ONLY. PLEASE COMPLETE THE ORDER FORM ON THE FOLLOWING PAGE. IRC UNIT Affix Cert. & Seal $ Comparing Copies Making first page $ Making additional pages $ Certificate of $ Status Inquiry $ Statement of Information $ U.S. Fax $ Other $ TOTAL AMT DUE $ TOTAL AMT REC’D $ REFUND AMOUNT $ BALANCE DUE $ This Space For Office Use Only Email and/or online requests for information/certificates cannot be accepted at this time. American LegalNet, Inc. www.USCourtForms.com ENTITY NAME AND/OR NUMBER ENTITY TYPE (choose ONLY ONE) Limited Partnership Limited Liability Company General Partnership Indicate type of entity: Limited Liability Partnership REPRODUCTION REQUESTS 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 “NOT TO EXCEED $20.00” written below the amount payable line. A notice will be included with your order indicating the amount for which the check was completed. If fees exceed $20.00, a fee letter indicating the total amount due will be sent to you. Copy Fee COPIES OF STATEMENTS OF INFORMATION (LIMITED LIABILITY COMPANIES ONLY): Certified Copies (Plain Copies) Copy of Statement of Information copies Last completed statement copies @ $1.00 for the first page, $0.50, each additional page Please include statement numbers(s), if available: @ $ 5.00 per statement (in addition to the copy fees) Copy Fee No Change statement Certified Copies COPIES OF ALL OTHER DOCUMENTS OF RECORD: (Plain Copies) Copy of Initial Filing copies Copy of Amendment(s) Copy of (if necessary, specify the request in an attachment to this order form.) @ $1.00 for the first page, $0.50, each additional page copies @ $ 5.00 per document (in addition to the copy fees) Please include document numbers(s), if available: STATUS/AGENT FOR SERVICE OF PROCESS INFORMATION Complete status/agent for service of process information (computer printout) @ $ 4.00 each CERTIFICATES Certificate of Good Standing / Status Certificate of Merger Certificate of Name Change Certificate of Nonfiling Certificate of Dissolution Other Certificate of Cancellation Other (specify request in an attachment) Certificate of Listing @ $5.00 each @ $5.00 per document FAXING (Requested status information, certificates or copies of documents to be returned via fax) Domestic Fax @ $5.00 per document International Fax @ $10.00 for the first page, $5.00 for each additional page SPECIAL HANDLING – IN PERSON DELIVERY ONLY Special Handling Fee (not applicable for orders submitted by mail) @ $10.00 per entity American LegalNet, Inc. www.USCourtForms.com