COLORADO SECRETARY OF STATE 1700 Broadway, Ste. 200, Denver, CO 80290 (303) 894-2200 press 2, Fax (303) 869-4864 Many services are available FREE online! Please visit our Web site, www.sos.state.co.us and select “Business Center”. REQUEST FOR BUSINESS ORGANIZATION SERVICES Entity / Trademark Name ___________________________________________________________ (Exact name to be researched) Entity ID or Document Number (if known) _________________________ Date of Formation / Registration _________________________ Jurisdiction (if applicable) _________________________ Indicate standard of service requested □ Regular OR □ Expedite (expedited fee applies) CERTIFICATION SERVICES Regular Fee $ 5.00 $ 5.00 plus $1.00 / line $ 5.00 $ 5.00 □ □ Certificate of Good Standing Certificate of Good Standing - Long form □ □ Certificate of Fact of Incorporation, Existence, or Organization Certificate of Fact - other indicate Type __________________________________________ □ Apostille for _____________________________________________ $ 5.00 Additional Expedite Fee $150.00 $150.00 $ 5.00 $150.00 (Specify the fact to be certified in the certificate) $150.00 (Country) SEARCH SERVICES □ Non-digital data $25.00 $150.00 Free $2.00 per document $150.00 $150.00 (Search of records not available online) COPY SERVICES □ □ Regular (not certified) Certified Mark the box indicating the document(s) for which copy(ies) are requested. □ All documents □ Other ____________________________________________ (Specify) REQUESTING PARTY AND BILLING INFORMATION Name ___________________________________________________________ Address ___________________________________________________________ City __________________________ □ Mail □ Pick up State _____ Zip _____________ □ Fax to ____________________ Date ordered ____________________ Phone number ____________________ CERTIFIED_ORDER Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com Rev. 01/01/2008