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 website, www.sos.state.co.us, and select “Business”. Payment is required with request. REQUEST FOR BUSINESS ORGANIZATION SERVICES Entity Name / Trademark ___________________________________________________________ (Exact name to be researched) Entity ID or Document Number (if known) _________________________ Date of Formation / Registration _________________________ Jurisdiction (if applicable) _________________________ Indicate standard of service requested Ƒ Regular OR Ƒ Expedite (add $10 to the regular fee) For $5.00: Select one or more of the following. The total fee will be $5.00 for regular service or $15.00 for expedited service. Ƒ Certificate of Good Standing Ƒ Ƒ Ƒ Certificate of Fact of Incorporation, Existence, or Organization Certificate of Fact – other (indicate type): __________________________________________ (Specify the fact to be certified in the certificate) Certified copy, specific document(s) ____________________________________________ (For copies of all documents, see below) (List specific document numbers) For $25.00: Select one or more of the following plus any number of the above orders. The total fee will be $25.00 for regular service or $35.00 for expedited service. Ƒ Ƒ Ƒ Ƒ Certificate of Good Standing – Long form Certificate of Fact of No Record (purged history search required) Certified copies of all documents Search of records not electronically accessible Ƒ Rebuild record (Information will be added to the electronic records.) Supporting information: ___________________________________________________ Apostilles (No additional charge) Ƒ Apostilles for the documents ordered above are requested for: _________________________________ (Country) REQUESTING PARTY Name ______________________________________________________ Phone ___________________________ Address _____________________________________ City _____________________ State _____ ZIP ___________ Ƒ Mail Ƒ Pick up Fed Ex/UPS Account Number ____________________ Prepaid Account Number ________________________ CERTIFIED_ORDER Job Number _____________________ Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com Rev. 11/08/2010