Prepayment Account Use Form
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Prepayment Account Use Form. This is a Ohio form and can be use in General Secretary Of State.
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Tags: Prepayment Account Use Form, Ohio Secretary Of State, General
OHIO SECRETARY OF STATE
BUSINESS SERVICES DIVISION
PREPAYMENT ACCOUNT USE FORM
Business Name
Business Address
City
State
Zip Code
Primary Contact:
Secondary Contact:
Name
Name
(Area Code) Phone #
(Area Code) Phone #
Email Address
Email Address
The following Prepayment Account # has been established with the Secretary of State’s Office for the exclusive use of the
above named business. Unauthorized use may result in cancellation of the filings processed.
Secretary of State: Please process the filing(s) submitted with this form, and charge the amount to
the Prepayment Account # listed below.
Prepayment Account:
/
/
/
/
/
/
/
/
/
Confidential
Number of Filings submitted:
All Filings to be Expedited?
Separate Expedited and Non-Expedited Batches
YES
NO
Circle one
Note: Businesses may elect to use their logo and address information in customizing this form for their use.
Reconcilement of Account activity is the responsibility of the business establishing the account. Account
information may be monitored via the internet at: www.state.oh.us/sos/. SOS should be notified of
discrepancies within 45 days of posting. Correspondence concerning Prepayment Accounts can be
emailed to: prepay@sos.state.oh.us
SOS Office Use Only:
Batch #s Processed:
Batch#/Order#:
Order #s
Last Updated: December 12, 2001
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