This form MUST be completed and placed on top of EACH document submission (so it can be readily identified as a request for expedited review and processing). Name of Corporation or Company (etc.) : (Must be typed for Email option.) SCC ID No. (if known) : Customer Contact Information : : : Address: (city or town) (state) (zip code) Telephone : ( ) - ext Email: Send Evidence of Expedited Filing By: ( Choose one ) Email (Only available for Categories A, C and D) Hold for Pickup (Available at 4 :00 p.m.) First - Class Mail USPS Express Mail (Prepaid envelope required.) Overnight via UPS Fed Ex ( C ompleted waybill required. For Fed Ex, the waybill must be c omputer - generated with a barcode .) ~~ See Information & I nstructions for description of C ategories. ~~ Expedited Service Requested: *** Expedite Fee : (mark service requested) *** ( other fees may be needed see footnote) FOR OFFICE USE ONLY Category A Expedite Business Entity Document listed in Schedule A Same Day Service (Received by 10:00 a.m. ) Next Day Service (Received by 2 :00 p.m.) Category B Preliminary Review of Document listed in Schedule A (2 nd Business Day Service Only Received by 2 :00 p.m.) R esubmission within 30 D ays of initial Pre - Review Category C Expedite Business Entity Document listed in Schedule C (Next Day Service Only Received by 2 :00 p.m.) Category D Expedite Appl ication for Reinstatement (Next Day Service Only Received by 2 :00 p.m.) $ 200 $ 100 $ 50 (N/C) $ 50 $ 5 0 I/O *** Submit one payment for all applicable fees (e.g., charter/entrance, reinstatement, filing and expedite fees) REVIEW THE INSTRUCTIONS BEFORE SUBMITTING THIS FORM. COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION OFFICE OF THE CLERK 1300 E MAIN ST RICHMOND, VA 23219 (804) 371 - 9733 1 - 866 - 722 - 2551 Toll - free in Virginia SCC21.2 (/1) Expedited Service Request Form Two typed originals of this form must be submitted for Email option . See Instructions . American LegalNet, Inc. www.FormsWorkFlow.com