CFCVLR REV 03/2015
Arizona Corporation Commission – Corporations Division
Page 1 of 1
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION
COVER SHEET
USE A SEPARATE COVER SHEET FOR EACH DOCUMENT
1. WHAT ARE YOU FILING?
5. REQUIRED - RETURN DELIVERY OPTION (PLEASE PRINT CLEARLY and select only ONE):
Pick up
Name:
Phone:
Mail
Name:
Address:
4. PAYMENT METHOD:
MOD Account #
FOR ARIZONA CORPORATION COMMISSION USE ONLY
PICK-UP BY: _________________________________________________ DATE: ________________
View current processing times at:
www.azcc.gov/Divisions/Corporations/document-processing-times.pdf
Email
Email address:
City:
State:
Zip:
Phone:
YES
NO
New Entity Change to existing entity Re-submission/Correction
3. CALCULATE YOUR FEES (copies, certificate of good standing and expedited processing are all optional):
Corporation certified copies
TOTAL YOUR AMOUNT OWED
TOTAL AMOUNT DUE:
LLC certified copies
Certificate of Good Standing
Do you want EXPEDITED processing?
If YES, add $35.00
Subtotal:
$ 5.00 each x (enter number of copies requested)
$10.00 each x (enter number of copies requested)
$10.00 each x (enter number of copies requested)
Subtotal:
Subtotal:
Subtotal:
2. ENTITY NAME:
DOCUMENTS WILL BE MAILED IF THEY ARE NOT PICKED UP IN A TIMELY MANNER (APPROXIMATELY ONE WEEK)
Cash - do not mail cash. Cash may be used only for in-person submittals.
Checks or money orders - must be made payable to "Arizona Corporation Commission," with all words spelled out and no
abbreviations. Checks must be completely and properly filled out, including the amount sections. UNACCEPTABLE CHECKS
include: no imprinted or preprinted name and address of the account holder; no imprinted or preprinted check number;
handwritten or stamped names, addresses, or check numbers; temporary checks (new accounts).
Credit cards - may be used for in-person submittals, and for online corporation annual reports, online name reservations, or
online certificates of good standing. We accept only Visa, MasterCard, and American Express.
Document filing fee (fees are listed on the bottom of the form or on the fee schedule)
Subtotal:
