24-Hour Expedite
Date:
Phone:
Hold for Pick Up
Method of Payment:
Check/Money Order
Total Amount:
Name of Entity:
SUBMIT THIS COMPLETED FORM WITH YOUR FILING USE BLACK INK ONLY - DO NOT HIGHLIGHT
Regular
(additional fee included)
Contact Name:
Trust Account:
Use balance remaining in job #
Mail to Address Above
Return to:
Credit Card (attach ePayment checklist)
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Nevada Secretary of State Customer Order Instructions
Revised: 1-5-15
*PLEASE NOTE: this office keeps the original paperwork. The first file
stamped copy ordered at the time of filing is at no charge. Each additional
copy is $2.00 per page (plus $30.00 for each certification).
Order Description: (include items being ordered and fee breakdown)*
Return Delivery: (email or fax options do not receive a copy via mail; must be ordered separately)
Processing
Service Requested:
Fax to:
Email to:
Other: (explain below)
FedEx: Acct #
Customer Order Instructions
*230305*
*230305*
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