Fillable EXPEDITED SERVICE REQUEST (24 Hour) (State of Connecticut/Department of Administrative Services)

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EXPEDITED SERVICE REQUEST (24 Hour) (State of Connecticut/Department of Administrative Services)

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EXPEDITED SERVICE REQUEST (24 Hour)
C.G.S. §§ 3-99a; R.C.S.A. 3-99a-1 to 3-99a-25
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
PHONE:
860-509-6003 WEBSITE: www.concord-sots.ct.gov
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
PAGE 1 OF 2
FORM EXP-1-1.0
Rev. 9/2012
1. NAME OF REQUESTING PARTY:
PHONE #, INCLUDING AREA CODE - REQUIRED:
ZIP:STATE:
CITY:
ADDRESS:
BUSINESS ID# (IF APPLICABLE):
NAME OF BUSINESS ENTITY- REQUIRED:
CUSTOMER ID#, IF ANY (BY PROVIDING MY CUSTOMER ID# I AM AUTHORIZING THE SECRETARY OF THE STATE'S OFFICE TO
DEBIT MY ACCOUNT):
PICK UP MAIL
OR
EXPEDITED SERVICE FEE IS $50.00 PER TRANSACTION IN ADDITION TO THE FILING FEE. EACH
CERTIFICATE OR COPY IS CONSIDERED A SEPARATE TRANSACTION.
NOTE: THERE IS ONLY ONE EXPEDITED FEE WHEN A CERTIFICATE OF INCORPORATION AND
ORGANIZATION AND FIRST REPORT ARE FILED TOGETHER FOR THE SAME ENTITY.
DOCUMENT(S) BEING FILED:
DOCUMENT FILING FEE(S) $
NUMBER OF DOCUMENTS BEING EXPEDITED:
X (50.00) = $
TOTAL FILING FEE(S) * $
PAGE 2 OF 2
FORM EXP-1-1.0
Rev. 9/2012
DOCUMENT COPIES: (Note: Fees below include the $50.00 Expedited Service charge.)
NUMBER OF CERTIFIED COPIES
NUMBER OF PLAIN COPIES
NAME OF DOCUMENT
FILING NUMBER DATE VOLUME PAGE FEE
$
$
$
(REFERENCE AN ATTACHMENT IF ADDITIONAL SPACE IS REQUIRED).
DOCUMENT COPY FEES* $
NOTE: LONG FORM CERTIFICATES AND CERTIFICATES OF NO RECORD CANNOT BE EXPEDITED.
CERTIFICATES OF LEGAL EXISTENCE
1. CORPORATIONS, LIMITED LIABILITY
PARTNERSHIPS, STATUTORY TRUSTS
NUMBER REQUESTED FEE FEE AMOUNT
A. Express Certificate of Legal Existence
B. SHORT FORM CERTIFICATE
(REFLECTS ALL NAME CHANGES)
A.
B.
X
X
100.00
130.00
=
=
B. $
A. $
2. LIMITED LIABILITY COMPANIES:
D. $
C. $
=
=
100.00
100.00
X
X
D.
C.
D. SHORT FORM CERTIFICATE
(REFLECTS ALL NAME CHANGES)
C. EXPRESS CERTIFICATE
E. $
=
100.00
X
E.
E. CERTIFICATE OF LEGAL EXISTENCE
3. LIMITED PARTNERSHIPS:
F. $
=
100.00
X
F.F. CERTIFICATE EVIDENCING:
4. SPECIAL CERTIFICATES:
FEES (ADD A THRU F) * $
REQUIRED INFORMATION FOR CREDIT CARD TRANSACTIONS, VISA, MASTERCARD or AMEX.
TOTAL AMOUNT DUE $
TOTALS WITH THE ASTERISKS (*)
CREDIT CARD #:
EXPIRATION DATE (MONTH/YEAR):
$105.00
$90.00
SECURITY CODE:
ZIP CODE (MUST MATCH THE CREDIT CARD BILLING ADDRESS):
NAME ON CREDIT CARD:
SIGNATURE:
INSTRUCTIONS
1. Print or type the name and address of the requesting party. Correspondence will be mailed to this address.
2. Print or type the name of the business, which is the subject of the request.
3. Print or type Customer ID (if applicable). By providing your Customer ID you are authorizing the Secretary of the
State’s office to debit your account.
4. Mail: Documentation will be mailed to the requesting party at 4:00 PM on the following business day. Allow
additional time for mail delivery.
Pick Up: Documentation must be picked up before 4:00 PM on the following business day or it will be placed in the
outgoing mail and cannot be retrieved. In this case allow additional time for mail delivery.
5. Expedited Fee is $50.00 PER TRANSACTION – For example: Review of a document filing and issuance of a
confirmation letter is one transaction while a request for a certified copy is another transaction.
6.The request will be completed within twenty-four hours of receipt. If the twenty-four hour period ends on a Saturday,
Sunday, holiday, or day on which the Commercial Recording Division is not open for business, the twenty-four hour
period is extended to the appropriate hour of the next business day on which the Commercial Recording Division is
open for business.
Please note: Expedited Service (24 Hour) is the amount of time this office has to process your
request. Allow additional time for mailing. Paying for expedited service does not guarantee that your filing
will be accepted.
Each time a document is reviewed on an expedited basis and rejected, the $50.00 expedited fee will be
forfeited. Therefore, if documents are to be expedited upon resubmission, an additional expedited fee must be
resubmitted along with the documents.
OFFICE OF THE SECRETARY OF THE STATE
MAILING ADDRESS:
COMMERCIAL RECORDING DIVISION
CONNECTICUT SECRETARY OF THE STATE
P.O. BOX 150470
HARTFORD, CT 06115-0470
DELIVERY ADDRESS:
COMMERCIAL RECORDING DIVISION
CONNECTICUT SECRETARY OF THE STATE
30 TRINITY STREET
HARTFORD, CT 06106
PHONE: 860-509-6003
WEBSITE: www.concord-sots.ct.gov
INSTRUCTIONS
FORM EXP-1-1.0
Rev. 9/2012
DO NOT SCAN THIS PAGE
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EXPEDITED SERVICE REQUEST (24 Hour) (State of ConnecticutDepartment of Administrative Services)

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Completed 2 March 2022

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