(3 on back: AMEX-4 on front)
5a. Send to:
Form LLC-50.25
August 2018
Illinois
Limited Liability Company Act
LLC Fax Transmittal Request Form
for Certificates of Good Standing
and/or Certified Copies of
Documents
T
his space for use by Secretary of State.
Approved:
Secretary of State
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 351
Springfield, IL 62756
2
17-524-8008
www.cyberdriveillinois.com
FAX: 217-524-3390
Printed by authority of the State of Illinois. August 2018 — 1 — LLC-40.11
S
ubmit 8 digit file # above.
F
ILE #
1.
Limited Liability Company Name:
Request for:
r
Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
r
Expedited Certificate of Good Standing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45
r
Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
r
Expedited Certified Copy of Articles of Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75
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Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25
r
Expedited Certified Copy of Other Document (list below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75
Name of Document Date Filed
2.
Credit Card (check one):
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Visa
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Mastercard
r
Discover
r
American Express
Account Number
Name of Cardholder
Billing Address of Account:
Number Street Suite #
City State ZIP
E
xp
. D
a
te
In addition to the above fees, an additional payment processor fee will be charged when paying by credit card (minimum $1).
3. Name and Daytime Phone Number of Contact Person:
Name
Email
Telephone Number
4. Shipment Method (check one):
Number Street Suite #
First Name Middle Initial Last Name
City State ZIP
5b. Express Mail Carrier and Account Number:
Carrier Name
Account Number
5c.
Fax to:
Name
Fax Number
Expedited requests will be sent within 24 hours.
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Regular Mail (Complete 5a.)
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Express Mail (Complete 5a. and 5b.)
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Fax (Complete 5c.)
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Email (Complete 5d.)
5d.
Email:
S
e
c
u
ri
ty C
o
d
e
