Fillable Instructions for properly completing a Certification Memo (Department of Technology and Information)

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Instructions for properly completing a Certification Memo (Department of Technology and Information)

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Country of origin: US
File type: PDF

U.S.A. forms for Department of Technology and Information

BROWSE DEPARTMENT OF TECHNOLOGY AND INFORMATION (DE) FORMS

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Instructions
for properly completing a
Certification
Memo
Only use this form if sending to our office by mail or courier service. If you wish to pay by Credit Card
or ACH DO NOT complete this form. Please use our Document Upload Service located at
https://corp.delaware.gov/document-upload-service-information/
Submitter’s Information
Mark the appropriate priority box. (additional Expedited Cost)
Fees: Priority 1 (One hr) - $1000.00
Priority 2 (Two hr) - $ 500.00
Priority 3 (Same Day) - Varies – Please see fee schedule
Priority 4 (24 hour) - Varies – Please see fee schedule
Submitter’s Information
Completely fill out your individual or business/firm name and complete address. The attention line needs to
be completed if a business or firm name is listed. Please include a phone number and/or email address in
case our office needs to contact you.
The account number is only to be completed by submitters that have an existing Depository account
with the Division of Corporations. Please ignore this field if you do not have a Depository account.
Certification Request Information
Complete the name of the entity and the entity File number. If you do not have the file number, you
may leave it blank.
Type of Certificate Request
Please mark the item(s) requested. If you need to specify additional information or instructions, please
provide the information in the Comments/Filing Instructions section.
Method of Return Information
All documents are returned Regular Mail or you can provide a Fed-X or UPS account number for express
mail. Please mark the appropriate method of return.
Please contact our office at 302-739-3073 with any questions or for verification of fees.
Return forms and memos to:
Delaware Division of Corporations
401 Federal Street - Suite 4
Dover, DE 19901
State of Delaware - Division of Corporations
CERTIFICATION SHEET
Priority 1
Priority 2
Priority 3
Priority 7
(One Hr)
(Two Hr)
(Same Day)
(Reg. Work)
SUBMITTER’S INFORMATION
Company/Firm
Or Individual’s Name
Attention:
Return Address
City-State-Zip
Country
Phone:
Fax#
Email Address:
Account Number:
DO NOT WRITE IN THIS SPACE
CERTIFICATION REQUEST INFORMATION
Name of Company/Entity
File Number
TYPE OF CERTIFICATE REQUEST
Certified Plain Copy
All Charter Documents
Restated forward
Specific document(s) filed on
Annual Report Years
Short Form Good Standing
(Check if additional language required)
Incorporation Date
METHOD OF RETURN
(Fax or E-Mail is not available)
Messenger/Pick up
Fed Ex UPS
Acct#
Regular Mail
COMMENTS/FILING INSTRUCTIONS
Taxes Paid
Annual Reports Filed
Long Form Good Standing
Certificate in RE___________________ (Type of Cert.)
Check#
Total $ enclosed
Apostille/Gold Seal
Country
If you wish to pay by Credit Card or ACH, please DO NOT
complete this form. Please submit your request using our new
Document Upload Service located at
https://corp.delaware.gov/document-upload-service-information/
The system will create the cover memo using the information
entered at the time of the upload.
INSTRUCTIONS
1. Visit http://corp.delaware.gov/cvrmemo.shtml
for complete instructions on how to properly
complete this memo
2. Fully shade in the required Priority Square
using a dark pencil or marker, staying
within the square.
Delaware Division of Corporations, 401 Federal Street, Ste. 4, Dover, De 19901
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Instructions for properly completing a Certification Memo (Department of Technology and Information)

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Completed 2 December 2020

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