PRE-PAID ACCOUNT DEPOSIT (PAD)
REGISTRATION FORM
Complete this form to register for a pre-paid (PAD) account. We will issue you a six digit account number for
your use on filings.
The PAD account can be used for all services and filings with the Secretary of State’s Office.
Business Name: __________________________________________________________________________
Contact Person: __________________________________________________________________________
Physical Address:
_________________________________________________________________________
Mailing Address: __________________________________________________________________________
City: ___________________________ State: ___________ Zip: __________________
Telephone Number: ________________________
E-mail: __________________________________________________________________________________
Initial Deposit Amount (Payable to the Secretary of State): ___________________________________________
(Please contact Secretary of State for payment by Credit Card)
Please send a monthly transaction statement: __ Yes __ No
Dated: _________________________ __________________________________________
(Signature of Person Authorizing the Account)
__________________________________________
(Printed Name of Person Authorizing the Account)
Mail or Fax to:
Secretary of State
500 E Capitol Avenue
Pierre, SD 57501
Email: sos.ucc@state.sd.us
Phone: 605-773-4422
Fax: 605-773-4550
For Office Use Only:
___________________________ Please include this PAD account number on all future requests.
Authorized Pad Account Number
PAD Account Registration – May 2016
click to sign
signature
click to edit