Fillable State of Delaware - Division of Corporations DOCUMENT FILING SHEET

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State of Delaware - Division of Corporations DOCUMENT FILING SHEET

On average this form takes 9 minutes to complete

The State of Delaware - Division of Corporations DOCUMENT FILING SHEET form is 2 pages long and contains:

  • 0 signatures
  • 5 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

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Instructions for properly completing a Filing Memo
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 contact our Office
Priority 4 (24 hour) - Varies – Please contact our Office
Submitters Information
1. 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.
2. The account number is only to be completed by entities that have an existing Depository account with the
Division of Corporations. Please ignore this field if you do not have a Depository account.
Filing 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.
Method of Return
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.
Credit Card Information
All credit card information must be completed. If the credit card information is not the same as it is listed
with the submitter’s information, then please specify the correct information in the comments/filings
instruction area on the bottom right hand side of the memo. You must also include your 3-4 digit security
code on the back of the card.
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
DOCUMENT FILING SHEET - Fax# 302/739-3812
Priority 1 Priority 2 Priority 3 Priority 4 Priority 7
(One hr) (Two Hr.) (Same Day) (24 Hour) (Reg. Wo
rk)
SUBMITTER’S INFORMATION
Company/Firm or
Individual’s Name
Return Address
Attention:
Phone#
Fax#
E-mail address
Account Number
SUBMITTER’S INFORMATION
Company/Firm or
Individual’s Name
Return Address
City – State - Zip
Attention:
Phone# Fax#
E-mail address
Account Number
DO NOT WRITE IN THIS SPACE
DOCUMENT FILING REQUEST INFORMATION
Name of Company/Entity
File Number
Reservation Number
Type of Document
Check if document is:
Changing Name
Changing Registered Agent Changing Stock
METHOD OF RETURN
_____ Messenger/Pick up
_____ Express Service Delivery
Acct#___________________________________
_____ Regular Mail
_____ Other __________________________________
OTHER DOCUMENT FILING INFORMATION
# of Certified Copies returned
Other requests
Check #
Total $ enclosed
COMMENTS/FILING INSTRUCTIONS
CREDIT CARD INFORMATION
(Visa, MasterCard, American Express & Discover Card Only)
- - -
Expiration Date - /
Sec. Code_________
INSTRUCTIONS
1. Visit 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. .
Select Express Type
Card Type
Fax or e-mail is not available.
EACH REQUEST MUST BE
SUBMITTED AS A SEPARATE
ITEM WITH THIS FILING
SHEET AS THE FIRST PAGE
OF EACH SUBMISSION.
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State of Delaware - Division of Corporations DOCUMENT FILING SHEET

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Completed 16 December 2019

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