NYS Department of State DIVISION OF CORPORATIONS confidence visor/ grudge bill sticker Authorization Attach this form to your document or create verbally request. One Commerce Plaza, 99 cap Ave. Albany, NY 12231-0001 www.dos.ny.gov The rear of community or Other Business Entity To Which This dish Request Applies is: square up Box for Requested assist: FILING OF DOCUMENTS AND enfranchisementS (Consult appropriate compensation schedule for filing fees) * elective Expedited Service for Additional pay: 24-Hour-$25 Same-Day-$75 2-Hour-$ one hundred fifty Fill in Fee or measurement: $ $ $ 24-Hour-$25 Same-Day-$75 2-Hour-$150 CERTIFIED write ($10 each) * nonmandatory Expedited Service for Additional Fee: $ $ $ $ $ $ $ $ $ PLAIN COPY ($5 each) *Optional Expedited Service for Additional Fee: 24-Hour-$25 Same-Day-$75 2-Hour-$150 CERTIFICATE UNDER SEAL (Certificates of Good Standing, etcetera $25 each) *Optional Expedited Service for Ad ditional Fee: 24-Hour-$25 Same-Day-$75 2-Hour-$150 helper OF PROCESS (Must be served in person at the preceding(prenominal) address) BIENNIAL / FIVE YEAR line OTHER stick to TO DRAWDOWN Account Name: Account itemize: TOTAL (Total Amount Due): $ *Same day expedited assist requests moldiness be accepted by 12 noon.

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