Provided by Vcorp Services.

Upon completion of the following form, you will be added to our customer file for faster and easier processing of future purchases.

Contact Information

Full Name: *
E-mail: *
Confirm E-mail: *
Street Address:
City:
State:
Zip:
Primary Phone:
Alternate Phone:

General Information

State of formation: *
Desired entity name: *
(Please list two options to ensure availability)
List names exactly as they should appear, including name ending (i.e. llc)

Entity Information

Mailing Address: *
Country: *

Agent Information (Not neccessary for NY state)

Registered Agent Name: *	Same as the Entity Address
Street Address: *
I have no agent. Please provide a registered agent for this entity. ($99)

Partners Information

Partner Name:

Partner Address:

Number of additional Partners:

EIN Information (Optional)

Please provide a Tax ID number for this entity

Name of Members:

Social Security Number:

Principal Business Activity:

Publication (optional)

Special Instructions

Please provide any special instructions.

Additional services and products

Corporate Kit & Seal ($65)

Corporate Seal Only ($30)

Total Charges


Vcorp Service Fee:	$
State Filing Fees:	$
Shipping & Handling:	$
Additional services and products:	$
Registered Agent:	$
Total Order:	$
The fees indicated include the minimum state filing fees. In the event higher fees will apply to your company we will notify you.

Payment Options

Please charge the following credit card:

	Visa		Master Card
	American Express		Discover

Cardholder Name: *

Card Number: *

(Please enter 16 digits)

Expiration Date: *

CVV Number: *

(3 or 4 digits)

Check this box if Billing Address is same as Contact Address (the address that appears on your credit card or bank statement)

Street Address:

City:

State:

Zip:

Please call me at the number listed above for my credit card information.

How did you hear about us?

Form A Family Limited Partnership (FLP)

Carefully review your order before clicking submit.

You will receive an e-mail confirmation with the details of your order.

NOTE: New York LLC. publication is required, and is to be published within 120 days of formation. Please publish this LLC. upon its formation.
Publication County: