| Name of
incorporation: |
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(Must end with Corp., Corporation, Inc. or Incorporated) |
| First Choice: |
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| Second Choice: |
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(Brief Description of business) |
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|
 |
| Address of
corporation: |
| Street 1: |
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Street 2:
(if applicable) |
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| City: |
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| State: |
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| Country: |
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| Zip code: |
-
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|
 |
| Your
contact information: |
| Confidential
E-Mail: |
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| Telephone: |
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| Fax: |
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| Pager or Cell: |
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|
 |
| Number of
authorized shares and value: |
| Number of shares: |
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| Per value: |
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|
 |
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Director(s)
of corporation: |
| (Only
one is required) |
| Director's name: |
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| Street 1: |
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| Street 2: (if
applicable) |
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| City: |
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| State: |
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| Country: |
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| Zip code: |
-
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| Director's name: |
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| Street 1: |
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| Street 2: (if applicable) |
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| City: |
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| State: |
|
| Country: |
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| Zip code: |
-
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|
 |
| Registered
agent: |
| Name: |
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| Street 1: |
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| Street 2: (if applicable) |
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| City: |
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| State: |
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| Country: |
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| Zip code: |
-
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|
 |
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I want R.R.A.S., Inc. as my registered agent ($100/year) |
|
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| Additional
Services: |
| |
Tax consulting services |
| |
Payroll processing service |
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Book-keeping service |
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Monthly financial service |
| |
Life insurance/retirement plan |
| |
Web site design/hosting |