PLEASE PRINT, COMPLETE AND FAX THIS FORM TO (703) 995-0899)
Click here for information the 501(c)(3) tax exempt status Part I - CREDIT CARD AUTHORIZATION FORM - Billing Information
__________________________________ DOES HEREBY AUTHORIZE THOMPSON & THOMPSON PC (Name on Card) to charge the amount of $ 2995.00 to its:
Account No. __________________________________ Expiration Date _____________
Name as it appears on card __________________________________________________
Credit Card Billing Address __________________________________________________ (if mail forwarding address is different, use separate sheet of paper)
City, State, Zip _____________________________________________________________
Telephone No. ________________________ Fax No. _____________________________
Email Address ___________________________________________
Signed By ____________________________________ Social Security # _______________________
Title __________________________ Dated ______________________
We also accept payment by PayPal. To pay by PayPal our email address is paypal@delawarecorp.us.
Part II - Information Required to complete the Application to the IRS for the
501(c)(3) Tax Exemption - (Please do not leave any information blank).
Your Name ______________________________ Office/Position/Title ______________________
Company Name __________________________________________________
Company Address ________________________________________________
City, State, Zip ___________________________________________________
Telephone _______________________ Fax ___________________________
Email Address ____________________________________________________
Is your organization already incorporated? Yes No - If no, for Delaware only see
http://global-inter.net/nonprofit.htm. For all other states please call toll free 800-219-9359.
State of Incorporation ______________________ Year Incorporated ______________
Employer ID Number (EIN) __________________________________
Has your organization previously applied for tax exemption? Yes No
What are your organization's exempt purposes? Check all that apply:
Charitable Educational Religious Scientific Literary Testing for Public Safety
To foster national/international amateur sports competition
When did your organization begin its operations? ____________________
Describe Your Organization's Activities: ________________________________________
____________________________________________________________________________
What do you estimate your organization's Annual/Projected Revenues: ____________
Describe your organization's present & planned revenue sources: _________________
_____________________________________________________________________________
Is your request urgent? Yes No (note: it usually takes from three to six months to get IRS
approval. If yes, please describe the urgency.____________________________________
______________________________________________________________________________
Thank you for your prompt attention to this invoice. Global Corporate Services, Inc. does not provide personal counsel or tax advice. The application and credit card will be processed by our attorneys, the firm of THOMPSON & THOMPSON PC.
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