DOES HEREBY AUTHORIZE Global
Corporate Services, Inc.
(Name on Card)
to charge the amount of $
plus the amount of $15.00 (administrative fee)
to its:
Account
No. Expiration Date
CVV
Security Code
Name of
Registered Company
File Number
Billing Address
City, State, Zip
Telephone No.
Fax No.
Email Address
Authorized Signatory:
Dated:
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form and fax it back to Global Corporate Services, Inc. at (703) 995-0899.
I do hereby certify that Global Corporate Services, Inc. has not provided
me with personal counsel or tax advice with regard to the
formation or filing of this corporation. I, (or on behalf of my client) do guarantee
payment of the yearly resident agent fee of $90.00 payable to Global Corporate Services,
Inc. due January 15th of every calendar year and acknowledge that the
franchise tax is due
to the State of Delaware prior to March 1st of every year if a corporation and
June 1 for an LLC.
Corporate
Office and Address for the Corporation or LLC
704 N. King Street Suite 500
P. O. Box 1031
Wilmington, DE 19899 |
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Disclaimer: Global Corporate
Services, Inc. is a registered agent and document filing service. Our company
provides general information and incorporation filing services. We do not offer
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