Limited Liability Company Order Form

Gerald Weinberg, P.C.
email: corps@weinbergpc.com
90 State Street - Suite 815
Albany, NY 12207 USA
Voice: 800-342-9856
Fax: 800-354-3381


If you have any questions in completing this form, please contact us.

Your Name....................
Firm Name.....................
Firm Address Line1........
Firm Address Line2........
Firm Address Line3........
Firm Telephone Number.

Proposed LLC Name #1........
Proposed LLC Name #2........
Proposed LLC Name #3........


County.................................................................................
Service of Process/Registered Agent Name and Address1....
Service of Process/Registered Agent Name and Address2....
Service of Process/Registered Agent Name and Address3....

The LLC is being managed by(please select one):
1 or more members
A class or classes of members
1 or more managers
A class or classes of managers

The duration of the LLC is(please select one):
The latest date company is to dissolve is - .
The Company does not have a specific date of dissolution in addtion to the events of dissolution set for by law

The effective date of the Articles of Organization is(please select one):
Effective on Filing
The future effective date within 60 days is

Payment Information

Check:
A Check in the amount of $ is enclosed.

Credit Card: Warning!! - Mailing Credit Card Information via Internet Mail is NOT SECURE!
Name of Credit Card................:
Name appearing on Card...........:
Credit Card Number..................:
Expiration Date..........................:


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