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CREDIT CARD
AUTHORIZATION FORM - Billing Information
(PLEASE PRINT, COMPLETE AND FAX THIS FORM TO (309) 213-2245)
__________________________________DOES
HEREBY AUTHORIZE ACME Filings Corp.
(Name on Card)
to charge the amount of $__________ to its: (
)  (
)  (
)  (
) 
Account
No. _______________________________ Expiration
Date _________ CVV
Security Code ___________
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Services Requested |
| ( ) Filing
of Corporation or (
) Filing
an LLC w/Federal
ID No. |
(
)Limited Nominee Services (needed to apply for Federal
ID NO. only) |
| ( ) Filing
of Corporation or
( ) Filing
an LLC NO
Federal ID No. |
(
) Full Nominee Services (needed for Bank account NON US
citizen) |
| ( ) Filing
of a Non Profit Corporation w/Federal
ID No. |
( ) Apostille
(cost of $120.00 per country) Country _______________________ |
| ( ) Filing
of Series LLC w/Federal ID No. |
( ) Courier
Service |
| ( ) Corporate
Kit |
( ) Bank
Account
|
| ( ) Certificate
of Good Standing |
( ) Merchant
Account |
| ( ) Federal
ID No. only |
( ) Registered
Agent Fee of $90.00 (Filing own certificate) |
Billing Address
_________________________________________________________
*(if mail forwarding address is
different, use separate sheet of paper)
City, State, Zip ________________________________
Country _________________________
Telephone No. ________________________
Fax No. ________________________
Email Address ___________________________________________
Social Security # __________________________
Date of Birth _______________________
If no SSN: Passport No. _____________________
Country Issued ___________________
Date Issued _____________________
Date Expires ___________________
Signed By _______________________________
Title ________________________ Dated ______________
Please
check one: ( )
CORPORATION FOR PROFIT (
)
NON PROFIT CORPORATION (
)
LLC ( )
Series LLC
( ) LIMITED
PARTNERSHIP
Choice 1 NAME OF (
) CORP (
) LLC _______________________________________________
(CORP Fee includes 1500 shares at No Par Value)
Choice 2 NAME OF (
) CORP (
) LLC _______________________________________________
(CORP Fee includes 1500 shares at No Par Value)
Please check one.
How will the Corporation be taxed? as a (
) "C" Corporation
- file 1120 or an ( )"S"
Corporation - file 1120S
Please check one.
Would the LLC like to be taxed as a (
) As a Corporation (
) As a Partnership?
Is this a (
) Single Member LLC or an (
) Multi Member LLC? Note: A
single member LLC will be considered a sole proprietorship
and will be taxed accordingly.
- If Authorized Shares
are other than 1500 at No Par Value please state here. Other:
( ) No Par Value (
) Par Value. Number if shares ____________________ at
___________________ per share. (there may be additional
filing fees for Other)
Principal business activity
______________________ Month Fiscal Year Ends _______
No. of Employees (if any) _______
To whom are products or services
mostly sold ( ) Public ( ) Wholesale
( ) Private Sector ( ) Other _______________________
Click below to
print and fax the Power of Attorney forms to file with the
IRS
-
Power Of Attorney
- (Please sign in Two (2) places)
-
Form
2848 - IRS Power of Attorney
- Just sign in the top line Section 9.
-
Form SS4 - Application
for Federal Identification Number Sign on bottom of form
where it indicates the signature
-
Please fax
a CLEAR copy of your passport with your picture and Passport
ID No. if no Social Security Number is available
-
(
) Please acknowledge. There are no cancellations and/or
refunds once the corporation has been filed with the State
of Delaware. Please sign and fax this form back to ACME
Filings Corp. at (309) 213-2245.
-
(
)
Please acknowledge. There
are no cancellations and/or refunds once the corporation
has been filed with the State of Delaware. Please sign
and fax this form back to ACME Filings Corp. at (309)
213-2245.
( )
I have read the disclaimer.
Disclaimer:
You are responsible for making sure that all documents
submitted for the purpose of setting up a new corporation
or limited liability company , bank account etc., are
suitable for such purpose and otherwise legally sufficient.
This includes, without limitation, ensuring that the documents
are properly dated, executed, and certified where appropriate.
ACME
Filings Corp.
reserves the right to retain any moneys it receives if
there is positive evidence of fraud or any other material
civil or criminal infractions by the applicant. Intentional
falsifying or withholding of information may subject the
applicant to prosecution under the laws of the State of
Delaware and United States. In select cases, ACME
Filings Corp. may
be obligated to share information with appropriate
state and federal authorities. I
have not received personal
counsel or tax advice from ACME Filings Corp.
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Major
Credit Cards accepted. 