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DOES HEREBY AUTHORIZE Global
Corporate Services, Inc.
(Name on Card)
to charge the amount of $
plus the amount of $10.00 (administrative
fee)
to
its:
Account No.
Expiration Date
CVV
Security Code
Name
of Registered Company
File
Number (from Franchise Tax Form)
Billing
Address
City,
State, Zip
Telephone
No.
Fax No.
Email
Address
Authorized Signatory:
Dated:
Services
Required:
Resident
Agent Fee
Franchise
Tax
DISCLAIMER:
Please
check here to verify that you have
read the following Disclaimer. There
are no cancellations and/or refunds
once the corporation has been filed
with the State of Delaware. After
you submit the form via email, please
print and sign this form and fax
it back to
ACME
Filings Corp.
at (703) 995-0899.
Failure to fax this form back may
delay the filing of the corporation.
Thank you for your prompt attention
to this invoice.
ACME
Filings Corp.
does not provide personal counsel
or tax advice.
I
do hereby certify that
ACME
Filings Corp.
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
ACME
Filings Corp.
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.
Global
must have an original signature
on file. Please FAX this form to ACME
Filings Corp.
at
(703) 995-0899
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