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Department of State: Division of Corporations

You have selected the following names to be reserved.

Entity Name

Entity Type

Cost ($)

Status


Payment Information

* Required

Payment must be made in U.S. Dollars and money needs to be drawn from a United States Bank.
Electronic Payment (ACH Debit) Required for all transactions over $5,000.00. Bank Identification Number 1225092400.
Total amount due for this transaction: $75.00
File No:
Name:
Payment Type:	*
Account Information and Billing Address


Account Type:	*

First Name:

Last Name:

Routing Number:	*		Confirm Routing Number:	*
Account Number:	*		Confirm Account Number:	*

Account Holder Address

Mailing Address1:

Address2:

City:

Country:

Postal Code:

State:

Phone Number:

Email:

By checking this box, you authorize an electronic debit from your checking account that will be processed through the regular banking
system. If any of your payments are returned unpaid, you will be charged a returned item fee up to the maximum allowed by law.

To exit without authorizing, click Cancel. On clicking Cancel, please be aware that you will be logged out of the system.

State’s return item fee is $ 50

The application does not store your payment information.

Clicking on Submit will deduct $75.00 from your depository account balance.

Important Note: Once you click submit, it may take a few moments to process your request. Please do NOT refresh your screen or hit the back button in your browser. Doing so may result in duplicate payments. If you experience technical issues or have any question whether your request was successful, please contact the Division of Corporations at 302-739-3073.

Payment Information