Limited Liability Company

The name of the limited liability company

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice. Include the words "Limited Liability Company," "Limited Company, "or the abbreviations L.L.C., LLC, or LC.

1st Choice

2nd Choice

3rd Choice

Street address of the principal office

Street Address City State ZIP Code

Mailing address of the principal office

Street Address City State ZIP Code

Name of the registered agent

First Last

Street address of the registered agent

Street Address City State ZIP Code

Governors

Governor means a manager of a manager-managed limited liability company, or a member of a member-managed limited liability company

The name and address of at least one governor of the limited liability company

Name	Address

Mailing address for future correspondence (annual report notices):

Your annual report reminders will be mailed to this address.

Street Address City State ZIP Code

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

Credit Card

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