Professional Service Corporations

Contact Information

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

The name of the corporation is:

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. A corporation's name must include words like Corporation, Incorporated, Company, or abbreviations, like Corp., Inc. or Co.

Name choice (2)

Name choice (3)

The corporation is organized for the sole and specific purpose of rendering the following professional service(s):

Total authorized common shares

Total authorized preferred shares

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Total number of authorized shares

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Total number of authorized shares (over 10,000,000)

A statement of all or any of the relative rights, preferences and limitations of the shares of each class is as follows:

The name of the resident agent at the registered office is:

First Last

The street address of the location of the registered office is:

Street Address Address Line 2 City State ZIP Code

Address has to be a physical address not a PO Box.

Is the mailing address different?

Yes
No

The mailing address of the registered office, if different than above

Street Address Address Line 2 City State ZIP Code

The name(s) and address(es) of the incorporator(s) is (are) as follows:

Name	Residence or Business Address

Preparer's Name

First Last

Business telephone number

Organization Fee (up to 60,000)

Price:

Organization Fee (up to 1,000,000)

Price:

Organization Fee (up to 5,000,000)

Price:

Organization Fee (up to 10,000,000)

Price:

Organization Fee (over 10,000,000)

Price: $0.00

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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