Limited Liability Company

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

1. Name of 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. The name must contain the words “limited liability company,” “limited company,” or an abbreviation of one of these phrases.

1st Choice

2nd Choice

3rd Choice

2. Principal office address:

Street Address City State / Province / Region ZIP / Postal Code

3. The name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent):

Address of the Registered Agent:

Utah Street Address Required, PO Boxes can be listed after the Street Address.

Street Address City State ZIP Code

5. Name and Address of Members and/or Managers (optional):

Name	Position	Address

6. Duration (optional):

The duration of the company shall be perpetual
The duration of the company shall be _____________________________

Duration

7. Purpose (optional):

Is this a female owned business?

Yes
No

Is this a minority owned business?

Yes
No

If yes, please specify:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Application Fee

Price:

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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By clicking submit you agree to these Terms and Conditions and the above authorization of payment.