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Annual Report Application Fax Form
PCF Fax: 415-276-4174
Company Name    
Company Type  Corporation     LLC     Non Profit     
Address    
City
     State     Zip   
 
Business Description    
     
     
 
 
Contact & Delivery Information Information
 
First Name
   Last Name  
 
Address    
City
     State     Zip   
 
Telephone    
Email    
 
 
Registered Agent Information
 
When you form a new corporation you are legally required to have a Registered Agent.
A Registered Agent is an individual with a physical address located in the state where the company is formed.
This individual is registered with the state as the point of contact for legal notices and other official correspondence.
You can act as your own Registered Agent.  Most companies prefer to hire someone else to serve as a Registered Agent on their behalf, to protect their privacy (or for other reasons).
PCF, Inc. offers Registered Agent services in all 50 states. The fee for our Registered Agent services is $135.00 per year.
If you would like PCF to act as your Registered Agent, check here, and skip this section
If you would like to act as your own Registered Agent, fill in this section
 
 Check here if Registered Agent info is same as Contact info
 
First Name
   Last Name  
 
Address    
City
     State     Zip   
 
 
 
 
President Information
 
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   Last Name  
 
Address    
City
     State     Zip   
 
 
 
Secretary Information
 
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   Last Name  
 
Address    
City
     State     Zip   
 
 
 
Treasurer Information
 
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   Last Name  
 
Address    
City
     State     Zip   
 
 
 
Director/Member Information
 
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First Name
   Last Name  
 
Address    
City
     State     Zip   
 
 
 Check here if Director/Member info is same as Contact info
 
First Name
   Last Name  
 
Address    
City
     State     Zip   
 
 
 Check here if Director/Member info is same as Contact info
 
First Name
   Last Name  
 
Address    
City
     State     Zip   
 
 
 
 
 
Billing Information
 
 Check here if Billing info is same as Contact info
 
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   Last Name  
 
Address    
City
     State     Zip   
 
 
 
Payment Information
 
 Call me for my Credit Card information
 
Credit Card Type  Visa     MasterCard     Discover     
Cardholder Name    
Card Number    
Expiration date