Pennsylvania Professional Corporation Data Entry Form

When you form a Professional Corporation in Pennsylvania all information that you enter on the state's application becomes part of the public record.  Our form includes the absolute minimum amount of information that you have to supply in order to Form a Pennsylvania Professional Corporation.  Once you click the Place Order button below, your new Professional Corporation will be registered with the Pennsylvania Secretary of the Commonwealth as quickly as possible.

We take the privacy of your personal information very seriously.  We DO NOT store your credit card information.  It is encrypted and passed on to your bank along with the details of your order.  We DO NOT use your personal information for any other purposes than this individual order.  We will never provide your personal information to any person, group or third party.
COMPANY NAME
Enter your 1st and 2nd choices for the corporate name of your new Pennsylvania Professional Corporation.
1st Choice 2nd Choice
COMPANY ADDRESS
Your Professional Corporation must have a physical address in Pennsylvania (not a PO Box)
Street Address City    AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip
BUSINESS INFORMATION
Your Pennsylvania Professional Corporation will legally start on the date your application is filed with the state of Pennsylvania and will continue until it is specifically terminated.  You may want to specify the dates on which the Pennsylvania Professional Corporation starts and ceases to exist legally.  If you don't specify a Start Date the Pennsylvania Professional Corporation will legally exist when the are approved by the Pennsylvania Secretary of the Commonwealth.  If you don't specify an End Date the Pennsylvania Professional Corporation will legally exist until it is specifically terminated.
Start Date End Date
Describe your business activity in 10 words or less.
Enter the number of shares of stock that the Pennsylvania Professional Corporation will be authorized to issue.  The shares do not have to be actually issued but the Pennsylvania Secretary of the Commonwealth wants to know the number than can potentially be issued.  Unless you have a reason to authorize a specific number of shares, it's best to keep the number at a low level.   Depending on what you want to do in the future there may be some fees which are based on the total number of shares authorized.   If you're not sure how many shares to authorize leave the value at 1500.
The Par Value of a stock is the share price below which the Pennsylvania Professional Corporation promises not to issue further shares.  Usually the Par Value will also be the initial trading price for the stock when it is introduced in the market place.  If you are not sure what the Par Value of the stocks should be then enter a low price.
No. of Shares Par Value
Tax Year End Month
REGISTERED AGENT INFORMATION
Your Pennsylvania Professional Corporation must have a Registered Agent with an office in Pennsylvania.  A Registered Agent, also known as an Agent for Service of Process, receives all legal correspondence on your behalf.
Agent Name  Agent Address same as Company Address Street Address  City  PA Zip
SHAREHOLDER, OFFICER, DIRECTOR INFORMATION
Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip  add another Name License # Shareholder Officer Director Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip
CONTACT & SHIPPING INFORMATION
This will be the person and adress where we'll send the final document package.  We may need to ask you questions regarding your order so be sure to include your phone number and email address.
Name Contact Address same as Company Address Address City   State  StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY  Zip Telephone  Email
BILLING INFORMATION
You can feel safe when using your credit card to place your order with us. We use SECURE ENCRYPTION technology to keep all information confidential.
If you prefer, check the box below and you won't have to enter your credit card information online. Instead, we'll call you to get it.  Call me for my Credit Card Information Name Address  Zip Card Type Credit Card Type American Express Visa Master Card Discover PayPal Card Number  Expires Month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec  /  Year202220232024202520262027202820292030   3 or 4 digit Security Code
TOTAL COST
This is the total cost of your order. There are no hidden charges. TOTAL CHARGES Pennsylvania processing fees $168.00 Processing fee $125.00 Total fees $293.00 Special Instructions

CANCELLATION POLICY All Pennsylvania (PA) Professional Incorporation orders are refundable before payment is issued to the state of Pennsylvania Secretary of the Commonwealth, minus a $25 cancellation fee, and less any expenses incurred in processing your order.  After payment has been delivered to the state of Pennsylvania Secretary of the Commonwealth we cannot accept any cancellations or any changes to your Pennsylvania (PA) Professional Incorporation order.  Generally, payments are made to the state of Pennsylvania (PA) Secretary of the Commonwealth within 24 hours of receipt of your Pennsylvania (PA) Professional Incorporation order.  To check the status of your Pennsylvania (PA) Professional Incorporation order, make changes, or ask any questions, call us toll free at 1-855-771-2477.

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