Incorporate a Limited Liability Company

Name:
E-mail:
Address:
City:
State/Province:
Postal Code:
Phone:

1) Relationship with the New Business (i.e. owner, officer, employee etc)


2) The Mailing Address for the Corporate Documents (if not being picked up at our office)


3) Business Name to be registered (Name must end with “Limited Liability Company”, “L.L.C.” or “LLC”)


4) Business Name to be registered (Second Choice, in case first name is not available)


5) Business Name to be registered (Third Choice, in case first and second name is not available)


6) Principal Address of New Business
Address:
City:
State/Province:
Postal Code:

7) Mailing Address of the New Business (if different from Principal Address)
Address:
City:
State/Province:
Postal Code:
8) Name of Registered Agent for the New Business (if the registered agent is a business, it must be different than the one being filed)


9) Registered Agent’s Address (P.O. Box not accepted & must be a Florida Address)


10) Please list the Names, Addresses of Managing Members and/or Members. For example: John Smith, Member, 1234 NW 56th Ave, Miami Florida 78910 or Jane Smith, Managing Member, 1234 NW 56th Ave, Miami Florida 78910


11) Please Briefly list your business purpose:


12) By submitting this information you hereby confirm that: The person requesting this incorporation is fully authorized to do so The registered agent has full knowledge of this incorporation Both individuals grant this Firm the permission to sign the corporate documents as necessary for the filing of the same.
I understand, agree and hereby certify that the information above is correct.