Corporation Questionnaire

1.  NAME OF CORPORATION (3 CHOICES)
         1st Choice: 
         2nd Choice: 
         3rd Choice: 
         Will "Inc." appear at the end of the name?:  Yes      No
 
       Will the business be using a Fictitious Business Name?:  Yes   No
         If yes, what name: 
         County in which FBN will be used:     State:
 
2.  STREET ADDRESS OF CORPORATION (number & street, city, state, ZIP):
                      
 
3.  MAILING ADDRESS OF CORPORATION (if any):
                     
4.  NAME OF RESIDENT AGENT (PERSON): 
5.  STREET ADDRESS OF RESIDENT AGENT:
                    
6.  GENERAL BUSINESS PURPOSE OF THE CORPORATION:
                    
7.  DATE BUSINESS OPERATIONS WILL BEGIN / BEGUN: (mm/dd/yyyy)
8.  NAME(S) & ADDRESS(ES) OF DIRECTORS ON THE BOARD
          DIRECTOR #1:   Name: 
                                        Address (number, street, city, state, ZIP): 
                                                
          DIRECTOR #2:   Name: 
                                        Address (number, street, city, state, ZIP): 
                                                
          DIRECTOR #3:   Name: 
                                        Address (number, street, city, state, ZIP): 
                                                
If the corporation is to have more than 3 directors, please use the comments section to input additional names and addresses.
9.  CONTACT INFORMATION (this transaction)
  1. NAME :                 
  2. DIRECT PHONE:
  3. CELL PHONE:    
  4. FAX:                     
  5. E-MAIL:                
  6. WEBSITE:           
 

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